Elizabeth Rachel, MD
Vascular Surgery · Pewee Valley, KYNPI 1205830155
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 67 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by Medtronic at 25.4% of the total. Reporting peaked in 2023 at $408 and has fallen 55.8% since, to $180 in 2025. That places this record below the midpoint for vascular surgery clinicians in KY, where the typical reported total is $9,151.
Across 67 payments — averaging $26.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$445
- Boston Scientific$389
- Bsn Medical Inc$300
- Endologix LLC$266
- Johnson & Johnson$54
- E.r. Squibb & Sons, L.L.C.$54
- plus $245 from 11 others
What the payments were for
- Food & beverage$1,753100%
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 |
|---|---|---|
| Medtronic(2 entities) | 19 | $445 |
| Boston Scientific | 22 | $389 |
| Bsn Medical Inc | 2 | $300 |
| Endologix LLC | 3 | $266 |
| Johnson & Johnson | 4 | $54 |
| E.r. Squibb & Sons, L.L.C. | 4 | $54 |
| Pfizer | 3 | $53 |
| Lemaitre Vascular, Inc. | 1 | $47 |
| Biocompatibles, Inc. | 1 | $22 |
| Bard Peripheral Vascular, Inc. | 1 | $19 |
| Acacia Pharma Inc | 1 | $18 |
| AbbVie | 1 | $18 |
| Angiodynamics, Inc. | 1 | $15 |
| Polynovo North America LLC | 1 | $14 |
| Smith+Nephew | 1 | $14 |
| BTG International Inc. | 1 | $12 |
| Philips North America LLC | 1 | $12 |
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.
- JOBST FORMEN AMBITION$160
- COACH BY ACTIMOVE$139
- Alto Abdominal Stent Graft System$132
- GENERAL VASCULAR INTERVENTION$117
- AFX$111
- Ovation$111
How this compares
$1,753 in reported general payments places this provider in the 15th percentile of 72 vascular surgery providers in Kentucky.
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 Pewee Valley
- Amit DwivediLouisville$406K
- Igor VoskresenskyLexington$99K
- Nick AbediLexington$95K
- Abindra SigdelLouisville$84K
- Samuel TyagiLexington$70K
- Ferenc NagyLouisville$47K
- Gregory SchmiederLouisville$44K
- Donald BrownSomerset$29K
- Brian GrantBowling Green$27K
- Alaa AddasiPikeville$25K
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.