Michael Vistnes
Plastic Surgery · Palo Alto, CANPI 1578698353
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.7%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. AbbVie accounts for 91.6% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2019 at $33,775 and has fallen 94.4% since, to $1,906 in 2025. Among plastic surgery clinicians in CA 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 570 payments — averaging $215.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$113K
- Merz North America, Inc.$9K
- Galderma Laboratories, L.p.$899
- Revance Therapeutics, Inc.$142
What the payments were for
- Consulting fees$53,78744%
- Speaking & faculty fees$33,89528%
- Travel & lodging$14,38812%
- Food & beverage$20,60017%
- Education$3570%
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 |
|---|---|---|
| AbbVie(2 entities) | 473 | $112,716 |
| Merz North America, Inc. | 72 | $9,270 |
| Galderma Laboratories, L.p. | 24 | $899 |
| Revance Therapeutics, Inc. | 1 | $142 |
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.
- BOTOX COSMETIC$31,884
- BOTOX$24,490
- XEOMIN$216
- DAXXIFY$142
How this compares
$123,027 in reported general payments places this provider in the 95th percentile of 780 plastic surgery providers in California.
Other plastic surgery in Palo Alto
- Rahm NazeraliPalo Alto$1.5M
- Arash MomeniPalo Alto$836K
- Stephen SchendelPalo Alto$288K
- Subhro SenPalo Alto$105K
- Matthew MurphyPalo Alto$53K
- Gordon LeePalo Alto$49K
- Sarah SoricePalo Alto$40K
- Vipul DevBakersfield$1.1M
- Anne PeledSan Francisco$570K
- Salvatore PacellaSan Diego$517K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.