Joseph Giglia, MD
Vascular Surgery · Cincinnati, OHNPI 1467420315
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.3% of the total across 51 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by W. L. Gore & Associates, Inc. at 39.5% of the total. Reporting peaked in 2019 at $934 and has fallen 81.8% since, to $170 in 2025. That places this record below the midpoint for vascular surgery clinicians in OH, where the typical reported total is $3,770.
Across 51 payments — averaging $69.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$1K
- Medtronic$814
- Cook Medical LLC$351
- Silk Road Medical, Inc.$220
- Abbott$163
- Bard Peripheral Vascular, Inc.$118
- plus $468 from 11 others
Across 3 payments — averaging $275.00 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.
- Cook Research Incorporated$825
What the payments were for
- Travel & lodging$602%
- Food & beverage$3,47098%
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. | 11 | $1,395 |
| Medtronic | 7 | $814 |
| Cook Medical LLC | 6 | $351 |
| Silk Road Medical, Inc. | 2 | $220 |
| Abbott | 1 | $163 |
| Bard Peripheral Vascular, Inc. | 1 | $118 |
| Boston Scientific | 5 | $95 |
| Lemaitre Vascular, Inc. | 4 | $74 |
| Johnson & Johnson | 5 | $66 |
| Stryker | 1 | $50 |
| Endologix LLC | 1 | $42 |
| Acera Surgical, Inc. | 2 | $32 |
| Kerecis Limited | 1 | $31 |
| Cardiva Medical, Inc. | 1 | $22 |
| Sanara Medtech Inc. | 1 | $20 |
| Solventum Corporation | 1 | $19 |
| Cagent Vascular Inc | 1 | $17 |
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.
- ENDURANT IIS$576
- VIABAHN VBX Balloon Expandable Endoprosthesis$397
- GORE VIABAHN VBX Balloon Expandable Endo$315
- GORE TAG Thoracic Branch Endoprosthesis$185
- Supera peripheral stent system$163
- GORE TAG Conformable Thoracic Endoprosthesis$159
- Endurant$155
- ENROUTE Transcarotid Neuroprotection System$145
- ENHANCE Transcarotid Peripheral Access Kit$145
- ENROUTE .014 Guidewire$145
- ENROUTE Transcarotid Stent$145
- Zilver PTX$140
- Conformable TAG Thoracic Endoprosthesis$135
- Cook Medical Thoracic$124
- VENOVO$118
How this compares
$3,530 in reported general payments places this provider in the 45th percentile of 213 vascular surgery providers in Ohio.
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 | 25 | $183 |
| Diazepam | 13 | $4 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Cincinnati
- Patrick MuckCincinnati$650K
- Brian KuhnCincinnati$184K
- Matthew RechtCincinnati$73K
- Geoffrey AnswiniCincinnati$65K
- Christopher PaprzyckiCincinnati$40K
- Richard FriesCincinnati$33K
- Sasidhar KilaruCincinnati$33K
- Stuart DonovanCincinnati$31K
- Andrew HearnCincinnati$24K
- Aaron KulwickiCincinnati$23K
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.