Kunoor Jain Spangler
Surgery · Tappahannock, VANPI 1326257478
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (42.5%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. W. L. Gore & Associates, Inc. accounts for 60.2% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2019 at $16,561 and has fallen 64.2% since, to $5,924 in 2023. Among surgery clinicians in VA 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 181 payments — averaging $221.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$24K
- Medtronic$6K
- Asensus Surgical, Inc.$4K
- Activ Surgical, Inc.$1K
- Covidien LP$1K
- Intuitive Surgical$893
- plus $2K from 13 others
What the payments were for
- Consulting fees$10,47026%
- Speaking & faculty fees$17,08343%
- Travel & lodging$2,9157%
- Food & beverage$9,65824%
- Education$420%
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. | 34 | $24,187 |
| Medtronic | 54 | $6,459 |
| Asensus Surgical, Inc. | 7 | $3,849 |
| Activ Surgical, Inc. | 11 | $1,369 |
| Covidien LP | 32 | $1,052 |
| Intuitive Surgical | 15 | $893 |
| Johnson & Johnson | 10 | $688 |
| TELA Bio, Inc. | 2 | $292 |
| Innocoll Pharmaceuticals Limited | 2 | $288 |
| RTI Surgical, Inc | 2 | $263 |
| Baxter Healthcare | 2 | $183 |
| Standard Bariatrics, Inc. | 1 | $179 |
| Endogastric Solutions, Inc | 1 | $115 |
| Stryker | 2 | $92 |
| Medical Device Business Services, Inc. | 1 | $87 |
| Boston Scientific | 2 | $70 |
| KARL Storz Endoscopy-america | 1 | $52 |
| Levita Magnetics International Corp | 1 | $38 |
| Endo Pharmaceuticals 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.
- SEAMGUARD Bioabsorbable Staple Line Reinforcement$9,513
- SYNECOR Biomaterial$7,005
- GORE SYNECOR Biomaterial$5,870
- GORE ENFORM Preperitoneal Biomaterial$5,720
- GORE BIO-A Tissue Reinforcement$5,720
- Senhance Surgical Robotics System$3,768
- LigaSure$2,013
- ActivSight$1,070
- BIO-A Tissue Reinforcement$799
- Signia$395
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$292
- XARACOLL$288
- FORTIVA PORCINE DERMIS$263
- Da Vinci Surgical System$251
- ProGrip$243
- SEAMGUARD Staple Line Reinforcement$240
- ENDO GIA ULTRA$215
- TITAN SGS STANDARD GASTRIC STAPLER$179
- GORE ENFORM Biomaterial$150
- Valleylab$137
How this compares
$40,167 in reported general payments places this provider in the 95th percentile of 675 surgery providers in Virginia.
Other surgery in Tappahannock
- Raymond MakhoulRichmond$1.5M
- Zobair YounossiFalls Church$1.2M
- Yassar YoussefNorfolk$1M
- David WeintrittAlexandria$555K
- Hazem ElarinyVienna$368K
- George GillianLorton$214K
- Joseph GreeneReston$187K
- Lamiere DowningChristiansburg$175K
- Amanda CoxSalem$142K
- Christopher NorthupCharlottesville$117K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.