Peter Armstrong, MD
Vascular Surgery · Pikeville, KYNPI 1942362942
Payments from drug & device makers
What this record shows
26 manufacturers reported payments, led by Penumbra, Inc. at 47.1% of the total. 2025 is the largest year on record at $5,932, more than ten times the $277 reported in 2019.
Across 100 payments — averaging $98.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$5K
- Abbott$3K
- Medtronic$732
- Endologix LLC$662
- Boston Scientific$494
- Johnson & Johnson$109
- plus $578 from 20 others
What the payments were for
- Travel & lodging$5,40355%
- Food & beverage$4,45845%
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. | 11 | $4,641 |
| Abbott | 15 | $2,643 |
| Medtronic(2 entities) | 18 | $732 |
| Endologix LLC | 3 | $662 |
| Boston Scientific | 13 | $494 |
| Johnson & Johnson | 9 | $109 |
| Boehringer Ingelheim | 4 | $90 |
| Cardiva Medical, Inc. | 4 | $83 |
| Shockwave Medical, Inc | 3 | $67 |
| Silk Road Medical, Inc. | 3 | $63 |
| Organogenesis Inc. | 1 | $27 |
| W. L. Gore & Associates, Inc. | 1 | $26 |
| Terumo Medical Corporation | 1 | $25 |
| Cardiovascular Systems Inc. | 2 | $23 |
| Cvrx, Inc. | 1 | $18 |
| Alnylam Pharmaceuticals Inc. | 1 | $18 |
| Chiesi USA, Inc. | 1 | $16 |
| Smith+Nephew | 1 | $15 |
| Philips North America LLC | 1 | $15 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $15 |
| Atricure, Inc. | 1 | $15 |
| United Therapeutics Corporation | 1 | $13 |
| La Jolla Pharmaceutical Company | 1 | $13 |
| Daiichi Sankyo Inc. | 1 | $13 |
| Guerbet LLC | 1 | $13 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $11 |
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 System$4,413
- PERCLOSE PROGLIDE$2,073
- Ovation$498
- ALTO$498
- AFX$144
- ESPRIT$131
- ELUVIA$107
How this compares
$9,860 in reported general payments places this provider in the 55th percentile of 72 vascular surgery providers in Kentucky.
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 | 11 | $8,394 |
| ClopidogrelClopidogrel Bisulfate | 14 | $56 |
| Atorvastatin Calcium | 14 | $41 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Pikeville
- Alaa AddasiPikeville$25K
- Amit DwivediLouisville$406K
- Igor VoskresenskyLexington$99K
- Nick AbediLexington$95K
- Abindra SigdelLouisville$84K
- Samuel TyagiLexington$70K
- Ferenc NagyLouisville$47K
- Gregory SchmiederLouisville$44K
- Donald BrownSomerset$29K
- Brian GrantBowling Green$27K
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.