Mayand Vakil, MD
Plastic Surgery within the Head & Neck · Colonial Heights, VANPI 1194220517
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,624 of the $4,339 with a category attached, or 83.5%. Inspire Medical Systems, Inc. accounts for 68.3% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $1,851, 2.3 times the $805 reported in 2023.
Across 55 payments — averaging $78.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Aerin Medical Inc.$391
- Hologic Sales And Service, LLC$266
- GSK$208
- Medtronic$154
- Davol Inc.$130
- plus $227 from 4 others
What the payments were for
- Travel & lodging$71516%
- Food & beverage$3,62484%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 38 | $2,963 |
| Aerin Medical Inc. | 5 | $391 |
| Hologic Sales And Service, LLC | 2 | $266 |
| GSK | 2 | $208 |
| Medtronic | 3 | $154 |
| Davol Inc. | 1 | $130 |
| Regeneron Healthcare Solutions, Inc. | 1 | $122 |
| Olympus America Inc. | 1 | $68 |
| Innovation Technologies Inc | 1 | $20 |
| Smith+Nephew | 1 | $18 |
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.
- Inspire$2,146
- VIVAER STYLUS$291
- RHINAER STYLUS$291
- CoolSeal Generator$266
- ARISTA AH FLEXITIP$130
- DUPIXENT$122
- NUCALA$122
- SINUVA$121
How this compares
Too few plastic surgery within the head & neck providers in Virginiato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Azelastine Hcl | 86 | $2,218 |
| Ipratropium Bromide | 89 | $2,188 |
| Fluticasone Propionate | 184 | $2,131 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 16 | $1,514 |
| Fluocinolone Acetonide Oil | 19 | $744 |
| Famotidine | 34 | $293 |
| Omeprazole | 23 | $231 |
| Pantoprazole Sodium | 12 | $146 |
| Prednisone | 37 | $90 |
| Methylprednisolone | 11 | $74 |
| Amoxicillin | 25 | $48 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 11 | $47 |
| Montelukast Sodium | 12 | $22 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery within the head & neck in Colonial Heights
- Vartan MardirossianMc Lean$12K
- William DoughertyNorfolk$8K
- Shervin NaderiReston$2K
- Travis ShawRichmond$1K
- Matthew BakNorfolk$1K
- Jeffrey NealAbingdon$1K
- Michael AlexiouHarrisonburg$678
- Michael GodinRichmond$452
- Daniel KaraklaNorfolk$196
- Daniel RooneyVienna$54
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.