Daryl Pearlstein, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Newport Beach, CANPI 1831118140
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (44.0%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 96.5% of it on its own, with 30 other manufacturers making up the rest. Reporting peaked in 2019 at $91,925 and has fallen 92.8% since, to $6,622 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 330 payments — averaging $523.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$167K
- Endogastric Solutions, Inc$3K
- CSA Medical, Inc$458
- Surgical Theater. Inc.$391
- Davol Inc.$277
- Baxter Healthcare$235
- plus $1K from 25 others
What the payments were for
- Consulting fees$2,0001%
- Speaking & faculty fees$65,00038%
- Travel & lodging$19,11211%
- Food & beverage$10,7956%
- Education$76,00044%
- Gifts$90%
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 |
|---|---|---|
| Intuitive Surgical | 254 | $166,949 |
| Endogastric Solutions, Inc | 12 | $3,245 |
| CSA Medical, Inc | 1 | $458 |
| Surgical Theater. Inc. | 5 | $391 |
| Davol Inc. | 4 | $277 |
| Baxter Healthcare | 8 | $235 |
| Pulmonx Corporation | 3 | $187 |
| Covidien LP | 4 | $139 |
| Atricure, Inc. | 2 | $132 |
| Johnson & Johnson | 5 | $114 |
| Caris MPI, Inc. | 2 | $110 |
| AbbVie(2 entities) | 4 | $94 |
| Merit Medical Systems Inc | 3 | $92 |
| Kls-martin L.p. | 4 | $65 |
| Cook Medical LLC | 2 | $46 |
| Bard Peripheral Vascular, Inc. | 2 | $46 |
| BD | 1 | $39 |
| Regeneron Healthcare Solutions, Inc. | 1 | $34 |
| Medela LLC | 1 | $31 |
| Bayer | 1 | $25 |
| ERBE USA Inc | 1 | $25 |
| Novartis | 1 | $25 |
| Medtronic | 1 | $23 |
| Blueprint Medicines Corporation | 1 | $22 |
| Olympus America Inc. | 1 | $22 |
| Smith+Nephew | 1 | $19 |
| E.r. Squibb & Sons, L.L.C. | 1 | $16 |
| Zimmer Biomet | 1 | $15 |
| Boston Scientific | 1 | $15 |
| Integra Lifesciences Corporation | 1 | $14 |
| Genentech USA, Inc. | 1 | $14 |
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.
How this compares
$172,916 in reported general payments places this provider in the 95th percentile of 546 thoracic surgery (cardiothoracic vascular surgery) providers in California.
See all thoracic surgery (cardiothoracic vascular surgery) providers in California →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $202 |
| Gabapentin | 12 | $83 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Newport Beach
- Jack SunNewport Beach$52K
- Thomas FogartyPortola Valley$3.7M
- Steven GundryPalm Springs$1.6M
- Armin KiankhooySaint Helena$941K
- Ara KlijianMurrieta$916K
- Gregory FontanaThousand Oaks$875K
- Gansevoort DunningtonSaint Helena$764K
- Wilson TsaiWalnut Creek$680K
- Fernando FleischmanLos Angeles$608K
- Harmik SoukiasianLos Angeles$577K
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.