Joshua Adams, MD
Vascular Surgery · Roanoke, VANPI 1932313095
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (30.8%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Bolton Medical Inc at 59.7% of the total. Reporting peaked in 2021 at $39,131 and has fallen 85.7% since, to $5,587 in 2025. Among vascular surgery clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 272 payments — averaging $507.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bolton Medical Inc$82K
- Silk Road Medical, Inc.$16K
- Cook Medical LLC$10K
- Cook Incorporated$9K
- Integer Holdings Corporation$7K
- W. L. Gore & Associates, Inc.$5K
- plus $8K from 14 others
Across 66 payments — averaging $2693.70 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.
- Silk Road Medical, Inc.$68K
- Cook Research Incorporated$50K
- W. L. Gore & Associates, Inc.$28K
- Bolton Medical Inc$22K
- GE HealthCare$7K
- Boston Scientific$3K
What the payments were for
- Consulting fees$34,08625%
- Speaking & faculty fees$30,84022%
- Travel & lodging$15,07711%
- Food & beverage$15,47411%
- Education$42,54731%
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 | 85 | $82,404 |
| Silk Road Medical, Inc. | 26 | $16,073 |
| Cook Medical LLC | 50 | $9,848 |
| Cook Incorporated | 10 | $9,193 |
| Integer Holdings Corporation | 11 | $7,200 |
| W. L. Gore & Associates, Inc. | 38 | $4,903 |
| Penumbra, Inc. | 6 | $3,857 |
| Medtronic(2 entities) | 21 | $2,012 |
| Artivion, Inc. | 3 | $1,054 |
| Inari Medical, Inc. | 2 | $305 |
| Boston Scientific | 2 | $216 |
| Shape Memory Medical Inc. | 2 | $179 |
| Zimmer Biomet | 2 | $177 |
| Getinge USA Sales, LLC | 3 | $174 |
| Sioux Surgical Inc | 5 | $171 |
| Shockwave Medical, Inc | 1 | $121 |
| Teleflex LLC | 2 | $55 |
| Medical Device Business Services, Inc. | 1 | $54 |
| Sanofi Pasteur Inc. | 1 | $15 |
| KARL Storz Endoscopy-america | 1 | $13 |
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 Grafts$31,805
- Grafts$29,119
- ENROUTE Transcarotid Neuroprotection System$15,734
- ENROUTE Transcarotid Stent$15,482
- RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM$11,070
- TREO ABDOMINAL STENT-GRAFT SYSTEM$6,473
- ENHANCE Transcarotid Peripheral Access Kit$6,300
- ENROUTE .014 Guidewire$6,300
- Cook Medical Interventional Radiology$4,948
- Cook Medical Zenith$4,278
- Relay Plus$3,434
- Cook Medical Advanced Tech$3,211
- Penumbra Ruby Coil$2,547
- Zenith Alpha$2,372
- Breezeway Sheath Breezeway II sheath Destino Twist Steerable Sheath$2,000
- Adelante Destino, Destino Twist, Destino Reach$1,820
- Destino, Destino Twist, Destino Reach, Breezeway$1,300
- GORE TAG Thoracic Endoprosthesis$1,251
- Indigo$1,200
- GORE VIABAHN VBX Balloon Expandable Endo$803
How this compares
$138,024 in reported general payments places this provider in the 95th 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 Roanoke
- Thomas ConleeRoanoke$9K
- Jean PannetonVirginia Beach$1.3M
- John DeitrickRichmond$684K
- Rasesh ShahChesapeake$465K
- David DexterNorfolk$404K
- Samuel SteermanVirginia Beach$252K
- Joseph BabrowiczFairfax$202K
- Richard NevilleFalls Church$114K
- Anthony ComerotaFalls Church$107K
- Animesh RathoreNorfolk$83K
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.