Nikita Tihonov, MD
Vascular Surgery · Galveston, TXNPI 1215128194
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (40.6%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by W. L. Gore & Associates, Inc. at 46.2% of the total. 2025 is the largest year on record at $2,436, 4.4 times the $548 reported in 2019. That places this record below the midpoint for vascular surgery clinicians in TX, where the typical reported total is $7,106.
Across 31 payments — averaging $193.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$3K
- Baxter Healthcare$1K
- Cook Incorporated$1K
- Kerecis Limited$323
- Solventum Corporation$133
- Silk Road Medical, Inc.$71
- plus $230 from 9 others
What the payments were for
- Consulting fees$2,43041%
- Travel & lodging$1,58226%
- Food & beverage$1,45024%
- Education$5309%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 14 | $2,769 |
| Baxter Healthcare | 1 | $1,430 |
| Cook Incorporated | 2 | $1,036 |
| Kerecis Limited | 2 | $323 |
| Solventum Corporation | 1 | $133 |
| Silk Road Medical, Inc. | 2 | $71 |
| Lemaitre Vascular, Inc. | 1 | $60 |
| Bolton Medical Inc | 1 | $38 |
| Dilon Technologies, Inc. | 1 | $24 |
| Stryker | 1 | $23 |
| Cook Medical LLC | 1 | $22 |
| Bard Peripheral Vascular, Inc. | 1 | $22 |
| Medtronic | 1 | $20 |
| Tactile Systems Technology Inc | 1 | $18 |
| Intuitive Surgical | 1 | $4 |
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.
- GORE TAG Conformable Thoracic Endoprosthesis$1,656
- TISSEEL$1,430
- Kerecis Omega3 Marigen$1,150
- GUNTHER TULIP$1,000
- Vascular Graft$350
- GORE TAG Thoracic Branch Endoprosthesis$349
- Kerecis Omega3 SurgiClose$323
- VIABAHN Endoprosthesis with Heparin Bioactive Surface$180
- Kerecis Omega3 GraftGuide$143
- V.A.C. INSTILL$133
How this compares
$5,992 in reported general payments places this provider in the 40th percentile of 347 vascular surgery providers in Texas.
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 | 35 | $225 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Galveston
- Charlie ChengGalveston$194K
- Gregory PearlDallas$2.3M
- Mazin FotehAustin$1.6M
- Alan LumsdenHouston$742K
- Stephen HohmannDallas$499K
- Michael SiahDallas$392K
- Gustavo OderichHouston$319K
- Jean BismuthHouston$243K
- Carlos TimaranDallas$231K
- Dennis GableDallas$211K
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.