Garth Jacobsen, MD
Surgery · San Diego, CANPI 1265649966
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (56.3%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. W. L. Gore & Associates, Inc. accounts for 92.1% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2024 at $69,856 and has fallen 75.4% since, to $17,214 in 2025. Among surgery clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 216 payments — averaging $1151.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$229K
- Distalmotion US$15K
- Intuitive Surgical$4K
- Johnson & Johnson$234
- Acera Surgical, Inc.$179
- Virtual Incision Corporation$140
- plus $404 from 4 others
What the payments were for
- Consulting fees$139,89056%
- Speaking & faculty fees$71,44029%
- Travel & lodging$27,70111%
- Food & beverage$8,7274%
- Education$8420%
- Gifts$820%
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. | 171 | $229,003 |
| Distalmotion US | 14 | $14,842 |
| Intuitive Surgical | 20 | $3,880 |
| Johnson & Johnson | 2 | $234 |
| Acera Surgical, Inc. | 2 | $179 |
| Virtual Incision Corporation | 1 | $140 |
| Stryker | 3 | $139 |
| GE HealthCare | 1 | $112 |
| Medtronic | 1 | $110 |
| Davol Inc. | 1 | $43 |
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 SYNECOR Biomaterial$143,929
- GORE ENFORM Preperitoneal Biomaterial$135,103
- GORE BIO-A Tissue Reinforcement$50,114
- SYNECOR Biomaterial$25,663
- Product in Development$23,805
- DEXTER L6 ROBOT$14,506
- GORE DUALMESH Biomaterial$9,735
- BIO-A Tissue Reinforcement$9,311
- GORE ENFORM Intraperitoneal Biomaterial$7,245
- GORE SYNECOR Preperitoneal Biomaterial$7,245
- SEAMGUARD Bioabsorbable Staple Line Reinforcement$6,880
- GORE ENFORM Biomaterial$4,130
- Da Vinci Surgical System$3,440
- SEAMGUARD Staple Line Reinforcement$2,655
- Restrata Wound Matrix$154
- Mira!$140
- Enseal$125
- ALLIA$112
- LigaSure$110
- Echelon Flex$108
How this compares
$248,682 in reported general payments places this provider in the 95th 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.
Other surgery in San Diego
- Santiago HorganSan Diego$2.8M
- Peter AttiaSan Diego$300K
- Ryan BroderickSan Diego$204K
- Eric LuedkeSan Diego$193K
- Nikhil KansalSan Diego$171K
- Sonia RamamoorthySan Diego$131K
- Timothy ChuterSan Francisco$8.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
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.