Manuel Perez Izquierdo, MD
Vascular Surgery · Orlando, FLNPI 1942288808
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $197,536 of the $301,750 with a category attached, or 65.5%. 30 manufacturers reported payments, led by Cvrx, Inc. at 46.1% of the total. Among vascular surgery clinicians in FL 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 675 payments — averaging $447.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cvrx, Inc.$139K
- Silk Road Medical, Inc.$73K
- Penumbra, Inc.$51K
- Endologix LLC$27K
- Medtronic$4K
- W. L. Gore & Associates, Inc.$2K
- plus $6K from 24 others
Across 20 payments — averaging $4712.42 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.
- Endologix LLC$94K
What the payments were for
- Consulting fees$197,53665%
- Speaking & faculty fees$33,44911%
- Travel & lodging$33,73811%
- Food & beverage$37,02812%
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 |
|---|---|---|
| Cvrx, Inc. | 242 | $138,967 |
| Silk Road Medical, Inc. | 98 | $73,231 |
| Penumbra, Inc. | 83 | $50,793 |
| Endologix LLC | 80 | $26,695 |
| Medtronic(2 entities) | 59 | $4,126 |
| W. L. Gore & Associates, Inc. | 37 | $2,222 |
| Angiodynamics, Inc. | 4 | $1,073 |
| Inari Medical, Inc. | 7 | $915 |
| Bard Peripheral Vascular, Inc. | 14 | $802 |
| Johnson & Johnson(3 entities) | 5 | $397 |
| Inspiremd Ltd | 5 | $391 |
| Bolton Medical Inc | 6 | $376 |
| Boston Scientific | 5 | $367 |
| Shockwave Medical, Inc | 1 | $177 |
| Integra Lifesciences Corporation | 1 | $167 |
| Cardiovascular Systems Inc. | 3 | $138 |
| Stryker | 3 | $125 |
| Biocompatibles, Inc. | 2 | $119 |
| Teleflex LLC | 1 | $113 |
| Smith+Nephew | 3 | $101 |
| Atricure, Inc. | 1 | $78 |
| Abbott | 3 | $73 |
| Cook Medical LLC | 2 | $69 |
| Pfizer | 4 | $65 |
| Intact Vascular, Inc. | 1 | $57 |
| Innovation Technologies Inc | 1 | $38 |
| Philips North America LLC | 1 | $33 |
| Cordis US CORP. | 1 | $21 |
| Contego Medical, Inc | 1 | $14 |
| Lemaitre Vascular, Inc. | 1 | $7 |
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.
- Barostim Neo System$134,552
- ENROUTE Transcarotid Neuroprotection System$72,339
- Indigo System$46,232
- ENROUTE Transcarotid Stent$37,534
- ENHANCE Transcarotid Peripheral Access Kit$36,922
- ENROUTE Transcarotid Stent System$34,422
- ENROUTE 0.014 Guidewire$34,422
- Alto Abdominal Stent Graft System$11,078
- Ovation$5,562
- AFX$3,600
- ENROUTE .014 Guidewire$2,500
- Penumbra Ruby Coil$2,400
- ENDOCROSS Device$950
- Torus Stent Graft System$950
- FLOWTRIEVER CATHETER, S$926
- Auryon Laser System 100-120 Vac$910
- CT THROMBECTOMY SYSTEM KIT$658
- IN.PACT Admiral$611
- HawkOne$553
- GORE VIABAHN VBX Balloon Expandable Endo$514
How this compares
$301,750 in reported general payments places this provider in the 95th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Cilostazol | 26 | $431 |
| ClopidogrelClopidogrel Bisulfate | 40 | $275 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $145 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Orlando
- David VarnagyOrlando$45K
- Michael CohenOrlando$39K
- Rajendra PatelOrlando$32K
- Rachel WilsonOrlando$32K
- Samuel TapperStuart$1.3M
- Mariano ArosemenaBradenton$472K
- Erin MooreJacksonville$300K
- Rajesh MalikNaples$237K
- Charles BaileyTampa$162K
- Joseph WasselleMelbourne$161K
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.