Nishant Patel, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Palm Beach Gardens, FLNPI 1841432960
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $75,524 of the $122,511 with a category attached, or 61.6%. 21 manufacturers reported payments, led by Abiomed at 47.1% of the total. Reporting peaked in 2021 at $43,169 and has fallen 53.7% since, to $19,990 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in FL 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 335 payments — averaging $365.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$58K
- La Jolla Pharmaceutical Company$34K
- Zimmer Biomet$11K
- Atricure, Inc.$10K
- Edwards Lifesciences$7K
- Medtronic$334
- plus $2K from 15 others
What the payments were for
- Speaking & faculty fees$75,52462%
- Travel & lodging$17,13914%
- Food & beverage$21,34817%
- Education$8,5007%
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 |
|---|---|---|
| Abiomed | 81 | $57,670 |
| La Jolla Pharmaceutical Company | 31 | $34,084 |
| Zimmer Biomet | 22 | $11,047 |
| Atricure, Inc. | 118 | $10,099 |
| Edwards Lifesciences | 49 | $7,292 |
| Medtronic | 7 | $334 |
| Bolton Medical Inc | 3 | $271 |
| Getinge USA Sales, LLC | 5 | $223 |
| Terumo Cardiovascular Systems Corporation | 2 | $198 |
| Johnson & Johnson(2 entities) | 4 | $190 |
| Stryker | 1 | $161 |
| Artivion, Inc. | 1 | $158 |
| Abbott | 2 | $157 |
| EKOS Corporation | 1 | $139 |
| Silk Road Medical, Inc. | 1 | $127 |
| Penumbra, Inc. | 1 | $113 |
| LSI Solutions Inc | 1 | $109 |
| Cook Medical LLC | 2 | $54 |
| Elutia, Inc. | 1 | $50 |
| Southern Edge Orthopaedics, Inc. | 1 | $20 |
| AstraZeneca | 1 | $15 |
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.
- Impella$56,477
- GIAPREZA$33,795
- STERNALOCK BLU SYSTEM$9,721
- A&E MEDICAL / STERNALOCK XP RIGID FIXATION SYSTEM$8,500
- STERNALOCK$8,500
- STERNALOCK 360 SYSTEM$7,500
- SYNERGY ABLATION SYSTEM$3,008
- ATRICLIP LAA EXCLUSION SYSTEM$2,811
- KONECT RESILIA$1,604
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$1,450
- EPI-SENSE GUIDED COAGULATION SYS$1,170
- MITRIS RESILIA Mitral Valve$817
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$529
- INSPIRIS RESILIA aortic valve$343
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$310
- Carpentier-Edwards Physio II Annuloplasty Ring$205
- SAPIEN 3 Ultra RESILIA$189
- SPY TECHNOLOGY$161
- AMDS-Ascyrus Medical$158
- ON-X AORTIC HEART VALVE WITH CONFORM-X SEWING RING AND EXTENDED HOLDER$158
How this compares
$122,511 in reported general payments places this provider in the 90th percentile of 408 thoracic surgery (cardiothoracic vascular surgery) providers in Florida.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Florida →
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 |
|---|---|---|
| Oxycodone Hcl | 19 | $76 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Palm Beach Gardens
- Anthony NunezOrlando$4.8M
- Barry WintonLargo$687K
- Paul DigiorgiPort Charlotte$666K
- John PirrisJacksonville$640K
- Jacques FontaineTampa$630K
- Andrew ShermanTampa$517K
- Rogerio CarrilloHialeah$515K
- Daniel O'HairFort Myers$429K
- Luis HerreraOrlando$409K
- Joseph LamelasMiami$379K
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.