David Fiorella
Neuroradiology · Stony Brook, NYNPI 1467416271
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $860,648 of the $1,322,188 with a category attached, or 65.1%. 18 manufacturers reported payments, led by Microvention, Inc. at 35.1% of the total. Among neuroradiology clinicians in NY 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 668 payments — averaging $1979.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Microvention, Inc.$464K
- Scientia Vascular$237K
- Penumbra, Inc.$149K
- Medtronic$127K
- Medical Device Business Services, Inc.$110K
- Stryker$94K
- plus $141K from 12 others
Across 652 payments — averaging $7376.23 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Microvention, Inc.$1.5M
- Rapid Medical Ltd$1.2M
- Balt USA, LLC$654K
- Stryker$363K
- Penumbra, Inc.$341K
- Siemens Medical Solutions USA, Inc.$299K
- plus $439K from 6 others
Across 5 payments — averaging $150,190 each. An ownership or investment interest held by the physician or an immediate family member.
- Scientia Vascular$727K
- Perfuze Limited$24K
What the payments were for
- Consulting fees$860,64865%
- Speaking & faculty fees$216,05016%
- Travel & lodging$165,92013%
- Food & beverage$11,4611%
- Other$68,1095%
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 |
|---|---|---|
| Microvention, Inc. | 298 | $464,094 |
| Scientia Vascular | 6 | $237,497 |
| Penumbra, Inc. | 28 | $149,034 |
| Medtronic(2 entities) | 79 | $126,927 |
| Medical Device Business Services, Inc. | 71 | $109,635 |
| Stryker | 94 | $94,213 |
| Qapel Medical Inc | 7 | $49,371 |
| Balt USA, LLC | 26 | $36,418 |
| Siemens Medical Solutions USA, Inc. | 15 | $19,128 |
| Perfuze Limited | 4 | $15,631 |
| Ischemaview, Inc. | 2 | $8,350 |
| Imperative Care, Inc | 2 | $7,238 |
| Phenox Inc. | 2 | $2,079 |
| W. L. Gore & Associates, Inc. | 3 | $1,690 |
| Johnson & Johnson | 26 | $565 |
| Inspiremd Ltd | 3 | $169 |
| Rapid Medical Ltd | 1 | $122 |
| Surgalign Spine Technologies, Inc. | 1 | $26 |
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.
- WEB$180,088
- WEB Aneurysm Embolization System$156,366
- Artemis$79,104
- Penumbra System$69,652
- SURPASS EVOLVE$67,799
- Aristotle Guidewire$60,000
- EMBOGUARD$57,475
- Pipeline$45,129
- TRUFILL$23,674
- Embotrap$19,809
- AXS VECTA 71$10,575
- PHIL$9,500
- TREVO$8,825
- Sofia$7,505
- ZOOM 88-T LARGE DISTAL PLATFORM$7,200
- LVIS$5,418
- EMBOTRAP II Revascularization Device$4,250
- SOLITAIRE X$4,000
- EVOLVE$3,845
- SALVATION$3,625
How this compares
$1,322,188 in reported general payments places this provider in the 95th percentile of 71 neuroradiology providers in New York.
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.
Other neuroradiology in Stony Brook
- Robert PeysterStony Brook$1K
- Peter NelsonNew York$918K
- Eytan RazNew York$605K
- Maksim ShapiroNew York$279K
- Hediyeh BaradaranNew York$146K
- Ana FranceschiManhasset$125K
- Gagandeep SinghNew York$70K
- Rafael OrtizNew York$40K
- Athos PatsalidesNew York$32K
- Joshua LantosNew York$29K
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.