Shawn Fleming, MD
Vascular Surgery · Winston Salem, NCNPI 1902089345
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,183 of the $2,994 with a category attached, or 72.9%. 17 manufacturers reported payments, led by W. L. Gore & Associates, Inc. at 29.4% of the total. 2025 is the largest year on record at $989, 2.2 times the $448 reported in 2019. That places this record below the midpoint for vascular surgery clinicians in NC, where the typical reported total is $2,786.
Across 54 payments — averaging $55.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$880
- Medtronic$870
- Silk Road Medical, Inc.$291
- Cook Medical LLC$194
- Novo Nordisk$170
- Penumbra, Inc.$148
- plus $442 from 11 others
Across 6 payments — averaging $2120.17 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Bayer$13K
What the payments were for
- Travel & lodging$81227%
- Food & beverage$2,18373%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 7 | $880 |
| Medtronic(2 entities) | 20 | $870 |
| Silk Road Medical, Inc. | 3 | $291 |
| Cook Medical LLC | 4 | $194 |
| Novo Nordisk | 3 | $170 |
| Penumbra, Inc. | 1 | $148 |
| Getinge USA Sales, LLC | 1 | $124 |
| Boston Scientific | 3 | $63 |
| Abbott | 2 | $47 |
| Amgen | 2 | $40 |
| Haemonetics Corporation | 1 | $37 |
| Angiodynamics, Inc. | 2 | $32 |
| Inari Medical, Inc. | 1 | $27 |
| Atricure, Inc. | 1 | $27 |
| Terumo Medical Corporation | 1 | $26 |
| Johnson & Johnson | 1 | $15 |
| Lemaitre Vascular, Inc. | 1 | $4 |
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.
How this compares
$2,994 in reported general payments places this provider in the 50th percentile of 119 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 |
|---|---|---|
| EliquisApixaban | 14 | $7,946 |
| BrilintaTicagrelor | 12 | $4,825 |
| ClopidogrelClopidogrel Bisulfate | 113 | $1,060 |
| Doxycycline Hyclate | 44 | $382 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 44 | $327 |
| Atorvastatin Calcium | 28 | $259 |
| Cilostazol | 12 | $192 |
| Tramadol Hcl | 14 | $58 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Winston Salem
- Suman WasanWinston Salem$72K
- Gabriela Velazquez RamirezWinston Salem$34K
- Matthew GoldmanWinston Salem$11K
- Lindsay LynchWinston Salem$9K
- Justin HurieWinston Salem$6K
- Phillip MooreWinston Salem$4K
- Frank ArkoCharlotte$2.6M
- Erin MurphyCharlotte$598K
- Robert MendesRaleigh$408K
- Ellen DillavouRaleigh$284K
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.