Nicholas Southard, DO
Vascular Surgery · West Des Moines, IANPI 1124281902
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $22,000 of the $26,754 with a category attached, or 82.2%. Medtronic accounts for 90.2% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2024 at $11,808 and has fallen 63.9% since, to $4,263 in 2025.
Across 113 payments — averaging $236.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$24K
- W. L. Gore & Associates, Inc.$439
- Inari Medical, Inc.$351
- Endologix LLC$329
- Abbott$259
- Silk Road Medical, Inc.$189
- plus $1K from 16 others
What the payments were for
- Speaking & faculty fees$22,00082%
- Food & beverage$4,74118%
- Education$130%
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 |
|---|---|---|
| Medtronic(2 entities) | 48 | $24,140 |
| W. L. Gore & Associates, Inc. | 10 | $439 |
| Inari Medical, Inc. | 12 | $351 |
| Endologix LLC | 3 | $329 |
| Abbott | 8 | $259 |
| Silk Road Medical, Inc. | 2 | $189 |
| Bolton Medical Inc | 1 | $172 |
| Boston Scientific | 1 | $149 |
| Avinger Inc. | 1 | $120 |
| Bard Peripheral Vascular, Inc. | 3 | $118 |
| Terumo Medical Corporation | 2 | $114 |
| Lemaitre Vascular, Inc. | 6 | $89 |
| Penumbra, Inc. | 2 | $84 |
| Cardiovascular Systems Inc. | 4 | $63 |
| Teleflex LLC | 3 | $43 |
| Acera Surgical, Inc. | 1 | $16 |
| Shockwave Medical, Inc | 1 | $14 |
| AstraZeneca | 1 | $14 |
| Chiesi USA, Inc. | 1 | $14 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $14 |
| Tactile Systems Technology Inc | 1 | $13 |
| Avenu Medical Inc. | 1 | $9 |
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.
- VenaSeal$19,000
- ClosureFast$3,000
- IN.PACT Admiral$321
- Abre$299
- ENDOCROSS Device$258
- Torus Stent Graft System$258
- ENROUTE Transcarotid Neuroprotection System$176
- ENROUTE Transcarotid Stent$176
- TREO ABDOMINAL STENT-GRAFT SYSTEM$172
- CONCERTOTM$166
- VIABAHN VBX Balloon Expandable Endoprosthesis$150
- GENERAL VASCULAR INTERVENTION$149
- MVP$140
- GORE TAG Thoracic Branch Endoprosthesis$136
- PANTHERIS$120
- FlowTriever$118
- ClotTriever$118
How this compares
$26,754 in reported general payments places this provider in the 85th percentile of 38 vascular surgery providers in Iowa.
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 |
|---|---|---|
| XareltoRivaroxaban | 69 | $55,227 |
| EliquisApixaban | 29 | $17,526 |
| ClopidogrelClopidogrel Bisulfate | 534 | $2,830 |
| Cilostazol | 32 | $261 |
| Atorvastatin Calcium | 22 | $63 |
| Prednisone | 11 | $19 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in West Des Moines
- Douglas MassopWest Des Moines$590K
- Eric ScottWest Des Moines$393K
- David ChewWest Des Moines$43K
- Dennis FryWest Des Moines$12K
- Zane YoungWest Des Moines$8K
- Woosup ParkWest Des Moines$6K
- Rori MankinsWest Des Moines$5K
- Jose BorromeoWest Des Moines$4K
- Harold HsuWest Des Moines$4K
- James EbaughWest Des Moines$3K
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.