Laurie Kuestner, MD
Vascular Surgery · Idaho Falls, IDNPI 1235111261
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,493 of the $2,253 with a category attached, or 66.3%. 10 manufacturers reported payments, led by Silk Road Medical, Inc. at 44.8% of the total. Reporting peaked in 2019 at $843 and has fallen 62.0% since, to $320 in 2024. That places this record below the midpoint for vascular surgery clinicians in ID, where the typical reported total is $2,623.
Across 23 payments — averaging $97.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Silk Road Medical, Inc.$1K
- W. L. Gore & Associates, Inc.$440
- Shockwave Medical, Inc$346
- Lemaitre Vascular, Inc.$155
- Bard Peripheral Vascular, Inc.$148
- Globus Medical$57
- plus $100 from 4 others
Across 21 payments — averaging $802.23 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.
- Cook Research Incorporated$17K
What the payments were for
- Travel & lodging$76034%
- Food & beverage$1,49366%
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 |
|---|---|---|
| Silk Road Medical, Inc. | 6 | $1,009 |
| W. L. Gore & Associates, Inc. | 3 | $440 |
| Shockwave Medical, Inc | 2 | $346 |
| Lemaitre Vascular, Inc. | 4 | $155 |
| Bard Peripheral Vascular, Inc. | 1 | $148 |
| Globus Medical | 1 | $57 |
| Medtronic | 2 | $43 |
| Itamar Medical Inc | 1 | $24 |
| Angiodynamics, Inc. | 1 | $23 |
| Cook Medical LLC | 2 | $10 |
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.
- ENROUTE Transcarotid Neuroprotection System$904
- ENROUTE Transcarotid Stent System$728
- ENHANCE Transcarotid Peripheral Access Kit$728
- ENROUTE 0.014 Guidewire$728
- Vascular Lithotripsy$183
- ENROUTE Transcarotid Stent$176
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$164
- GORE TAG Thoracic Branch Endoprosthesis$158
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$157
- WAVELINQ$148
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$125
How this compares
$2,253 in reported general payments places this provider in the 35th percentile of 28 vascular surgery providers in Idaho.
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 | 27 | $16,528 |
| XareltoRivaroxaban | 24 | $13,278 |
| Atorvastatin Calcium | 42 | $362 |
| Cilostazol | 43 | $289 |
| ClopidogrelClopidogrel Bisulfate | 71 | $179 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Idaho Falls
- Rachael SnowIdaho Falls$4K
- Warren AlbrechtIdaho Falls$3K
- Elliot AdamsTwin Falls$99K
- Michael TullisMeridian$45K
- Kenneth MadsenBoise$11K
- Louis ZhangBoise$7K
- Matthew LowCoeur D Alene$6K
- Alexis GrahamBoise$6K
- Vikram PalkarBoise$6K
- Christopher WardCoeur D Alene$5K
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.