Julie Duke, MD
Vascular Surgery · Marietta, GANPI 1043553803
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $14,927 of the $19,050 with a category attached, or 78.4%. It is spread thinly across 40 manufacturers, the largest accounting for just 19.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $9,202, more than ten times the $250 reported in 2019.
Across 222 payments — averaging $85.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$4K
- Penumbra, Inc.$3K
- Medtronic$2K
- Stryker$2K
- Cook Medical LLC$1K
- Shockwave Medical, Inc$1K
- plus $6K from 34 others
Across 1 payment — averaging $40,209 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.
- W. L. Gore & Associates, Inc.$40K
What the payments were for
- Consulting fees$6503%
- Grants$2501%
- Travel & lodging$3,22317%
- Food & beverage$14,92778%
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. | 28 | $3,767 |
| Penumbra, Inc. | 21 | $3,048 |
| Medtronic(2 entities) | 24 | $2,300 |
| Stryker | 5 | $2,016 |
| Cook Medical LLC | 19 | $1,206 |
| Shockwave Medical, Inc | 11 | $1,066 |
| Boston Scientific | 30 | $864 |
| Endologix LLC | 4 | $799 |
| Silk Road Medical, Inc. | 9 | $751 |
| Abbott | 9 | $607 |
| Imperative Care, Inc | 14 | $393 |
| Johnson & Johnson(2 entities) | 8 | $291 |
| Atricure, Inc. | 2 | $248 |
| Philips North America LLC | 3 | $208 |
| Argon Medical Devices, Inc. | 3 | $161 |
| Bard Peripheral Vascular, Inc. | 1 | $142 |
| Angiodynamics, Inc. | 4 | $131 |
| E.r. Squibb & Sons, L.L.C. | 1 | $119 |
| Artivion, Inc. | 2 | $117 |
| Cardiovascular Systems Inc. | 1 | $112 |
| Terumo Medical Corporation | 1 | $110 |
| Bolton Medical Inc | 1 | $87 |
| Bsn Medical Inc | 1 | $81 |
| Smith+Nephew | 2 | $64 |
| Davol Inc. | 1 | $47 |
| Solventum Corporation | 3 | $46 |
| Kerecis Limited | 1 | $37 |
| Microvention, Inc. | 1 | $24 |
| Triad Life Sciences Inc. | 1 | $22 |
| Humacyte Global, Inc. | 1 | $21 |
| Cardiva Medical, Inc. | 1 | $20 |
| BD | 1 | $20 |
| Cordis US CORP. | 1 | $18 |
| Neuros Medical, Inc. | 1 | $18 |
| Inari Medical, Inc. | 1 | $17 |
| Pfizer | 1 | $16 |
| AbbVie | 1 | $16 |
| Baxter Healthcare | 1 | $15 |
| Lemaitre Vascular, Inc. | 1 | $15 |
| Flowphysix Inc | 1 | $9 |
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.
- Indigo System$2,083
- CT THROMBECTOMY SYSTEM KIT$2,016
- FLOWTRIEVER CATHETER, S$2,016
- Endurant$1,424
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$1,091
- GORE VIABAHN VBX Balloon Expandable Endo$1,058
- ENROUTE Transcarotid Neuroprotection System$989
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$765
- ENROUTE Transcarotid Stent$486
- Penumbra System$459
- AFX2 Bifurcated Endograft System$404
- GORE TAG Thoracic Branch Endoprosthesis$367
- GORE VIABAHN Endoprosthesis$327
- Zenith Spiral-Z$314
- GORE VIABAHN Endoprosthesis with Heparin$297
- Alto Abdominal Stent Graft System$226
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$186
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$179
- ENDURANT IIS$171
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$165
How this compares
$19,050 in reported general payments places this provider in the 80th percentile of 176 vascular surgery providers in Georgia.
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 | 37 | $26,118 |
| ClopidogrelClopidogrel Bisulfate | 75 | $435 |
| Gabapentin | 16 | $161 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $123 |
| Atorvastatin Calcium | 22 | $111 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $16 | $26,11837 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 176 vascular surgery providers in Georgia.
Other vascular surgery in Marietta
- Alykhan LalaniMarietta$64K
- Veer ChahwalaMarietta$21K
- Arun ChervuMarietta$13K
- Gary JacobsonMarietta$13K
- Emily LagergrenMarietta$11K
- Jeffrey SteinMarietta$10K
- Siddharth PatelAtlanta$303K
- Juan AyerdiColumbus$130K
- Albert RichardsonThomasville$103K
- Walaya Methodius-RayfordAtlanta$79K
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.