Paul Enochs, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (44.6%), education and consulting fees — rather than concentrated in one kind of arrangement. 30 manufacturers reported payments, led by Intuitive Surgical at 44.3% of the total. Reporting peaked in 2021 at $177,792 and has fallen 61.9% since, to $67,690 in 2025. Among surgery clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 753 payments — averaging $789.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$264K
- Teleflex LLC$202K
- Standard Bariatrics, Inc.$76K
- Medical Device Business Services, Inc.$16K
- W. L. Gore & Associates, Inc.$12K
- GT Metabolic Solutions Inc$10K
- plus $15K from 24 others
Across 8 payments — averaging $11,755 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.
- Standard Bariatrics, Inc.$53K
- Covidien LP$41K
What the payments were for
- Consulting fees$103,85017%
- Speaking & faculty fees$265,18945%
- Travel & lodging$61,50210%
- Food & beverage$30,5945%
- Education$126,80021%
- Gifts$140%
- Entertainment$1250%
- Other$6,6621%
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 | 340 | $263,741 |
| Teleflex LLC | 222 | $202,468 |
| Standard Bariatrics, Inc. | 61 | $76,143 |
| Medical Device Business Services, Inc. | 5 | $15,850 |
| W. L. Gore & Associates, Inc. | 15 | $11,723 |
| GT Metabolic Solutions Inc | 1 | $10,000 |
| Johnson & Johnson(2 entities) | 12 | $3,360 |
| Smith+Nephew | 8 | $2,847 |
| Medtronic | 31 | $2,665 |
| Teleflex Medical Incorporated | 7 | $2,262 |
| Covidien LP | 13 | $1,377 |
| Endolumik, Inc. | 1 | $700 |
| Activ Surgical, Inc. | 3 | $439 |
| Endo Pharmaceuticals Inc. | 13 | $206 |
| Levita Magnetics International Corp | 2 | $189 |
| Baxter Healthcare | 1 | $153 |
| Aesculap, Inc. | 2 | $136 |
| Reshape Lifesciences Inc. | 1 | $125 |
| TELA Bio, Inc. | 1 | $53 |
| Novo Nordisk | 1 | $47 |
| Intra-sana Laboratories | 2 | $41 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $37 |
| Tricoast Surgical Solutions LLC | 1 | $33 |
| Acacia Pharma Inc | 1 | $31 |
| Merck | 2 | $23 |
| Redhill Biopharma Inc. | 1 | $23 |
| Nestle Healthcare Nutrition Inc. | 1 | $20 |
| Daiichi Sankyo Inc. | 1 | $19 |
| AbbVie | 1 | $13 |
| Vivus LLC | 1 | $12 |
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$259,874
- TITAN SGS STANDARD GASTRIC STAPLER$119,422
- TITAN SGS BAILOUT CHUCK$55,485
- Titan SGS$52,821
- ECHELON FLEX Stapler$15,967
- DEKNATEL$11,198
- SYNECOR Biomaterial$10,320
- WECK EFX CONES AND SUTURE PASSER$6,643
- KMEDIC$6,000
- WECK EFx Shield Port Site Closure System$4,800
- Percutaneous: MiniLap System with MiniGrip Handle$3,318
- Weck$3,002
- Signia$1,783
- LENS Surgical Imaging System$1,407
- Endolumik Gastric Calibration Tube$700
- BIO-A Tissue Reinforcement$595
- Video Accessories$500
- Camera Heads$500
- ActivSight$439
- SEAMGUARD Bioabsorbable Staple Line Reinforcement$186
How this compares
$594,735 in reported general payments places this provider in the 95th 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 Cary
- Jon BruceCary$85K
- Scott BovardCary$50K
- Brant HenifordCharlotte$831K
- Vedra AugensteinCharlotte$789K
- John MartinieCharlotte$712K
- Dana PortenierDurham$702K
- David IannittiCharlotte$360K
- William HopeWilmington$350K
- Martyn KnowlesRaleigh$311K
- Walter BoydGreenville$311K
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.