Jacek Paszkowiak, MD
Vascular Surgery · Raleigh, NCNPI 1760411656
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.0% of the total across 125 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 34 manufacturers, the largest accounting for just 22.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,069 and has fallen 69.7% since, to $324 in 2025.
Across 125 payments — averaging $32.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Silk Road Medical, Inc.$933
- Medtronic$680
- Musculoskeletal Transplant Foundation Inc.$470
- Kerecis Limited$404
- Boston Scientific$282
- Convatec Inc.$152
- plus $1K from 28 others
What the payments were for
- Travel & lodging$2456%
- Food & beverage$3,82894%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Silk Road Medical, Inc. | 10 | $933 |
| Medtronic(2 entities) | 36 | $680 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $470 |
| Kerecis Limited | 10 | $404 |
| Boston Scientific | 15 | $282 |
| Convatec Inc. | 5 | $152 |
| Smith+Nephew | 7 | $125 |
| Siemens Medical Solutions USA, Inc. | 1 | $107 |
| Tactile Systems Technology Inc | 2 | $83 |
| Cook Medical LLC | 4 | $78 |
| W. L. Gore & Associates, Inc. | 3 | $73 |
| Bard Peripheral Vascular, Inc. | 2 | $63 |
| Venclose Inc. | 1 | $56 |
| Johnson & Johnson(2 entities) | 4 | $55 |
| Bolton Medical Inc | 1 | $52 |
| Stimlabs LLC | 1 | $43 |
| Polarityte, Inc. | 1 | $37 |
| Getinge USA Sales, LLC | 2 | $36 |
| Abbott | 2 | $35 |
| Solventum Corporation | 1 | $35 |
| Pfizer | 2 | $34 |
| Cardiva Medical, Inc. | 1 | $31 |
| Polynovo North America LLC | 1 | $24 |
| Davol Inc. | 1 | $24 |
| Osiris Therapeutics Inc. | 1 | $20 |
| Reapplix Inc. | 1 | $20 |
| Biocompatibles, Inc. | 1 | $18 |
| Shockwave Medical, Inc | 1 | $18 |
| Angiodynamics, Inc. | 1 | $17 |
| Terumo Medical Corporation | 1 | $16 |
| Normatec Industries, LP | 1 | $16 |
| Lemaitre Vascular, Inc. | 1 | $13 |
| Teleflex LLC | 1 | $12 |
| Philips North America LLC | 1 | $12 |
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.
- ENROUTE Transcarotid Neuroprotection System$612
- Kerecis Omega3 Marigen$611
- ENHANCE Transcarotid Peripheral Access Kit$444
- ENROUTE Transcarotid Stent$324
- ENROUTE Transcarotid Stent System$287
- ENROUTE 0.014 Guidewire$287
- Kerecis Omega3 SurgiClose$263
- ENROUTE .014 Guidewire$156
- Endurant$146
- Valiant Captivia$128
- Kerecis Omega3 Wound$110
- Kerecis Omega3 Surgibind$110
- Kerecis Omega3 GraftGuide$110
- Artis pheno$107
How this compares
$4,073 in reported general payments places this provider in the 55th 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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 60 | $517 |
| Cilostazol | 15 | $150 |
| SsdSilver Sulfadiazine | 13 | $79 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Raleigh
- Robert MendesRaleigh$408K
- Ellen DillavouRaleigh$284K
- Christopher McQuinnRaleigh$77K
- Joseph SalfityRaleigh$13K
- Jason KimRaleigh$8K
- Kirk CharlesRaleigh$8K
- Liliana NanezRaleigh$7K
- Heather WaldropRaleigh$5K
- James FogartieRaleigh$3K
- Frank ArkoCharlotte$2.6M
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.