Rachel Ciaccio, MD
Obstetrics & Gynecology · Boca Raton, FLNPI 1578558656
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (50.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 73.2% of it on its own, with 29 other manufacturers making up the rest. Reporting peaked in 2019 at $7,869 and has fallen 93.6% since, to $501 in 2025. Among obstetrics & gynecology clinicians in FL 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 115 payments — averaging $105.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$9K
- Gynesonics, Inc.$867
- Coopersurgical, Inc.$296
- Astellas Pharma US Inc$184
- Bayer$180
- Caldera Medical, Inc$174
- plus $2K from 24 others
What the payments were for
- Travel & lodging$2,39220%
- Food & beverage$3,59930%
- Education$6,06750%
- Gifts$230%
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 | 25 | $8,846 |
| Gynesonics, Inc. | 3 | $867 |
| Coopersurgical, Inc. | 8 | $296 |
| Astellas Pharma US Inc | 8 | $184 |
| Bayer | 7 | $180 |
| Caldera Medical, Inc | 1 | $174 |
| Biogen | 4 | $174 |
| AbbVie(2 entities) | 9 | $170 |
| Mayne Pharma Commercial LLC | 4 | $167 |
| Myovant Sciences Inc. | 3 | $148 |
| Exeltis, USA Inc. | 7 | $133 |
| Baxter Healthcare | 1 | $102 |
| Hologic Sales And Service, LLC | 5 | $84 |
| Radiometer America, Inc | 1 | $81 |
| Pfizer | 3 | $52 |
| Avion Pharmaceuticals | 4 | $50 |
| AMAG Pharmaceuticals, Inc. | 3 | $48 |
| Millicent US Inc | 2 | $47 |
| Sumitomo Pharma America, Inc. | 3 | $43 |
| Therapeuticsmd, Inc. | 2 | $36 |
| Smith+Nephew | 2 | $32 |
| Agile Therapeutics, Inc. | 2 | $27 |
| Mallinckrodt Enterprises LLC | 1 | $26 |
| Scynexis, Inc. | 1 | $24 |
| Duchesnay USA Incorporated | 1 | $17 |
| Amgen | 1 | $16 |
| Organon | 1 | $16 |
| Medtronic | 1 | $15 |
| Aspira Women's Health Inc | 1 | $14 |
| Medicem Inc. | 1 | $13 |
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$8,309
- Sonata System$863
- Desara$174
- NEXTSTELLIS$121
- MYFEMBREE$120
- Zurzuvae$118
- Summit Doppler$114
- PerClot$102
How this compares
$12,081 in reported general payments places this provider in the 95th percentile of 2,438 obstetrics & gynecology providers in Florida.
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 |
|---|---|---|
| Estradiol | 37 | $2,668 |
| Estradiol (Twice Weekly)Estradiol | 16 | $2,024 |
| Alendronate Sodium | 36 | $175 |
| Ibandronate Sodium | 11 | $124 |
| Fluconazole | 21 | $33 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Boca Raton
- Steven McCarusCelebration$2.3M
- Elliot CazesTampa$725K
- Charles BloomWinter Park$652K
- Jay CohenPlantation$556K
- Omar ZwainWinter Park$531K
- Keith AquaWellington$473K
- Jeffrey KotzenPalm Beach Gardens$413K
- Glenn BankertCrestview$388K
- Erica StockwellCelebration$321K
- Scott JordanFort Lauderdale$316K
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.