David Rapp, MD
Urology · Charlottesville, VANPI 1639373269
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 18 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Boston Scientific at 35.7% of the total. 2025 is the largest year on record at $228, 8.8 times the $26 reported in 2019. That places this record below the midpoint for urology clinicians in VA, where the typical reported total is $2,551.
Across 18 payments — averaging $53.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$342
- Medtronic$335
- KARL Storz Endoscopy-america$139
- Johnson & Johnson$89
- Olympus America Inc.$23
- Procept Biorobotics Corporation$20
- plus $11 from 1 others
Across 3 payments — averaging $2700.00 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.
- Boston Scientific$8K
What the payments were for
- Food & beverage$959100%
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 |
|---|---|---|
| Boston Scientific | 8 | $342 |
| Medtronic(2 entities) | 4 | $335 |
| KARL Storz Endoscopy-america | 2 | $139 |
| Johnson & Johnson | 1 | $89 |
| Olympus America Inc. | 1 | $23 |
| Procept Biorobotics Corporation | 1 | $20 |
| Ambu Inc. | 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.
- INTERSTIM ICON$160
- GENERAL MALE SUI$125
- N/A$123
How this compares
$959 in reported general payments places this provider in the 30th percentile of 300 urology providers in Virginia.
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 |
|---|---|---|
| MyrbetriqMirabegron | 51 | $32,980 |
| GemtesaVibegron | 14 | $6,693 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 47 | $2,756 |
| Tamsulosin Hcl | 23 | $350 |
| Solifenacin Succinate | 29 | $306 |
| Oxybutynin Chloride ErOxybutynin Chloride | 11 | $171 |
Paid to pharmacies, not to this prescriber.
Other urology in Charlottesville
- Nicolas OrtizCharlottesville$58K
- Mei TuongCharlottesville$53K
- Kirsten GreeneCharlottesville$20K
- Christine IbiliborCharlottesville$14K
- Jacqueline ZilliouxCharlottesville$14K
- Marwan AliCharlottesville$13K
- Julian FagerliCharlottesville$12K
- Mark PassarellaCharlottesville$12K
- Michael FabrizioVirginia Beach$1.5M
- Gregg EureVirginia Beach$1.4M
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.