Gabriela Vargas
Colon & Rectal Surgery · Puyallup, WANPI 1194991570
Payments from drug & device makers
What this record shows
This record is dominated by education: $16,130 of the $23,356 with a category attached, or 69.1%. Intuitive Surgical accounts for 88.1% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2019 at $10,362 and has fallen 94.6% since, to $559 in 2025. Among colon & rectal surgery clinicians in WA 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 81 payments — averaging $288.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$21K
- Axonics, Inc.$1K
- Conmed Corporation$330
- Applied Medical Resources Corporation$175
- Medtronic$168
- Stryker$158
- plus $748 from 9 others
What the payments were for
- Travel & lodging$3,74716%
- Food & beverage$3,43015%
- Education$16,13069%
- Gifts$490%
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 |
|---|---|---|
| Intuitive Surgical | 49 | $20,580 |
| Axonics, Inc. | 10 | $1,197 |
| Conmed Corporation | 3 | $330 |
| Applied Medical Resources Corporation | 2 | $175 |
| Medtronic(2 entities) | 3 | $168 |
| Stryker | 1 | $158 |
| Hologic Sales And Service, LLC | 1 | $149 |
| Myriad Genetic Laboratories, Inc. | 2 | $132 |
| Coloplast | 2 | $130 |
| Boston Scientific | 1 | $118 |
| Johnson & Johnson | 2 | $115 |
| Merck | 2 | $37 |
| Heron Therapeutics, Inc. | 1 | $24 |
| Covidien LP | 1 | $23 |
| Cook Medical LLC | 1 | $19 |
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$19,354
- Axonics$1,078
- Bulkamid$960
- DA VINCI SP$367
- AIRSEAL$255
- 1588 HD 3 CHIP CAMERA$158
- CoolSeal Generator$149
- Sonicision$124
- BRACAnalysis CDx$116
- RESTORELLE$100
- STRATAFIX$100
- Echelon Circular$100
How this compares
$23,356 in reported general payments places this provider in the 90th percentile of 37 colon & rectal surgery providers in Washington.
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 |
|---|---|---|
| Ibuprofen | 24 | $348 |
| Neomycin Sulfate | 28 | $151 |
| Oxycodone Hcl | 37 | $78 |
| Methocarbamol | 16 | $57 |
| Gabapentin | 26 | $41 |
| Metronidazole | 28 | $40 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Puyallup
- Laila RashidiTacoma$805K
- Allison RobinsonBellingham$29K
- Shalini KannegantiTacoma$22K
- Greta BernierRenton$18K
- Crystal KoernerSeattle$16K
- Anthony SimonsLongview$12K
- Jennifer LeeSeattle$10K
- Jennifer KaplanSeattle$6K
- Darren PollockSeattle$4K
- Luay AilabouniRichland$4K
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.