Panagiotis Kougias, MD
Vascular Surgery · Houston, TXNPI 1801976063
Payments from drug & device makers
Across 78 payments — averaging $323.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Incorporated$12K
- Cook Research Incorporated$7K
- W. L. Gore & Associates, Inc.$2K
- Cook Medical LLC$2K
- Silk Road Medical, Inc.$520
- Medtronic$287
- plus $735 from 14 others
Across 13 payments — averaging $1171.08 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.
- Cook Research Incorporated$15K
What the payments were for
- Consulting fees$1,5009%
- Speaking & faculty fees$8,00046%
- Travel & lodging$5,06729%
- Food & beverage$2,86716%
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 |
|---|---|---|
| Cook Incorporated | 9 | $11,645 |
| Cook Research Incorporated | 3 | $7,259 |
| W. L. Gore & Associates, Inc. | 13 | $2,499 |
| Cook Medical LLC | 28 | $2,267 |
| Silk Road Medical, Inc. | 1 | $520 |
| Medtronic(2 entities) | 5 | $287 |
| Bard Peripheral Vascular, Inc. | 1 | $144 |
| BD | 1 | $115 |
| Inari Medical, Inc. | 3 | $106 |
| Johnson & Johnson | 2 | $62 |
| Cordis US CORP. | 2 | $61 |
| Smith+Nephew | 2 | $60 |
| Shockwave Medical, Inc | 1 | $41 |
| Biocomposites Inc | 1 | $37 |
| Octapharma USA, Inc. | 1 | $31 |
| Olympus America Inc. | 1 | $25 |
| Imbed Biosciences Inc. | 1 | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Avinger Inc. | 1 | $15 |
| Advanced Oxygen Therapy Inc. | 1 | $3 |
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.
- Cook Medical AFEN$5,312
- Cook Medical Advanced Tech$2,500
- Cook Medical Zenith$2,429
- Cook Medical AAA$1,404
- TAG Thoracic Endoprosthesis$1,069
- Cook Medical Aortic Intervention$950
- Product in Development$826
- EXCLUDER AAA Endoprosthesis$258
- Cook Medical Lead Management$231
- Cook Medical Custom Made Device$163
- Lutonix Drug Coated Balloon$144
- Endurant$120
- Progel Applicator Spray Tips$115
- Cook Medical Developmental Tech$113
- Valiant Captivia$108
- Zenith$105
How this compares
$25,212 in reported general payments places this provider in the 75th 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.
Other vascular surgery in Houston
- Alan LumsdenHouston$2.4M
- Gustavo OderichHouston$999K
- Samuel LeonardHouston$431K
- Ali AzizzadehHouston$387K
- Jean BismuthHouston$382K
- Kristofer Charlton-OuwHouston$240K
- Maham RahimiHouston$221K
- Jayer ChungHouston$179K
- Steven MaximusHouston$140K
- Charudatta BavareHouston$130K
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.