Libby Watch, MD
Vascular Surgery · Miami, FLNPI 1831238864
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Silk Road Medical, Inc. at 37.7% of the total. Reporting peaked in 2022 at $3,400 and has fallen 88.1% since, to $404 in 2024.
Across 110 payments — averaging $88.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Silk Road Medical, Inc.$4K
- Bard Peripheral Vascular, Inc.$3K
- Smith+Nephew$785
- W. L. Gore & Associates, Inc.$512
- Cook Medical LLC$327
- Endologix LLC$200
- plus $1K from 27 others
What the payments were for
- Consulting fees$4,80049%
- Travel & lodging$6156%
- Food & beverage$4,33944%
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. | 13 | $3,679 |
| Bard Peripheral Vascular, Inc. | 13 | $2,870 |
| Smith+Nephew | 27 | $785 |
| W. L. Gore & Associates, Inc. | 8 | $512 |
| Cook Medical LLC | 3 | $327 |
| Endologix LLC | 2 | $200 |
| Medtronic | 3 | $182 |
| Getinge USA Sales, LLC | 4 | $150 |
| Angiodynamics, Inc. | 1 | $142 |
| Johnson & Johnson | 6 | $106 |
| Baxter Healthcare | 1 | $79 |
| Axogen | 2 | $73 |
| Biom'up France SAS | 1 | $73 |
| Osprey Medical Inc | 1 | $51 |
| Organogenesis Inc. | 3 | $47 |
| Surmodics, Inc. | 2 | $45 |
| Pfizer | 2 | $39 |
| Bard Access Systems, Inc. | 1 | $38 |
| BD | 1 | $37 |
| Biotissue Holdings Inc. | 1 | $35 |
| KCI USA, Inc. | 2 | $34 |
| Biocompatibles, Inc. | 2 | $32 |
| Cormedix Inc. | 1 | $28 |
| Penumbra, Inc. | 1 | $26 |
| Dilon Technologies, Inc. | 1 | $25 |
| Acera Surgical, Inc. | 1 | $23 |
| E.r. Squibb & Sons, L.L.C. | 1 | $20 |
| Boston Scientific | 1 | $18 |
| Terumo Medical Corporation | 1 | $18 |
| Convatec Inc. | 1 | $17 |
| Argon Medical Devices, Inc. | 1 | $16 |
| Urgo Medical North America, LLC | 1 | $15 |
| Amniox Medical, Inc. | 1 | $12 |
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$3,482
- ENROUTE Transcarotid Stent$2,702
- ENHANCE Transcarotid Peripheral Access Kit$1,227
- ENROUTE Transcarotid Stent System$627
- ENROUTE 0.014 Guidewire$627
- ENROUTE .014 Guidewire$600
- GRAFIX PL$250
- Venclose Maven Catheter$245
- GORE TAG Conformable Thoracic Endoprosthesis$198
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$152
- Alto Abdominal Stent Graft System$147
- Auryon Laser System 100-120 Vac$142
- Stravix$137
- Cook Medical Advanced Tech$125
- Cook Medical Thoracic$101
- Zenith$101
How this compares
$9,754 in reported general payments places this provider in the 60th percentile of 385 vascular surgery 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 vascular surgery in Miami
- Juan Fleites VazquezMiami$89K
- Tony ShaoMiami$37K
- Samuel TapperStuart$1.3M
- Mariano ArosemenaBradenton$472K
- Manuel Perez IzquierdoOrlando$302K
- Erin MooreJacksonville$300K
- Rajesh MalikNaples$237K
- Charles BaileyTampa$162K
- Joseph WasselleMelbourne$161K
- Joseph RicottaDelray Beach$156K
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.