Gabriela Velazquez Ramirez, MD
Vascular Surgery · Winston Salem, NCNPI 1164600284
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (57.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. W. L. Gore & Associates, Inc. accounts for 71.7% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $27,481, more than ten times the $84 reported in 2019.
Across 70 payments — averaging $481.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$24K
- Penumbra, Inc.$8K
- Medtronic$439
- Cook Medical LLC$398
- Silk Road Medical, Inc.$128
- KCI USA, Inc.$84
- plus $80 from 2 others
What the payments were for
- Consulting fees$19,21057%
- Speaking & faculty fees$2,4007%
- Travel & lodging$9,06127%
- Food & beverage$3,0329%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 40 | $24,181 |
| Penumbra, Inc. | 15 | $8,394 |
| Medtronic(2 entities) | 3 | $439 |
| Cook Medical LLC | 7 | $398 |
| Silk Road Medical, Inc. | 2 | $128 |
| KCI USA, Inc. | 1 | $84 |
| Terumo Medical Corporation | 1 | $56 |
| Boston Scientific | 1 | $24 |
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.
- GORE VIABAHN Endoprosthesis with Heparin$19,210
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$15,360
- Indigo System$5,384
- GORE VIABAHN VBX Balloon Expandable Endo$3,510
- RUBY Coil$2,400
- GORE VIABAHN Endoprosthesis$2,357
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$2,049
- GORE EXCLUDER AAA Endoprosthesis$1,320
- GORE EXCLUDER Iliac Branch Endoprosthesis$1,320
- GORE-TEX Vascular Graft$1,320
- ENDURANT IIS$295
- Penumbra System$243
- ENROUTE Transcarotid Neuroprotection System$215
- Endurant$144
- GORE ACUSEAL Vascular Graft$130
- ENROUTE Transcarotid Stent$108
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$108
How this compares
$33,704 in reported general payments places this provider in the 85th percentile of 119 vascular surgery providers in North Carolina.
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 |
|---|---|---|
| XareltoRivaroxaban | 11 | $6,272 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 11 | $1,797 |
| ClopidogrelClopidogrel Bisulfate | 49 | $529 |
| Atorvastatin Calcium | 15 | $204 |
| Cilostazol | 21 | $167 |
| Rosuvastatin Calcium | 15 | $102 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Winston Salem
- Suman WasanWinston Salem$72K
- Matthew GoldmanWinston Salem$11K
- Lindsay LynchWinston Salem$9K
- Justin HurieWinston Salem$6K
- Phillip MooreWinston Salem$4K
- Shawn FlemingWinston Salem$3K
- Frank ArkoCharlotte$2.6M
- Erin MurphyCharlotte$598K
- Robert MendesRaleigh$408K
- Ellen DillavouRaleigh$284K
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.