Garrett Roll, MD
Surgery · San Francisco, CANPI 1316076326
Payments from drug & device makers
What this record shows
This record is dominated by education: $11,500 of the $13,043 with a category attached, or 88.2%. Intuitive Surgical accounts for 98.5% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2023 at $12,555 and has fallen 99.3% since, to $91 in 2024.
Across 15 payments — averaging $869.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$13K
- Bridge To Life Ltd$194
Across 11 payments — averaging $24,429 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.
- Transmedics, Inc.$269K
What the payments were for
- Travel & lodging$1,30510%
- Food & beverage$2382%
- Education$11,50088%
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 | 13 | $12,849 |
| Bridge To Life Ltd | 2 | $194 |
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.
- DAVINCI XI$11,500
- Da Vinci Surgical System$1,248
How this compares
$13,043 in reported general payments places this provider in the 80th percentile of 2,363 surgery providers in California.
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 |
|---|---|---|
| Prednisone | 17 | $128 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 14 | $25 |
Paid to pharmacies, not to this prescriber.
Other surgery in San Francisco
- Timothy ChuterSan Francisco$8.8M
- Shane BurchSan Francisco$500K
- Charles EichlerSan Francisco$310K
- Michael AlvaradoSan Francisco$201K
- Scott HansenSan Francisco$186K
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
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.