Leonardo de Castro Duraes, MD
Colon & Rectal Surgery · Cleveland, OHNPI 1720515968
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (40.1%), education and travel and lodging — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Intuitive Surgical at 48.2% of the total. Reporting peaked in 2020 at $2,988 and has fallen 82.5% since, to $522 in 2025.
Across 28 payments — averaging $212.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- THD America, Inc.$747
- Medtronic$585
- Aroa Biosurgery Incorporated$567
- Kerecis Limited$384
- Avita Medical Americas, LLC$149
- plus $646 from 7 others
What the payments were for
- Travel & lodging$1,55826%
- Food & beverage$2,38440%
- Education$2,00034%
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 |
|---|---|---|
| Intuitive Surgical | 6 | $2,864 |
| THD America, Inc. | 3 | $747 |
| Medtronic | 5 | $585 |
| Aroa Biosurgery Incorporated | 4 | $567 |
| Kerecis Limited | 2 | $384 |
| Avita Medical Americas, LLC | 1 | $149 |
| Stryker | 1 | $143 |
| Davol Inc. | 1 | $137 |
| Axogen | 1 | $124 |
| Ferring Pharmaceuticals Inc. | 1 | $106 |
| Mimedx Group, Inc. | 1 | $77 |
| Integra Lifesciences Corporation | 1 | $42 |
| Lumendi LLC | 1 | $17 |
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.
- Da Vinci Surgical System$2,804
- Kerecis Omega3 SurgiClose$876
- Kerecis Omega3 Marigen$800
- Kerecis Omega3 GraftGuide$246
- RECELL$149
- PERMEADERM$149
- Cohealyx$149
- AQUAMANTYS$147
- SPY TECHNOLOGY$143
- ARISTA AH FLEXITIP$137
- AVANCE NERVE GRAFT$124
- AxoGuard Nerve Connector$124
- AxoGuard Nerve Protector$124
- EndoFlip$107
- REBYOTA$106
How this compares
$5,943 in reported general payments places this provider in the 75th percentile of 101 colon & rectal surgery providers in Ohio.
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 |
|---|---|---|
| Neomycin Sulfate | 13 | $47 |
| Metronidazole | 11 | $12 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Cleveland
- Vincent ObiasCleveland$124K
- David RosenCleveland$102K
- Jean AshburnCleveland$81K
- Anna SpivakCleveland$54K
- Scott SteeleCleveland$28K
- Michael LiuCleveland$18K
- Conor DelaneyCleveland$16K
- Stefan HolubarCleveland$12K
- David DietzCleveland$11K
- Haniee ChungCleveland$11K
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.