Kristina Giles-Magnifico, MD
Surgery · Portland, MENPI 1780874883
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (28.1%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Penumbra, Inc. at 38.5% of the total. 2025 is the largest year on record at $8,595, 4.9 times the $1,760 reported in 2019. Among surgery clinicians in ME 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 137 payments — averaging $256.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$13K
- Boston Scientific$11K
- Cook Medical LLC$3K
- W. L. Gore & Associates, Inc.$3K
- Endologix LLC$1K
- Silk Road Medical, Inc.$982
- plus $2K from 6 others
Across 34 payments — averaging $4145.08 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.
- Medtronic$73K
- Shape Memory Medical Inc.$49K
- Silk Road Medical, Inc.$15K
- Boston Scientific$4K
What the payments were for
- Consulting fees$8,70625%
- Speaking & faculty fees$8,40024%
- Grants$620%
- Travel & lodging$9,85828%
- Food & beverage$8,07123%
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 |
|---|---|---|
| Penumbra, Inc. | 25 | $13,496 |
| Boston Scientific | 20 | $11,072 |
| Cook Medical LLC | 27 | $3,366 |
| W. L. Gore & Associates, Inc. | 23 | $2,692 |
| Endologix LLC | 8 | $1,105 |
| Silk Road Medical, Inc. | 9 | $982 |
| Medtronic(2 entities) | 12 | $954 |
| Cook Incorporated | 3 | $626 |
| Bolton Medical Inc | 5 | $349 |
| Shape Memory Medical Inc. | 2 | $225 |
| Abbott | 2 | $218 |
| Getinge USA Sales, LLC | 1 | $14 |
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.
- RUBY Coil$8,285
- GENERAL - THERAPIES$5,559
- Zenith Alpha$2,580
- Penumbra Ruby Coil$2,503
- Indigo System$2,348
- ENROUTE Transcarotid Neuroprotection System$894
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$805
- ENHANCE Transcarotid Peripheral Access Kit$635
- ENDURANT IIS$514
- ENROUTE Transcarotid Stent System$510
- ENROUTE 0.014 Guidewire$510
- GORE EXCLUDER AAA Endoprosthesis$473
- GORE TAG Thoracic Branch Endoprosthesis$387
- ENROUTE Transcarotid Stent$385
- IMPEDE EMBOLIZATION PLUG$178
- OMNILINK ELITE$169
- POD$163
- Cook$149
- ELUVIA$147
- Alto Abdominal Stent Graft System$145
How this compares
$35,098 in reported general payments places this provider in the 95th percentile of 138 surgery providers in Maine.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 17 | $461 |
| Gabapentin | 12 | $270 |
| Cilostazol | 24 | $167 |
Paid to pharmacies, not to this prescriber.
Other surgery in Portland
- Elizabeth BlazickPortland$55K
- Lindsay TsePortland$17K
- Forest SheppardPortland$16K
- Lee HallaganPortland$12K
- Kirk SahagianPortland$12K
- John FallonPortland$10K
- Timothy FitzgeraldPortland$10K
- Jennifer BurgPortland$10K
- Jaswin SawhneyPortland$9K
- Brittany MisercolaPortland$8K
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.