James Tretter, DO
Vascular Surgery · Winchester, VANPI 1629079371
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,553 of the $7,612 with a category attached, or 73.0%. 33 manufacturers reported payments, led by W. L. Gore & Associates, Inc. at 27.2% of the total.
Across 177 payments — averaging $43.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$2K
- Inari Medical, Inc.$2K
- Johnson & Johnson$957
- Stryker$506
- Medtronic$505
- Silk Road Medical, Inc.$398
- plus $2K from 27 others
What the payments were for
- Travel & lodging$2,05827%
- Food & beverage$5,55373%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 24 | $2,071 |
| Inari Medical, Inc. | 19 | $1,564 |
| Johnson & Johnson(2 entities) | 51 | $957 |
| Stryker | 11 | $506 |
| Medtronic | 10 | $505 |
| Silk Road Medical, Inc. | 5 | $398 |
| Smith+Nephew | 9 | $184 |
| Philips North America LLC | 3 | $163 |
| Cook Medical LLC | 4 | $141 |
| Abbott | 2 | $128 |
| Getinge USA Sales, LLC | 3 | $108 |
| Kerecis Limited | 5 | $85 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 5 | $84 |
| Tactile Systems Technology Inc | 1 | $84 |
| E.r. Squibb & Sons, L.L.C. | 4 | $68 |
| Urgo Medical North America, LLC | 2 | $63 |
| Endologix LLC | 1 | $57 |
| Atricure, Inc. | 2 | $51 |
| Boston Scientific | 1 | $51 |
| Bard Peripheral Vascular, Inc. | 2 | $43 |
| Baxter Healthcare | 1 | $39 |
| Acera Surgical, Inc. | 1 | $34 |
| Shape Memory Medical Inc. | 1 | $34 |
| Mid-atlantic Surgical Systems, LLC | 1 | $33 |
| Octapharma USA, Inc. | 1 | $29 |
| Merck | 1 | $23 |
| Abiomed | 1 | $22 |
| Integra Lifesciences Corporation | 1 | $17 |
| Bioventus LLC | 1 | $16 |
| KCI USA, Inc. | 1 | $16 |
| Angiodynamics, Inc. | 1 | $12 |
| Terumo Medical Corporation | 1 | $12 |
| AstraZeneca | 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.
- FLOWTRIEVER CATHETER, S$1,229
- CT THROMBECTOMY SYSTEM KIT$1,229
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$636
- GORE TAG Thoracic Endoprosthesis$485
- ENROUTE Transcarotid Neuroprotection System$287
- ENROUTE Transcarotid Stent$287
- BIO-A Hernia Plug$258
- ENDURANT IIS$225
- XARELTO$207
- EXCLUDER Iliac Branch Endoprosthesis$149
- ARTIX MT$137
- (P84) IGT Devices Systems$134
How this compares
$7,612 in reported general payments places this provider in the 55th percentile of 143 vascular surgery providers in Virginia.
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 vascular surgery in Winchester
- Mark KumarWinchester$37K
- Matthew BorkonWinchester$15K
- Jean PannetonVirginia Beach$1.3M
- John DeitrickRichmond$684K
- Rasesh ShahChesapeake$465K
- David DexterNorfolk$404K
- Samuel SteermanVirginia Beach$252K
- Joseph BabrowiczFairfax$202K
- Joshua AdamsRoanoke$138K
- Richard NevilleFalls Church$114K
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.