Michael Costanza, MD
Vascular Surgery · Syracuse, NYNPI 1679523542
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $31,750 of the $42,124 with a category attached, or 75.4%. Endologix LLC accounts for 64.7% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2020 at $9,397 and has fallen 52.7% since, to $4,441 in 2025.
Across 77 payments — averaging $547.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endologix LLC$27K
- Inari Medical, Inc.$9K
- Silk Road Medical, Inc.$2K
- W. L. Gore & Associates, Inc.$2K
- Terumo Medical Corporation$664
- Medtronic$241
- plus $569 from 7 others
Across 2 payments — averaging $587.50 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.
- Bard Peripheral Vascular, Inc.$1K
What the payments were for
- Consulting fees$31,75075%
- Speaking & faculty fees$1,7504%
- Travel & lodging$5,30313%
- Food & beverage$3,3228%
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 |
|---|---|---|
| Endologix LLC | 37 | $27,249 |
| Inari Medical, Inc. | 8 | $9,425 |
| Silk Road Medical, Inc. | 3 | $2,381 |
| W. L. Gore & Associates, Inc. | 14 | $1,596 |
| Terumo Medical Corporation | 2 | $664 |
| Medtronic(2 entities) | 3 | $241 |
| Bard Peripheral Vascular, Inc. | 1 | $136 |
| Cook Medical LLC | 3 | $124 |
| Shockwave Medical, Inc | 2 | $122 |
| Boston Scientific | 1 | $57 |
| Siemens Medical Solutions USA, Inc. | 1 | $55 |
| Philips North America LLC | 1 | $47 |
| Centerline Biomedical Inc. | 1 | $28 |
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.
- Alto Abdominal Stent Graft System$15,685
- CT THROMBECTOMY SYSTEM KIT$11,656
- Ovation$9,950
- FLOWTRIEVER CATHETER, S$7,156
- ENROUTE Transcarotid Neuroprotection System$4,606
- ENROUTE Transcarotid Stent$2,381
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$2,225
- GORE TAG Thoracic Endoprosthesis$958
- AZUR$629
- Torus Stent Graft System$419
- ENDOCROSS Device$419
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$321
- ENDURANT IIS$187
- Lutonix Drug Coated Balloon$136
How this compares
$42,124 in reported general payments places this provider in the 85th percentile of 405 vascular surgery providers in New York.
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 | $674 |
| ClopidogrelClopidogrel Bisulfate | 22 | $120 |
| Gabapentin | 16 | $106 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Syracuse
- Anthony FeghaliSyracuse$143K
- Gary GelbfishNew York$1.9M
- Sundaram RavikumarDobbs Ferry$1.8M
- Antonios GasparisHuntington$1.5M
- Sonya NoorBuffalo$991K
- John LantisNew York$922K
- Brian DerubertisNew York$714K
- James McKinseyNew York$616K
- Peter FariesNew York$494K
- Robert RheeBrooklyn$338K
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.