Patrick Downs, DO
Surgery · Pittsburgh, PANPI 1184153413
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,529 of the $8,552 with a category attached, or 64.6%. 21 manufacturers reported payments, led by Medtronic at 33.2% of the total.
Across 134 payments — averaging $63.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- W. L. Gore & Associates, Inc.$2K
- Cook Medical LLC$1K
- Boston Scientific$512
- Stryker$296
- Endologix LLC$286
- plus $1K from 15 others
What the payments were for
- Travel & lodging$2,97335%
- Food & beverage$5,52965%
- Education$501%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Medtronic | 39 | $2,843 |
| W. L. Gore & Associates, Inc. | 19 | $2,277 |
| Cook Medical LLC | 26 | $1,283 |
| Boston Scientific | 5 | $512 |
| Stryker | 7 | $296 |
| Endologix LLC | 5 | $286 |
| Silk Road Medical, Inc. | 2 | $271 |
| Bard Peripheral Vascular, Inc. | 8 | $246 |
| Inari Medical, Inc. | 2 | $110 |
| Pfizer | 4 | $73 |
| Smith+Nephew | 3 | $69 |
| Terumo Medical Corporation | 3 | $66 |
| Johnson & Johnson | 1 | $54 |
| Cagent Vascular Inc | 2 | $37 |
| Lemaitre Vascular, Inc. | 2 | $30 |
| Shockwave Medical, Inc | 1 | $23 |
| Teleflex LLC | 1 | $19 |
| Cardiovascular Systems Inc. | 1 | $18 |
| Octapharma USA, Inc. | 1 | $16 |
| Acera Surgical, Inc. | 1 | $14 |
| My01 Inc. | 1 | $7 |
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.
- ENDURANT IIS$1,213
- GORE TAG Conformable Thoracic Endoprosthesis$988
- Valiant Captivia$902
- Cook Celect$660
- AngioJet Ultra 5000A$282
- ENROUTE Transcarotid Neuroprotection System$271
- ENROUTE Transcarotid Stent$271
- GORE TAG Thoracic Endoprosthesis$221
- GORE TAG Thoracic Branch Endoprosthesis$184
- GORE VIABAHN Endoprosthesis with Heparin$145
- GORE EXCLUDER Iliac Branch Endoprosthesis$143
- JETSTREAM SC$117
- Cook$116
- GORE VIABAHN VBX Balloon Expandable Endo$116
- Zilver PTX$111
- Alto Abdominal Stent Graft System$107
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$101
How this compares
$8,552 in reported general payments places this provider in the 85th percentile of 1,424 surgery providers in Pennsylvania.
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 |
|---|---|---|
| Atorvastatin Calcium | 22 | $305 |
| ClopidogrelClopidogrel Bisulfate | 22 | $292 |
| Oxycodone Hcl | 17 | $63 |
Paid to pharmacies, not to this prescriber.
Other surgery in Pittsburgh
- Andy KiserPittsburgh$1M
- George EidPittsburgh$619K
- Ariel AballayPittsburgh$198K
- Blair JobePittsburgh$150K
- Philip SchauerPittsburgh$94K
- Abhinav HumarPittsburgh$57K
- Eric HagerPittsburgh$41K
- Matthew NealPittsburgh$34K
- Derek Serna-GallegosPittsburgh$32K
- Kellie CunninghamPittsburgh$28K
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.