Nicole Gensicke
Vascular Surgery · Cedar Rapids, IANPI 1750942595
Payments from drug & device makers
What this record shows
14 manufacturers reported payments, led by Globus Medical at 43.9% of the total. 2025 is the largest year on record at $2,853, 2.5 times the $1,151 reported in 2023. That places this record below the midpoint for vascular surgery clinicians in IA, where the typical reported total is $5,435.
Across 56 payments — averaging $97.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$2K
- W. L. Gore & Associates, Inc.$1K
- Medtronic$539
- Silk Road Medical, Inc.$387
- Cook Medical LLC$193
- Bolton Medical Inc$153
- plus $654 from 8 others
What the payments were for
- Travel & lodging$2,34143%
- Food & beverage$3,09457%
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 |
|---|---|---|
| Globus Medical | 19 | $2,385 |
| W. L. Gore & Associates, Inc. | 11 | $1,124 |
| Medtronic | 6 | $539 |
| Silk Road Medical, Inc. | 4 | $387 |
| Cook Medical LLC | 2 | $193 |
| Bolton Medical Inc | 2 | $153 |
| Boston Scientific | 1 | $124 |
| Penumbra, Inc. | 2 | $120 |
| Convatec Inc. | 1 | $100 |
| Lemaitre Vascular, Inc. | 2 | $96 |
| Stryker | 3 | $82 |
| Kerecis Limited | 1 | $80 |
| Inari Medical, Inc. | 1 | $31 |
| Johnson & Johnson | 1 | $22 |
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.
- Excelsius - GPS$883
- XLIF$735
- GORE TAG Thoracic Endoprosthesis$417
- CORBEL$347
- ENROUTE Transcarotid Neuroprotection System$328
- ENROUTE Transcarotid Stent$328
- TurboHawk$289
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$227
- GORE EXCLUDER AAA Endoprosthesis$185
- Zenith Alpha$174
- TREO ABDOMINAL STENT-GRAFT SYSTEM$142
- Hedron$125
- GENERAL VASCULAR INTERVENTION$124
- MARS Anterior Retractor$117
- HawkOne$109
How this compares
$5,435 in reported general payments places this provider in the 50th 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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 18 | $36 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Cedar Rapids
- David LawrenceCedar Rapids$15K
- Jared KrayCedar Rapids$9K
- Kevin KopeskyCedar Rapids$76
- Douglas MassopWest Des Moines$590K
- Eric ScottWest Des Moines$393K
- David ChewWest Des Moines$43K
- James FosterIowa City$35K
- Nicholas SouthardWest Des Moines$27K
- Luigi PascarellaIowa City$16K
- Natalie WegerIowa City$14K
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.