Takamasa Higashimori, MD
Vascular Neurology · Rochester, NYNPI 1578705935
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,215 of the $6,749 with a category attached, or 77.3%. 7 manufacturers reported payments, led by Medtronic at 54.8% of the total. 2025 is the largest year on record at $2,100, 2.6 times the $805 reported in 2019. Among vascular neurology clinicians in NY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 38 payments — averaging $177.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Terumo Medical Corporation$2K
- Microvention, Inc.$1K
- Penumbra, Inc.$119
- Johnson & Johnson$45
- Abbott$27
- plus $22 from 1 others
Across 4 payments — averaging $11,938 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.
- Medical Device Business Services, Inc.$48K
What the payments were for
- Travel & lodging$5,21577%
- Food & beverage$1,53423%
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) | 19 | $3,695 |
| Terumo Medical Corporation | 8 | $1,685 |
| Microvention, Inc. | 7 | $1,155 |
| Penumbra, Inc. | 1 | $119 |
| Johnson & Johnson | 1 | $45 |
| Abbott | 1 | $27 |
| Imperative Care, Inc | 1 | $22 |
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.
- Pipeline$2,021
- RIST$1,353
- GLIDESHEATH SLENDER$972
- Azur CX Detachable$574
- WEB$568
- SOFIA 6F-131CM STR$357
- Chaperon Guiding Catheter$176
- ERIC RETRIEVAL DEVICE$176
- Sofia 6F-125cm STR$131
- Scepter C$131
- WEB Aneurysm Embolization System$131
- Penumbra System$119
How this compares
$6,749 in reported general payments places this provider in the 90th percentile of 74 vascular neurology providers in New York.
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 | 13 | $50 |
Paid to pharmacies, not to this prescriber.
Other vascular neurology in Rochester
- Emma CiafaloniRochester$569K
- Charles ThorntonRochester$40K
- Alrabi TawilRochester$9K
- Steven GoldmanRochester$3K
- Robert GrossRochester$404
- Michael StantonRochester$373
- Jonathan DonnellyRochester$141
- Koto IshidaNew York$63K
- Richard JungBay Shore$38K
- Sammy PishanidarFlushing$14K
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.