Paul Dagher, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (58.1%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 90.2% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2024 at $7,014 and has fallen 70.1% since, to $2,099 in 2025.
Across 70 payments — averaging $135.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$9K
- Stryker$121
- Musculoskeletal Transplant Foundation Inc.$117
- Boston Scientific$116
- Hologic Sales And Service, LLC$98
- Smith+Nephew$82
- plus $398 from 15 others
What the payments were for
- Travel & lodging$1,60017%
- Food & beverage$2,35625%
- Education$5,50058%
- Gifts$90%
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 | 35 | $8,533 |
| Stryker | 3 | $121 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $117 |
| Boston Scientific | 3 | $116 |
| Hologic Sales And Service, LLC | 2 | $98 |
| Smith+Nephew | 5 | $82 |
| Davol Inc. | 1 | $55 |
| Merck | 2 | $46 |
| Tactile Systems Technology Inc | 2 | $31 |
| Medtronic | 2 | $31 |
| Braintree Laboratories, Inc. | 2 | $29 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $28 |
| Portola Pharmaceuticals, LLC | 2 | $26 |
| AstraZeneca | 1 | $23 |
| Reapplix Inc. | 1 | $21 |
| Exact Sciences | 1 | $19 |
| Covidien LP | 1 | $19 |
| Kerecis Limited | 1 | $19 |
| Bard Peripheral Vascular, Inc. | 1 | $18 |
| Acelrx Pharmaceuticals, Inc. | 1 | $17 |
| Paratek Pharmaceuticals, Inc. | 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.
- DAVINCI XI$5,500
- Da Vinci Surgical System$2,331
How this compares
$9,464 in reported general payments places this provider in the 75th percentile of 970 surgery providers in North Carolina.
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 surgery in Boone
- Brant HenifordCharlotte$831K
- Vedra AugensteinCharlotte$789K
- John MartinieCharlotte$712K
- Dana PortenierDurham$702K
- Paul EnochsCary$595K
- David IannittiCharlotte$360K
- William HopeWilmington$350K
- Martyn KnowlesRaleigh$311K
- Walter BoydGreenville$311K
- Gregory StanleyCharlotte$304K
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.