Joshua Gierman, MD
Surgery · Oklahoma City, OKNPI 1881734358
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.3% of the total across 110 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by Medtronic at 30.7% of the total. Reporting peaked in 2023 at $3,064 and has fallen 64.5% since, to $1,087 in 2025.
Across 110 payments — averaging $75.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- W. L. Gore & Associates, Inc.$2K
- Surmodics, Inc.$935
- Shockwave Medical, Inc$706
- Endologix LLC$456
- Bolton Medical Inc$366
- plus $2K from 17 others
Across 3 payments — averaging $3733.33 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.
- Bolton Medical Inc$11K
What the payments were for
- Travel & lodging$7179%
- Food & beverage$7,53491%
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 |
|---|---|---|
| Medtronic | 27 | $2,532 |
| W. L. Gore & Associates, Inc. | 12 | $1,733 |
| Surmodics, Inc. | 17 | $935 |
| Shockwave Medical, Inc | 8 | $706 |
| Endologix LLC | 5 | $456 |
| Bolton Medical Inc | 6 | $366 |
| Penumbra, Inc. | 4 | $340 |
| Inari Medical, Inc. | 10 | $278 |
| Venturemed Group, Inc. | 1 | $187 |
| Silk Road Medical, Inc. | 1 | $148 |
| Abiomed | 1 | $146 |
| Smith+Nephew | 3 | $94 |
| Cook Medical LLC | 1 | $76 |
| Trisalus Life Sciences, Inc. | 2 | $44 |
| Acera Surgical, Inc. | 2 | $41 |
| Cagent Vascular Inc | 2 | $38 |
| Johnson & Johnson | 1 | $32 |
| Angiodynamics, Inc. | 2 | $26 |
| Balt USA, LLC | 1 | $16 |
| Chiesi USA, Inc. | 1 | $15 |
| Teleflex LLC | 1 | $15 |
| Stryker | 1 | $14 |
| Cordis US CORP. | 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.
- ENDURANT IIS$1,047
- GORE TAG Thoracic Branch Endoprosthesis$651
- Valiant Captivia$608
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$527
- GORE TAG Thoracic Endoprosthesis$488
- Alto Abdominal Stent Graft System$357
- Sublime 014 Rx PTA Balloon Dilatation Catheter$312
- Pounce Thrombectomy$312
- Pounce Venous Thrombectomy System$312
- Indigo System$219
- FLEX Vessel Prep System$187
- Sublime Radial Access 018 RX PTA Dilatation Catheter$171
- Sublime Radial Access Guide Sheath$171
- Endurant$171
- GORE TAG Conformable Thoracic Endoprosthesis$163
- VenaSeal$152
- FLOWTRIEVER CATHETER, S$151
- CT THROMBECTOMY SYSTEM KIT$151
- ENROUTE Transcarotid Neuroprotection System$148
- ENROUTE Transcarotid Stent System$148
How this compares
$8,251 in reported general payments places this provider in the 80th percentile of 290 surgery providers in Oklahoma.
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 |
|---|---|---|
| EliquisApixaban | 12 | $8,239 |
Paid to pharmacies, not to this prescriber.
Other surgery in Oklahoma City
- Christopher CareyOklahoma City$39K
- Alexander RainesOklahoma City$36K
- Christopher HenryOklahoma City$16K
- Brian HerrittOklahoma City$12K
- Carson AgeeOklahoma City$11K
- Marcia MooreOklahoma City$11K
- Joseph BuendiaOklahoma City$11K
- Laura FischerOklahoma City$11K
- James ShepherdOklahoma City$10K
- Peter CollisterOklahoma City$10K
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.