Gerardo Gonzalez-Guardiola, MD
Vascular Surgery · Frisco, TXNPI 1609219310
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.3%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Bolton Medical Inc at 31.0% of the total. Reporting peaked in 2024 at $54,739 and has fallen 50.2% since, to $27,286 in 2025. Among vascular surgery clinicians in TX 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 355 payments — averaging $274.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bolton Medical Inc$30K
- Cook Incorporated$18K
- W. L. Gore & Associates, Inc.$17K
- Penumbra, Inc.$8K
- Cook Medical LLC$7K
- Shockwave Medical, Inc$5K
- plus $13K from 17 others
What the payments were for
- Consulting fees$43,14044%
- Speaking & faculty fees$26,30027%
- Travel & lodging$9,76310%
- Food & beverage$17,89318%
- Education$3180%
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 |
|---|---|---|
| Bolton Medical Inc | 62 | $30,175 |
| Cook Incorporated | 4 | $17,840 |
| W. L. Gore & Associates, Inc. | 100 | $17,004 |
| Penumbra, Inc. | 22 | $7,791 |
| Cook Medical LLC | 62 | $7,100 |
| Shockwave Medical, Inc | 4 | $4,818 |
| Wilson Cook Medical Incorporated | 5 | $4,088 |
| Endologix LLC | 2 | $1,558 |
| Philips North America LLC | 24 | $1,430 |
| Inari Medical, Inc. | 2 | $1,270 |
| Cagent Vascular Inc | 28 | $1,116 |
| Silk Road Medical, Inc. | 4 | $565 |
| Cardiovascular Systems Inc. | 9 | $554 |
| Medtronic(2 entities) | 3 | $524 |
| Terumo Medical Corporation | 7 | $520 |
| Avinger Inc. | 4 | $362 |
| Boston Scientific | 4 | $200 |
| Abiomed | 2 | $165 |
| Abbott | 2 | $149 |
| Surmodics, Inc. | 2 | $103 |
| BD | 1 | $44 |
| Imperative Care, Inc | 1 | $32 |
| Cvrx, Inc. | 1 | $5 |
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.
- RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM$25,017
- Zenith$15,500
- GORE TAG Thoracic Branch Endoprosthesis$11,301
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$7,038
- GORE TAG Conformable Thoracic Stent Graft$6,750
- Indigo System$5,955
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$4,751
- TREO ABDOMINAL STENT-GRAFT SYSTEM$4,264
- Zenith Alpha$3,469
- Zenith Spiral-Z$2,599
- Cook$2,593
- Penumbra System$1,579
- ENDOCROSS Device$1,432
- Torus Stent Graft System$1,432
- Product in Development$1,250
- CT THROMBECTOMY SYSTEM KIT$1,250
- FLOWTRIEVER CATHETER, S$1,250
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$1,150
- ENROUTE Transcarotid Stent$506
- ENROUTE Transcarotid Neuroprotection System$506
How this compares
$97,414 in reported general payments places this provider in the 90th percentile of 347 vascular surgery providers in Texas.
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 |
|---|---|---|
| EliquisApixaban | 15 | $8,749 |
| Oxycodone Hcl | 14 | $65 |
| ClopidogrelClopidogrel Bisulfate | 17 | $61 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Frisco
- Gregory PearlDallas$2.3M
- Mazin FotehAustin$1.6M
- Alan LumsdenHouston$742K
- Stephen HohmannDallas$499K
- Michael SiahDallas$392K
- Gustavo OderichHouston$319K
- Jean BismuthHouston$243K
- Carlos TimaranDallas$231K
- Dennis GableDallas$211K
- Thomas LohShenandoah$201K
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.