David Guel
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Orlando, FLNPI 1457782559
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (48.7%), travel and lodging and education — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Edwards Lifesciences at 46.1% of the total. Reporting peaked in 2019 at $2,861 and has fallen 82.2% since, to $510 in 2025.
Across 104 payments — averaging $85.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$4K
- Intuitive Surgical$2K
- Abbott$1K
- Atricure, Inc.$455
- Abiomed$409
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$234
- plus $710 from 15 others
What the payments were for
- Travel & lodging$3,03934%
- Food & beverage$4,30949%
- Education$1,50017%
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 |
|---|---|---|
| Edwards Lifesciences | 33 | $4,077 |
| Intuitive Surgical | 2 | $1,521 |
| Abbott | 15 | $1,444 |
| Atricure, Inc. | 9 | $455 |
| Abiomed | 4 | $409 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 14 | $234 |
| Medtronic(2 entities) | 7 | $200 |
| GSK | 1 | $121 |
| Cardiva Medical, Inc. | 2 | $73 |
| Johnson & Johnson | 5 | $70 |
| Boston Scientific | 1 | $50 |
| Artivion, Inc. | 2 | $42 |
| Regeneron Healthcare Solutions, Inc. | 1 | $27 |
| Terumo Medical Corporation | 1 | $20 |
| AstraZeneca | 1 | $18 |
| Kls-martin L.p. | 1 | $17 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Merck | 1 | $16 |
| Chiesi USA, Inc. | 1 | $15 |
| Getinge USA Sales, LLC | 1 | $14 |
| Pfizer | 1 | $13 |
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.
- Da Vinci Surgical System$1,500
- Edwards SAPIEN 3 Transcatheter Heart Valve$1,137
- INSPIRIS RESILIA aortic valve$937
- CardioMEMS HF System$782
- Carpentier-Edwards Physio II Annuloplasty Ring$780
- Impella$380
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$296
- MITRIS RESILIA Mitral Valve$285
- ATRICURE SYNERGY ABLATION SYSTEM$192
- MitraClip$171
- SAPIEN 3 Ultra RESILIA$144
- TRELEGY ELLIPTA$121
How this compares
$8,849 in reported general payments places this provider in the 55th percentile of 408 thoracic surgery (cardiothoracic vascular surgery) providers in Florida.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Florida →
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 thoracic surgery (cardiothoracic vascular surgery) in Orlando
- Anthony NunezOrlando$4.8M
- Luis HerreraOrlando$409K
- Kevin AccolaOrlando$313K
- Lawrence LeeOrlando$252K
- Marcelo DasilvaOrlando$150K
- Ahmad ZeeshanOrlando$85K
- Farid GharagozlooOrlando$61K
- Michael HannaOrlando$52K
- Barry WintonLargo$687K
- Paul DigiorgiPort Charlotte$666K
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.