James Wudel, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Vero Beach, FLNPI 1942395215
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (53.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Edwards Lifesciences accounts for 77.2% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2020 at $29,342 and has fallen 95.4% since, to $1,352 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in FL 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 293 payments — averaging $250.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$57K
- Atricure, Inc.$7K
- Boston Scientific$3K
- Livanova USA, Inc.$2K
- Medtronic$2K
- Artivion, Inc.$647
- plus $3K from 16 others
Across 23 payments — averaging $1891.34 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.
- Livanova USA, Inc.$21K
- Edwards Lifesciences$13K
- Abbott$10K
What the payments were for
- Consulting fees$38,97553%
- Speaking & faculty fees$7,70011%
- Grants$4061%
- Travel & lodging$16,71823%
- Food & beverage$9,45713%
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 |
|---|---|---|
| Edwards Lifesciences | 134 | $56,528 |
| Atricure, Inc. | 32 | $6,699 |
| Boston Scientific | 17 | $2,516 |
| Livanova USA, Inc. | 4 | $2,288 |
| Medtronic(2 entities) | 37 | $1,941 |
| Artivion, Inc. | 7 | $647 |
| Cvrx, Inc. | 8 | $555 |
| Johnson & Johnson(2 entities) | 16 | $485 |
| Abbott | 7 | $479 |
| Abiomed | 10 | $471 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 5 | $198 |
| Getinge USA Sales, LLC | 4 | $115 |
| Intuitive Surgical | 2 | $108 |
| C. R. Bard, Inc. & Subsidiaries | 1 | $47 |
| Terumo Cardiovascular Systems Corporation | 1 | $36 |
| Chiesi USA, Inc. | 2 | $28 |
| Kls-martin L.p. | 1 | $23 |
| Pfizer | 1 | $21 |
| Smith+Nephew | 1 | $21 |
| Irhythm Technologies, Inc. | 1 | $19 |
| Davol Inc. | 1 | $18 |
| Lundbeck 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.
- Edwards SAPIEN 3 Transcatheter Heart Valve$44,427
- TMVR$2,277
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$1,296
- VersaCross Access Solution$1,258
- MITRIS RESILIA Mitral Valve$838
- GENERAL - THERAPIES$631
- ON-X AORTIC HEART VALVE WITH CONFORM-X SEWING RING AND EXTENDED HOLDER$545
- Simulus$533
- SYNERGY ABLATION SYSTEM$443
- Barostim Neo System$438
- Edwards SAPIEN XT Transcatheter Heart Valve$370
- AMPLATZER AMULET$255
- ATRICURE ATRICLIP LAA EXCLUSION$144
- ATRICURE SYNERGY ABLATION SYSTEM$144
- Impella$133
- SAPIEN 3 Ultra RESILIA$129
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$125
- COREVALVE EVOLUT R$125
- Avalus$122
- Watchman$103
How this compares
$73,256 in reported general payments places this provider in the 90th percentile of 408 thoracic surgery (cardiothoracic vascular surgery) providers in Florida.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Florida →
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 |
|---|---|---|
| Tramadol Hcl | 11 | $20 |
| Furosemide | 18 | $15 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Vero Beach
- Anthony NunezOrlando$4.8M
- Barry WintonLargo$687K
- Paul DigiorgiPort Charlotte$666K
- John PirrisJacksonville$640K
- Jacques FontaineTampa$630K
- Andrew ShermanTampa$517K
- Rogerio CarrilloHialeah$515K
- Daniel O'HairFort Myers$429K
- Luis HerreraOrlando$409K
- Joseph LamelasMiami$379K
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.