Paul Lavigne, MD
Interventional Cardiology · Norfolk, VANPI 1992935076
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (42.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Penumbra, Inc. at 40.0% of the total. Reporting peaked in 2020 at $5,645 and has fallen 87.2% since, to $721 in 2025.
Across 133 payments — averaging $103.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$6K
- Abiomed$4K
- Boston Scientific$1K
- Medtronic$677
- Philips North America LLC$626
- Shockwave Medical, Inc$506
- plus $1K from 10 others
Across 30 payments — averaging $4455.37 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.
- Boehringer Ingelheim Pharma GmbH & Co.kg$39K
- Shockwave Medical, Inc$33K
- Janssen Research & Development, LLC$27K
- Philips North America LLC$18K
- Boehringer Ingelheim International GmbH$17K
- Abiomed$263
- plus $19 from 1 others
What the payments were for
- Speaking & faculty fees$4,80035%
- Travel & lodging$3,01322%
- Food & beverage$5,86343%
- Other$1041%
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 |
|---|---|---|
| Penumbra, Inc. | 7 | $5,507 |
| Abiomed | 21 | $3,897 |
| Boston Scientific | 39 | $1,297 |
| Medtronic | 25 | $677 |
| Philips North America LLC | 9 | $626 |
| Shockwave Medical, Inc | 5 | $506 |
| Abbott | 6 | $301 |
| Osprey Medical Inc | 1 | $297 |
| Cardiovascular Systems Inc. | 10 | $124 |
| Asahi Intecc USA, Inc. | 1 | $119 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $116 |
| ZOLL Circulation Inc | 1 | $113 |
| Welch Allyn | 1 | $104 |
| Teleflex LLC | 3 | $46 |
| Reflow Medical Inc | 2 | $36 |
| Novo Nordisk | 1 | $14 |
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.
- Indigo$5,329
- Impella$3,345
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$407
- AVVIGO Guidance System$360
- DyeVert$297
- AngioSculpt CV RX$215
- Penumbra Ruby Coil$120
- ASAHI PTCA Guide Wire$119
- LifeVest$116
- TherOx DS2 Console$113
- Catheter$113
- Downstream Cartridge$113
- GENERAL - STENTS$107
- ELCA$102
- OPTICROSS$100
How this compares
$13,780 in reported general payments places this provider in the 75th percentile of 176 interventional cardiology providers in Virginia.
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 |
|---|---|---|
| EliquisApixaban | 27 | $29,571 |
| XareltoRivaroxaban | 27 | $26,142 |
| EntrestoSacubitril/Valsartan | 21 | $17,858 |
| Atorvastatin Calcium | 106 | $1,156 |
| Amlodipine Besylate | 98 | $1,015 |
| Metoprolol Succinate | 66 | $918 |
| Losartan Potassium | 59 | $744 |
| Rosuvastatin Calcium | 34 | $696 |
| Carvedilol | 57 | $572 |
| Ezetimibe | 30 | $546 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 14 | $391 |
| Hydrochlorothiazide | 43 | $253 |
| Spironolactone | 31 | $244 |
| ClopidogrelClopidogrel Bisulfate | 32 | $243 |
| Warfarin Sodium | 14 | $241 |
Paid to pharmacies, not to this prescriber.
Other interventional cardiology in Norfolk
- Matthew SummersNorfolk$308K
- Ilhwan YeoNorfolk$18K
- Mark EastNorfolk$10K
- Deepak TalrejaVirginia Beach$1.5M
- Rajiv TayalFredericksburg$984K
- Gansevoort DunningtonRichmond$440K
- Noah JonesFalls Church$238K
- Michael GenVirginia Beach$207K
- Jeremy BockLeesburg$202K
- Wayne BatchelorFalls Church$196K
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.