David Varnagy, MD
Vascular Surgery · Orlando, FLNPI 1952571671
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (42.2%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. It is spread thinly across 36 manufacturers, the largest accounting for just 19.7%. Reporting peaked in 2022 at $10,594 and has fallen 55.4% since, to $4,724 in 2025. Among vascular surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 333 payments — averaging $133.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$9K
- Merit Medical Systems Inc$9K
- Penumbra, Inc.$7K
- Livanova USA, Inc.$5K
- W. L. Gore & Associates, Inc.$4K
- Endologix LLC$2K
- plus $9K from 30 others
Across 7 payments — averaging $5736.47 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.
- Medtronic$18K
- Merit Medical Systems Inc$11K
- W. L. Gore & Associates, Inc.$11K
What the payments were for
- Consulting fees$8,60019%
- Speaking & faculty fees$7,03616%
- Travel & lodging$9,78922%
- Food & beverage$18,79142%
- Education$3451%
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(2 entities) | 83 | $8,764 |
| Merit Medical Systems Inc | 2 | $8,600 |
| Penumbra, Inc. | 26 | $6,782 |
| Livanova USA, Inc. | 6 | $4,850 |
| W. L. Gore & Associates, Inc. | 39 | $4,399 |
| Endologix LLC | 23 | $2,385 |
| Cvrx, Inc. | 57 | $1,681 |
| Angiodynamics, Inc. | 6 | $1,231 |
| Silk Road Medical, Inc. | 16 | $1,005 |
| Bard Peripheral Vascular, Inc. | 13 | $895 |
| Inari Medical, Inc. | 5 | $700 |
| Shockwave Medical, Inc | 8 | $675 |
| Johnson & Johnson(3 entities) | 5 | $501 |
| Boston Scientific | 7 | $367 |
| Inspiremd Ltd | 5 | $351 |
| Abbott | 5 | $167 |
| Cardiovascular Systems Inc. | 2 | $130 |
| KCI USA, Inc. | 1 | $125 |
| Teleflex LLC | 1 | $113 |
| Stryker | 2 | $101 |
| Janssen Scientific Affairs, LLC | 1 | $98 |
| Dexcom, Inc. | 1 | $90 |
| Atricure, Inc. | 1 | $78 |
| Smith+Nephew | 2 | $77 |
| Dilon Technologies, Inc. | 1 | $72 |
| Lifenet Health | 2 | $56 |
| Philips North America LLC | 2 | $49 |
| Cook Medical LLC | 1 | $47 |
| Pfizer | 3 | $42 |
| Bolton Medical Inc | 1 | $32 |
| Acera Surgical, Inc. | 1 | $28 |
| Misonix Inc | 1 | $22 |
| Kerecis Limited | 1 | $22 |
| Biocompatibles, Inc. | 1 | $11 |
| Reflow Medical Inc | 1 | $8 |
| Lemaitre Vascular, Inc. | 1 | $7 |
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.
- HeRO Graft$8,600
- Indigo System$6,221
- ENDURANT IIS$5,259
- VNS THERAPY SENTIVA MODEL 1000 GENERATOR$4,761
- VIABAHN Endoprosthesis$2,275
- Auryon Laser System 100-120 Vac$1,077
- Barostim Neo System$960
- FLOWTRIEVER CATHETER, S$759
- ENROUTE Transcarotid Neuroprotection System$758
- Ovation$748
- IN.PACT Admiral$611
- ENROUTE Transcarotid Stent$610
- GORE VIABAHN VBX Balloon Expandable Endo$514
- CT THROMBECTOMY SYSTEM KIT$490
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$467
- HawkOne$432
- ENDOCROSS Device$375
- Torus Stent Graft System$375
- Alto Abdominal Stent Graft System$354
- GORE VIABAHN Endoprosthesis with Heparin$345
How this compares
$44,561 in reported general payments places this provider in the 90th percentile of 385 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 90 | $70,379 |
| XareltoRivaroxaban | 17 | $16,294 |
| Cilostazol | 101 | $2,350 |
| ClopidogrelClopidogrel Bisulfate | 84 | $967 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 148 | $542 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 16 | $290 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 32 | $205 |
| Cephalexin | 19 | $135 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $42 | $70,37990 claims |
| Johnson & JohnsonXarelto | $501 | $16,29417 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 385 vascular surgery providers in Florida.
Other vascular surgery in Orlando
- Manuel Perez IzquierdoOrlando$302K
- Michael CohenOrlando$39K
- Rajendra PatelOrlando$32K
- Rachel WilsonOrlando$32K
- Samuel TapperStuart$1.3M
- Mariano ArosemenaBradenton$472K
- Erin MooreJacksonville$300K
- Rajesh MalikNaples$237K
- Charles BaileyTampa$162K
- Joseph WasselleMelbourne$161K
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.