Raffaele Marchigiani, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Norfolk, VANPI 1629207139
Payments from drug & device makers
What this record shows
This record is dominated by education: $12,500 of the $18,203 with a category attached, or 68.7%. Intuitive Surgical accounts for 85.0% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2020 at $13,031 and has fallen 86.9% since, to $1,707 in 2024.
Across 55 payments — averaging $330.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$15K
- Medtronic$1K
- AstraZeneca$525
- Covidien LP$348
- Davol Inc.$266
- Atricure, Inc.$84
- plus $148 from 3 others
What the payments were for
- Consulting fees$5253%
- Travel & lodging$3,54619%
- Food & beverage$1,6329%
- Education$12,50069%
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 | $15,477 |
| Medtronic | 16 | $1,355 |
| AstraZeneca | 1 | $525 |
| Covidien LP | 4 | $348 |
| Davol Inc. | 3 | $266 |
| Atricure, Inc. | 3 | $84 |
| Zimmer Biomet | 1 | $63 |
| W. L. Gore & Associates, Inc. | 1 | $61 |
| Olympus America Inc. | 1 | $25 |
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$15,120
- Signia$882
- IMFINZI$525
- PHASIX$144
How this compares
$18,203 in reported general payments places this provider in the 80th percentile of 109 thoracic surgery (cardiothoracic vascular surgery) providers in Virginia.
See all thoracic surgery (cardiothoracic vascular surgery) 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 |
|---|---|---|
| Oxycodone Hcl | 16 | $169 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Norfolk
- Clinton KempNorfolk$367K
- Christopher BarreiroNorfolk$41K
- Michael McGrathNorfolk$13K
- Chris CookNorfolk$10K
- Chris SciortinoNorfolk$10K
- Joseph RezaNorfolk$8K
- Sandeep KhandharFairfax$261K
- Mark CooperHampton$219K
- Linda MartinCharlottesville$76K
- Kenneth SaumLynchburg$56K
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.