Tatjana Misunina, PA
Surgical · Gastonia, NCNPI 1053717660
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,737 of the $2,822 with a category attached, or 61.6%. 12 manufacturers reported payments, led by Intuitive Surgical at 37.1% of the total. Reporting peaked in 2021 at $1,534 and has fallen 75.2% since, to $381 in 2025. Among surgical clinicians in NC 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 40 payments — averaging $70.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$1K
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$363
- Edwards Lifesciences$255
- Johnson & Johnson$251
- Baxter Healthcare$242
- Getinge USA Sales, LLC$164
- plus $500 from 6 others
What the payments were for
- Travel & lodging$98735%
- Food & beverage$1,73762%
- Education$983%
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 |
|---|---|---|
| Intuitive Surgical | 7 | $1,046 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 6 | $363 |
| Edwards Lifesciences | 4 | $255 |
| Johnson & Johnson | 3 | $251 |
| Baxter Healthcare | 5 | $242 |
| Getinge USA Sales, LLC | 4 | $164 |
| Atricure, Inc. | 4 | $164 |
| Boehringer Ingelheim | 1 | $102 |
| Medical Device Business Services, Inc. | 1 | $98 |
| Abiomed | 3 | $71 |
| Peerless Surgical Inc. | 1 | $41 |
| Abbott | 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$968
- ETHICON$136
- VISTASEAL$136
- No Related Product$125
- LifeVest$115
- JARDIANCE$102
How this compares
$2,822 in reported general payments places this provider in the 90th percentile of 248 surgical 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 | 12 | $6,853 |
| Atorvastatin Calcium | 92 | $717 |
| ClopidogrelClopidogrel Bisulfate | 70 | $340 |
| Oxycodone Hcl | 25 | $172 |
| Metoprolol Tartrate | 40 | $104 |
| Gabapentin | 20 | $84 |
| Potassium Chloride | 11 | $74 |
| Furosemide | 28 | $48 |
Paid to pharmacies, not to this prescriber.
Other surgical in Gastonia
- Ashley DrewGastonia$3K
- Zachary EakerGastonia$3K
- Kevan HaasChapel Hill$44K
- Lawrence LandriganWilmington$12K
- Erika LynchLeland$10K
- Sheila AndersonWilmington$10K
- Christopher CraigWinston Salem$9K
- Megan McNamaraWilmington$9K
- Anna LandenDurham$7K
- Jeffrey ProbstWilmington$5K
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.