Lucian Vlad, MD
Family Medicine · Winston Salem, NCNPI 1629290523
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (49.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. KCI USA, Inc. accounts for 69.1% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2019 at $21,584 and has fallen 82.7% since, to $3,735 in 2025. Among family medicine clinicians in NC 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 99 payments — averaging $467.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- KCI USA, Inc.$32K
- Urgo Medical North America, LLC$7K
- Reprise Biomedical, Inc.$3K
- Kerecis Limited$1K
- Solventum Corporation$1K
- Organogenesis Inc.$248
- plus $1K from 16 others
Across 11 payments — averaging $3274.17 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.
- Medline Industries LP$36K
What the payments were for
- Consulting fees$10,59423%
- Speaking & faculty fees$23,06450%
- Travel & lodging$8,78219%
- Food & beverage$3,5728%
- Education$2341%
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 |
|---|---|---|
| KCI USA, Inc. | 49 | $31,944 |
| Urgo Medical North America, LLC | 10 | $7,165 |
| Reprise Biomedical, Inc. | 5 | $2,667 |
| Kerecis Limited | 4 | $1,454 |
| Solventum Corporation | 6 | $1,306 |
| Organogenesis Inc. | 3 | $248 |
| Medtronic | 2 | $241 |
| Polynovo North America LLC | 2 | $180 |
| Integra Lifesciences Corporation | 1 | $175 |
| Molnlycke Health Care US, LLC | 1 | $172 |
| Medline Industries LP | 1 | $123 |
| Polarityte, Inc. | 1 | $115 |
| Axogen | 1 | $97 |
| LEO Pharma Inc. | 2 | $96 |
| Misonix Inc | 1 | $77 |
| Reapplix Inc. | 1 | $69 |
| Sunovion Pharmaceuticals Inc. | 4 | $41 |
| Aroa Biosurgery Incorporated | 1 | $25 |
| Melinta Therapeutics, LLC | 1 | $19 |
| Smith+Nephew | 1 | $14 |
| Bioventus LLC | 1 | $14 |
| Next Science LLC | 1 | $6 |
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.
- SNAP$24,926
- URGOK2 (LONG) KIT$5,700
- Kerecis Omega3 Marigen$3,956
- VAC VERAFLO$3,701
- MIRO3D$2,507
- ACTIV.A.C.$1,563
- V.A.C. VERAFLO$1,375
- Kerecis Omega3 SurgiClose$1,319
- Kerecis Omega3 GraftGuide$1,319
- UrgoK2$1,203
- PREVENA$868
- INTEGRA$525
- PROMOGRAN PRISMA$463
- DERMATAC$413
- 3M Tegaderm$375
- KERRAMAX CARE$375
- PREVENA RESTOR ARTHROFORM$375
- PREVENA RESTOR AXIOFORM$375
- PREVENA RESTOR BELLAFORM$375
- ABTHERA$320
How this compares
$46,246 in reported general payments places this provider in the 95th percentile of 3,444 family medicine providers in North Carolina.
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 |
|---|---|---|
| Tobramycin Sulfate | 22 | $41,762 |
| Linezolid | 14 | $2,720 |
| Triamcinolone Acetonide | 38 | $652 |
| Doxycycline Hyclate | 35 | $227 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 17 | $178 |
| Ciprofloxacin Hcl | 19 | $166 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $60 |
| Prednisone | 11 | $44 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Winston Salem
- David DundeeWinston Salem$633K
- Cressent PresslyWinston Salem$199K
- William CromwellRaleigh$879K
- Steve VacalisGastonia$693K
- Kevin SodenCharlotte$558K
- Brian ForrestApex$398K
- Joseph KonenCharlotte$322K
- Richard RachimaCharlotte$294K
- Dimitrios HondrosCharlotte$275K
- Domingo Rodriguez-CueGarner$253K
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.