Justin Smith, MD
Diagnostic Radiology · Round Rock, TXNPI 1508019084
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. Boston Scientific accounts for 69.1% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $3,101 and has fallen 79.2% since, to $645 in 2025. Among diagnostic radiology clinicians in TX 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 50 payments — averaging $102.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$4K
- Medtronic$842
- Bard Peripheral Vascular, Inc.$172
- Stryker$170
- Veryan Medical Incorporated$71
- Tactile Systems Technology Inc$71
- plus $261 from 6 others
What the payments were for
- Travel & lodging$1,90937%
- Food & beverage$2,87256%
- Education$3617%
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 |
|---|---|---|
| Boston Scientific | 22 | $3,555 |
| Medtronic(2 entities) | 8 | $842 |
| Bard Peripheral Vascular, Inc. | 2 | $172 |
| Stryker | 1 | $170 |
| Veryan Medical Incorporated | 1 | $71 |
| Tactile Systems Technology Inc | 5 | $71 |
| Biocompatibles, Inc. | 2 | $60 |
| Pfizer | 2 | $55 |
| Cashflow Solutions, LLC | 3 | $47 |
| Terumo Medical Corporation | 2 | $40 |
| Biosense Webster, Inc. | 1 | $32 |
| W. L. Gore & Associates, Inc. | 1 | $25 |
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.
- ANGIOJET$3,002
- ClosureFast$367
- LIMFLOW SYSTEM$170
- Venclose Maven Catheter$157
- EMBOLD Fibered$134
How this compares
$5,142 in reported general payments places this provider in the 90th percentile of 2,506 diagnostic radiology providers in Texas.
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 diagnostic radiology in Round Rock
- Harlan HarveyHouston$583K
- Anthony StavrosSan Antonio$465K
- Steven RoweDallas$407K
- Alexandru BageacFort Worth$339K
- Sasidhar YallampalliHouston$263K
- Debra ButlerHouston$262K
- Melissa PriceHouston$233K
- Vivek BansalHouston$173K
- Stephen RoseHouston$163K
- Matthew FiestaFort Worth$160K
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.