Samuel Tyagi, MD
Vascular Surgery · Lexington, KYNPI 1053638734
Payments from drug & device makers
Across 566 payments — averaging $270.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$75K
- Penumbra, Inc.$33K
- Bard Peripheral Vascular, Inc.$10K
- Cook Medical LLC$9K
- W. L. Gore & Associates, Inc.$7K
- Cook Incorporated$6K
- plus $13K from 18 others
What the payments were for
- Consulting fees$3,6405%
- Speaking & faculty fees$8,10012%
- Travel & lodging$21,91931%
- Food & beverage$35,71951%
- Education$4771%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Medtronic(2 entities) | 127 | $75,032 |
| Penumbra, Inc. | 26 | $33,279 |
| Bard Peripheral Vascular, Inc. | 18 | $10,289 |
| Cook Medical LLC | 131 | $8,730 |
| W. L. Gore & Associates, Inc. | 66 | $6,872 |
| Cook Incorporated | 6 | $6,168 |
| Endologix LLC | 28 | $2,577 |
| Boston Scientific | 26 | $1,822 |
| Silk Road Medical, Inc. | 18 | $1,489 |
| Bolton Medical Inc | 9 | $1,058 |
| Tactile Systems Technology Inc | 33 | $973 |
| Shockwave Medical, Inc | 15 | $923 |
| Cvrx, Inc. | 8 | $709 |
| Inari Medical, Inc. | 8 | $688 |
| Cardiovascular Systems Inc. | 4 | $455 |
| Avinger Inc. | 3 | $416 |
| Angiodynamics, Inc. | 11 | $416 |
| Abbott | 5 | $364 |
| Organogenesis Inc. | 12 | $336 |
| Stryker | 3 | $221 |
| Getinge USA Sales, LLC | 4 | $207 |
| Philips North America LLC | 2 | $181 |
| Terumo Medical Corporation | 2 | $113 |
| Surmodics, Inc. | 1 | $23 |
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.
- ENDURANT IIS$15,664
- Indigo System$11,403
- Zenith Alpha$6,663
- Zenith Spiral-Z$1,867
- GORE TAG Thoracic Branch Endoprosthesis$1,483
- ENROUTE Transcarotid Neuroprotection System$1,447
- ENROUTE Transcarotid Stent$1,175
- Endurant$1,088
- GORE VIABAHN VBX Balloon Expandable Endo$936
- GORE TAG Conformable Thoracic Endoprosthesis$706
- AFX$655
- Barostim Neo System$612
- GORE EXCLUDER AAA Endoprosthesis$601
- ICAST COVERED STENT SYSTEM, 6MMX22MMX120CM$539
- LUTONIX$495
- FLOWTRIEVER CATHETER, S$471
- CT THROMBECTOMY SYSTEM KIT$471
- Ovation$461
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$457
- Zilver PTX$427
How this compares
$153,342 in reported general payments places this provider in the 95th percentile of 72 vascular surgery providers in Kentucky.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 21 | $147 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Lexington
- Igor VoskresenskyLexington$99K
- Nick AbediLexington$95K
- David MinionLexington$26K
- Mark IltisLexington$22K
- Keith MenesLexington$20K
- Dong Hee LeeLexington$17K
- Ryan KingLexington$12K
- Junior UniversLexington$10K
- Tana RepellaLexington$9K
- Travis HughesLexington$9K
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.