Karin Vangura, MD
Anesthesiology · Orange Park, FLNPI 1124220132
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 14 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 20.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $225 and has fallen 87.8% since, to $27 in 2024.
Across 14 payments — averaging $42.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$125
- Edwards Lifesciences$106
- Fujifilm Sonosite, Inc.$100
- Acacia Pharma Inc$77
- Fresenius Kabi USA, LLC$68
- Fisher & Paykel Healthcare Inc$27
- plus $94 from 6 others
What the payments were for
- Food & beverage$598100%
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 |
|---|---|---|
| AbbVie | 1 | $125 |
| Edwards Lifesciences | 3 | $106 |
| Fujifilm Sonosite, Inc. | 1 | $100 |
| Acacia Pharma Inc | 1 | $77 |
| Fresenius Kabi USA, LLC | 1 | $68 |
| Fisher & Paykel Healthcare Inc | 1 | $27 |
| Micro-tech Endoscopy USA, Inc. | 1 | $20 |
| Abbott | 1 | $17 |
| Olympus America Inc. | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| Mallinckrodt Enterprises LLC | 1 | $13 |
| Chiesi USA, Inc. | 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.
- VRAYLAR$125
How this compares
$598 in reported general payments places this provider in the 80th percentile of 2,767 anesthesiology providers in Florida.
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 anesthesiology in Orange Park
- Robert LondonOrlando$402K
- Todd HorowitzDelray Beach$267K
- Darren WredeLargo$211K
- Ralf GebhardMiami$166K
- Adam BlombergHollywood$120K
- Andre BoezaartGainesville$119K
- Samantha NiekampMiami$82K
- Jackson WagonerGainesville$70K
- Sorin BrullJacksonville$66K
- Roman DudarykMiami$57K
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.