Dante Vacca, MD
Neurological Surgery · Reno, NVNPI 1659326403
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 13 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Medtronic accounts for 62.7% of it on its own, with 4 other manufacturers making up the rest. That places this record below the midpoint for neurological surgery clinicians in NV, where the typical reported total is $6,847.
Across 13 payments — averaging $50.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$416
- Penumbra, Inc.$114
- Cerapedics Inc.$99
- Integra Lifesciences Corporation$22
- Covidien LP$11
What the payments were for
- Food & beverage$663100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medtronic | 9 | $416 |
| Penumbra, Inc. | 1 | $114 |
| Cerapedics Inc. | 1 | $99 |
| Integra Lifesciences Corporation | 1 | $22 |
| Covidien LP | 1 | $11 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- UNID_PASS$139
- Penumbra System$114
How this compares
$663 in reported general payments places this provider in the 25th percentile of 45 neurological surgery providers in Nevada.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 65 | $1,209 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 40 | $669 |
| Gabapentin | 43 | $434 |
| Tizanidine Hcl | 29 | $236 |
| Carisoprodol | 15 | $134 |
| Tramadol Hcl | 20 | $81 |
| Methylprednisolone | 16 | $74 |
| Cyclobenzaprine Hcl | 11 | $65 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Reno
- Edward PerryReno$196K
- Michael SongReno$154K
- James LynchReno$112K
- Lali SekhonReno$80K
- Christopher DemersReno$71K
- Jay MorganReno$43K
- Angelique Sao Mai TayReno$39K
- Rima RindlerReno$31K
- Shane AbdunnurReno$24K
- Marshall TolbertReno$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.