Peter Biegler, MD
Vascular & Interventional Radiology · Fargo, NDNPI 1164683363
Payments from drug & device makers
What this record shows
Penumbra, Inc. accounts for 61.6% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $4,066, 9.6 times the $424 reported in 2020.
Across 69 payments — averaging $140.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$6K
- W. L. Gore & Associates, Inc.$2K
- Medtronic$434
- Inari Medical, Inc.$329
- Histosonics, Inc.$286
- Sirtex Medical Inc$219
- plus $405 from 5 others
Across 18 payments — averaging $2997.50 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.
- W. L. Gore & Associates, Inc.$47K
- Cordis US CORP.$7K
What the payments were for
- Travel & lodging$5,07152%
- Food & beverage$4,62648%
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. | 21 | $5,971 |
| W. L. Gore & Associates, Inc. | 16 | $2,053 |
| Medtronic | 12 | $434 |
| Inari Medical, Inc. | 5 | $329 |
| Histosonics, Inc. | 1 | $286 |
| Sirtex Medical Inc | 2 | $219 |
| Boston Scientific | 6 | $182 |
| Bard Peripheral Vascular, Inc. | 3 | $154 |
| Stryker | 1 | $28 |
| Argon Medical Devices, Inc. | 1 | $24 |
| Johnson & Johnson | 1 | $17 |
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$5,424
- GORE TAG Thoracic Endoprosthesis$1,294
- Ruby$274
- VIABAHN VBX Balloon Expandable Endoprosthesis$175
- GORE VIABAHN VBX Balloon Expandable Endo$145
- FLOWTRIEVER CATHETER, S$139
- CT THROMBECTOMY SYSTEM KIT$139
- SIR-Spheres Microspheres$134
- Abre$124
- VIABAHN Endoprosthesis with PROPATEN Bioactive Surface$120
- ENDURANT IIS$108
How this compares
Too few vascular & interventional radiology providers in North Dakotato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $120 |
Paid to pharmacies, not to this prescriber.
Other vascular & interventional radiology in Fargo
- Adam DefoeFargo$6K
- Joseph MarionFargo$4K
- Richard PenneyFargo$4K
- Eric PromersbergerFargo$2K
- Jon MachayyaFargo$2K
- Daniel MickelsonFargo$73
- Randall SmithGrand Forks$35K
- Sridhar NaiduMinot$16K
- Barry AmosMinot$13K
- Agnieszka SolbergMinot$4K
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.