Peter Smit, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Winston Salem, NCNPI 1619294345
Payments from drug & device makers
What this record shows
This record is dominated by education: $12,500 of the $20,161 with a category attached, or 62.0%. Intuitive Surgical accounts for 77.0% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2022 at $8,889 and has fallen 98.3% since, to $150 in 2025.
Across 41 payments — averaging $491.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$16K
- Atricure, Inc.$4K
- Medtronic$150
- CSL Behring$33
- Dilon Technologies, Inc.$14
What the payments were for
- Travel & lodging$6,61233%
- Food & beverage$1,0495%
- Education$12,50062%
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 | 30 | $15,529 |
| Atricure, Inc. | 8 | $4,435 |
| Medtronic | 1 | $150 |
| CSL Behring | 1 | $33 |
| Dilon Technologies, Inc. | 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.
- DAVINCI XI$8,500
- Da Vinci Surgical System$6,494
- SYNERGY ABLATION SYSTEM$4,151
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$1,222
- Signia$150
How this compares
$20,161 in reported general payments places this provider in the 70th percentile of 132 thoracic surgery (cardiothoracic vascular surgery) providers in North Carolina.
See all thoracic surgery (cardiothoracic vascular 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Pregabalin | 11 | $201 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Winston Salem
- Leonard WudelWinston Salem$92K
- Bartlomiej ImielskiWinston Salem$29K
- Neal KonWinston Salem$24K
- Jesse MaddenWinston Salem$20K
- Adrian LataWinston Salem$11K
- Edward KincaidWinston Salem$10K
- Hadley WilsonWinston Salem$10K
- Joseph RubelowskyRaleigh$2.2M
- Matthew HartwigDurham$406K
- Gregory SmaroffNew Bern$205K
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.