Nikhil Kansal
Surgery · San Diego, CANPI 1144278805
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $134,850 of the $170,752 with a category attached, or 79.0%. Silk Road Medical, Inc. accounts for 93.8% of it on its own, with 28 other manufacturers making up the rest. Reporting peaked in 2019 at $114,524 and has fallen 96.5% since, to $3,994 in 2025. Among 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 370 payments — averaging $461.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Silk Road Medical, Inc.$160K
- Cook Incorporated$3K
- W. L. Gore & Associates, Inc.$2K
- Endologix LLC$921
- Cook Medical LLC$767
- Penumbra, Inc.$672
- plus $3K from 23 others
Across 5 payments — averaging $4911.40 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.
- M.a. Med Alliance S.A.$25K
What the payments were for
- Consulting fees$134,85079%
- Speaking & faculty fees$3,1002%
- Grants$1670%
- Travel & lodging$24,76915%
- Food & beverage$7,8665%
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 |
|---|---|---|
| Silk Road Medical, Inc. | 257 | $160,091 |
| Cook Incorporated | 1 | $3,100 |
| W. L. Gore & Associates, Inc. | 23 | $2,190 |
| Endologix LLC | 8 | $921 |
| Cook Medical LLC | 10 | $767 |
| Penumbra, Inc. | 7 | $672 |
| Abbott | 15 | $480 |
| Siemens Medical Solutions USA, Inc. | 2 | $429 |
| Medtronic(2 entities) | 5 | $342 |
| Bolton Medical Inc | 4 | $316 |
| Boston Scientific | 5 | $316 |
| Shockwave Medical, Inc | 3 | $212 |
| Veryan Medical Incorporated | 1 | $145 |
| Philips North America LLC | 5 | $139 |
| Cordis US CORP. | 1 | $133 |
| Johnson & Johnson(2 entities) | 5 | $108 |
| Getinge USA Sales, LLC | 2 | $61 |
| Integra Lifesciences Corporation | 2 | $53 |
| Shape Memory Medical Inc. | 1 | $43 |
| Lemaitre Vascular, Inc. | 3 | $40 |
| AbbVie | 2 | $34 |
| Covidien LP | 1 | $32 |
| Acera Surgical, Inc. | 1 | $27 |
| Aroa Biosurgery Incorporated | 1 | $22 |
| Terumo Medical Corporation | 1 | $22 |
| Cardiovascular Systems Inc. | 1 | $20 |
| Smith+Nephew | 1 | $14 |
| Guard Medical Inc. | 1 | $13 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $10 |
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.
- ENROUTE Transcarotid Neuroprotection System$156,972
- ENHANCE Transcarotid Peripheral Access Kit$153,129
- ENROUTE Transcarotid Stent System$129,695
- ENROUTE 0.014 Guidewire$129,695
- ENROUTE Transcarotid Stent$27,276
- ENROUTE .014 Guidewire$23,434
- GORE TAG Thoracic Endoprosthesis$736
- Ovation$654
- AFX$507
- Artis pheno$429
- GORE TAG Thoracic Branch Endoprosthesis$418
- EXCLUDER AAA Endoprosthesis$297
- Indigo System$278
- Penumbra System$250
- Zilver PTX$182
- TurboHawk$173
- GORE VIABAHN VBX Balloon Expandable Endo$167
- TREO ABDOMINAL STENT-GRAFT SYSTEM$159
- Xience Alpine cornary stent system$158
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$147
How this compares
$170,752 in reported general payments places this provider in the 95th percentile of 2,363 surgery providers in California.
Other surgery in San Diego
- Santiago HorganSan Diego$2.8M
- Peter AttiaSan Diego$300K
- Garth JacobsenSan Diego$249K
- Ryan BroderickSan Diego$204K
- Eric LuedkeSan Diego$193K
- Sonia RamamoorthySan Diego$131K
- Timothy ChuterSan Francisco$8.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.