Randy Irwin, MD
Vascular Surgery · Indianapolis, INNPI 1811916224
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $13,209 of the $14,145 with a category attached, or 93.4%. Cook Research Incorporated accounts for 93.4% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $8,247 and has fallen 98.1% since, to $158 in 2025.
Across 26 payments — averaging $544.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Research Incorporated$13K
- Medtronic$333
- Endologix LLC$254
- Silk Road Medical, Inc.$143
- Johnson & Johnson$115
- Philips North America LLC$76
- plus $16 from 1 others
What the payments were for
- Consulting fees$13,20993%
- Food & beverage$9367%
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 |
|---|---|---|
| Cook Research Incorporated | 17 | $13,209 |
| Medtronic | 3 | $333 |
| Endologix LLC | 1 | $254 |
| Silk Road Medical, Inc. | 1 | $143 |
| Johnson & Johnson(2 entities) | 2 | $115 |
| Philips North America LLC | 1 | $76 |
| Pfizer | 1 | $16 |
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.
- ENROUTE Transcarotid Neuroprotection System$287
- ENDURANT IIS$158
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$158
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$143
- ENROUTE Transcarotid Stent$143
- EVICEL Fibrin Sealant (Human)$104
- SURGIFLO Hemostatic Matrix Family of Products$104
- Surgicel Powder$104
- SURGICEL Family of Absorbable Hemostats$104
- EVARREST$104
How this compares
$14,145 in reported general payments places this provider in the 80th percentile of 71 vascular surgery providers in Indiana.
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 | 18 | $16,838 |
| Cilostazol | 36 | $1,070 |
| ClopidogrelClopidogrel Bisulfate | 27 | $303 |
| Atorvastatin Calcium | 13 | $101 |
| Prednisone | 12 | $12 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $16 | $16,83818 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 71 vascular surgery providers in Indiana.
Other vascular surgery in Indianapolis
- Sajjad HussainIndianapolis$109K
- Andres FajardoIndianapolis$58K
- Brandon DowningIndianapolis$33K
- Deepak GuttikondaIndianapolis$33K
- Jeffrey WeinbergerIndianapolis$20K
- Sarah StrotIndianapolis$15K
- Mary ZornIndianapolis$12K
- Charles KiellIndianapolis$10K
- Hanaa Dakour AridiIndianapolis$8K
- Richard OfsteinIndianapolis$7K
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.