Nirav Patel, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · New York, NYNPI 1356322655
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (38.3%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 68.1% of it on its own, with 18 other manufacturers making up the rest. 2025 is the largest year on record at $50,703, more than ten times the $1,418 reported in 2019. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in NY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 124 payments — averaging $616.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$52K
- Medtronic$10K
- Maquet Cardiovascular L.L.C.$8K
- Vascular Graft Solutions Inc$4K
- Abbott$376
- Edwards Lifesciences$275
- plus $2K from 13 others
Across 78 payments — averaging $1650.31 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.
- Atricure, Inc.$129K
- Zimmer Biomet$195
What the payments were for
- Consulting fees$17,12822%
- Speaking & faculty fees$15,00020%
- Travel & lodging$8,75011%
- Food & beverage$6,2868%
- Education$29,30038%
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 |
|---|---|---|
| Intuitive Surgical | 49 | $52,072 |
| Medtronic(2 entities) | 30 | $10,251 |
| Maquet Cardiovascular L.L.C. | 3 | $8,154 |
| Vascular Graft Solutions Inc | 5 | $3,790 |
| Abbott | 5 | $376 |
| Edwards Lifesciences | 4 | $275 |
| Atricure, Inc. | 2 | $241 |
| Smith+Nephew | 12 | $241 |
| Next Science LLC | 3 | $239 |
| Cagent Vascular Inc | 2 | $223 |
| Bard Peripheral Vascular, Inc. | 1 | $131 |
| Boston Scientific | 1 | $126 |
| Getinge USA Sales, LLC | 1 | $118 |
| Aesculap AG | 1 | $91 |
| Stryker | 1 | $43 |
| Zimmer Biomet | 1 | $31 |
| BD | 1 | $26 |
| Integra Lifesciences Corporation | 1 | $17 |
| AbbVie | 1 | $16 |
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.
- Da Vinci Surgical System$51,252
- Vasoview Hemopro 2$8,154
- Mosaic$7,924
- VEST$3,413
- Avalus$711
- Simulus$473
- VIOLA$376
- MitraClip$306
- Xperience$211
- BlastX$211
- SurgX$211
- Serrantor$194
- Octopus$167
- Resolute$157
- Penditure$156
- ATRICLIP LAA EXCLUSION SYSTEM$128
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$128
- SYNERGY$126
- ClosureFast$123
- Acrobat$118
How this compares
$76,463 in reported general payments places this provider in the 90th percentile of 383 thoracic surgery (cardiothoracic vascular surgery) providers in New York.
See all thoracic surgery (cardiothoracic vascular surgery) providers in New York →
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.
Other thoracic surgery (cardiothoracic vascular surgery) in New York
- Aubrey GallowayNew York$5.7M
- Gilbert TangNew York$842K
- Michael ZervosNew York$811K
- Elias ZiasNew York$465K
- Isaac GeorgeNew York$395K
- Eugene GrossiNew York$350K
- Costas BizekisNew York$321K
- Brendon StilesNew York$314K
- Daniela MolenaNew York$221K
- Arnar GeirssonNew York$218K
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.