Dimitrios Miserlis, MD
Vascular Surgery · San Antonio, TXNPI 1720375348
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.8% of the total across 95 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 18 manufacturers, the largest accounting for just 19.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,206, more than ten times the $94 reported in 2020. That places this record below the midpoint for vascular surgery clinicians in TX, where the typical reported total is $7,106.
Across 95 payments — averaging $73.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$1K
- Medtronic$921
- Veryan Medical Incorporated$794
- Silk Road Medical, Inc.$755
- W. L. Gore & Associates, Inc.$603
- Surmodics, Inc.$509
- plus $2K from 12 others
What the payments were for
- Travel & lodging$5728%
- Food & beverage$6,40092%
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 |
|---|---|---|
| Penumbra, Inc. | 19 | $1,390 |
| Medtronic | 12 | $921 |
| Veryan Medical Incorporated | 8 | $794 |
| Silk Road Medical, Inc. | 8 | $755 |
| W. L. Gore & Associates, Inc. | 7 | $603 |
| Surmodics, Inc. | 6 | $509 |
| Angiodynamics, Inc. | 10 | $479 |
| Cook Medical LLC | 10 | $436 |
| Bard Peripheral Vascular, Inc. | 5 | $339 |
| Boston Scientific | 1 | $146 |
| BD | 1 | $125 |
| Integra Lifesciences Corporation | 1 | $98 |
| Celonova Biosciences, Inc. | 1 | $94 |
| Biotissue Holdings Inc. | 1 | $83 |
| Reflow Medical Inc | 2 | $74 |
| Smith+Nephew | 1 | $70 |
| Baxter Healthcare | 1 | $36 |
| Bolton Medical Inc | 1 | $21 |
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.
- ENHANCE Transcarotid Peripheral Access Kit$540
- ENROUTE Transcarotid Neuroprotection System$540
- ENROUTE .014 Guidewire$540
- ENROUTE Transcarotid Stent$540
- Penumbra System$503
- BioMimics 3D Vascular Stent System$463
- Pounce Thrombectomy$350
- Pounce Venous Thrombectomy System$350
- Auryon Laser System 100-120 Vac$310
- Indigo System$235
- ENDURANT IIS$207
- Sublime 014 Rx PTA Balloon Dilatation Catheter$191
- Sublime Radial Access 018 RX PTA Dilatation Catheter$191
- Sublime Radial Access Guide Sheath$191
- LUTONIX$183
- RUBY Coil$163
- Pounce Thrombectomy System$159
- Pounce LP Thrombectomy$159
- Pounce XL Thrombectomy$159
- GENERAL VASCULAR INTERVENTION$146
How this compares
$6,972 in reported general payments places this provider in the 45th percentile of 347 vascular surgery providers in Texas.
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 vascular surgery in San Antonio
- William EnglishSan Antonio$194K
- Lucas Ferrer CardonaSan Antonio$141K
- Nessa MillerSan Antonio$41K
- Lyssa OchoaSan Antonio$39K
- Ashton LeeSan Antonio$35K
- Andrew NagySan Antonio$35K
- Gregory PearlDallas$2.3M
- Mazin FotehAustin$1.6M
- Alan LumsdenHouston$742K
- Stephen HohmannDallas$499K
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.