Thomas Caranasos, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Naples, FLNPI 1376715656
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $96,068 of the $140,738 with a category attached, or 68.3%. 27 manufacturers reported payments, led by Baxter Healthcare at 33.4% of the total. 2025 is the largest year on record at $67,805, 4.6 times the $14,608 reported in 2019. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 363 payments — averaging $387.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Baxter Healthcare$47K
- Arthrex$32K
- Atricure, Inc.$26K
- Artivion, Inc.$13K
- Edwards Lifesciences$10K
- Stryker$3K
- plus $9K from 21 others
Across 3 payments — averaging $2039.17 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.
- Medtronic$6K
What the payments were for
- Consulting fees$96,06868%
- Speaking & faculty fees$24,12517%
- Travel & lodging$8,6666%
- Food & beverage$11,8798%
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 |
|---|---|---|
| Baxter Healthcare | 28 | $46,995 |
| Arthrex | 36 | $32,296 |
| Atricure, Inc. | 43 | $26,087 |
| Artivion, Inc. | 70 | $13,405 |
| Edwards Lifesciences | 47 | $9,650 |
| Stryker | 4 | $3,271 |
| Tricoast Surgical Solutions LLC | 32 | $2,687 |
| Boston Scientific | 3 | $1,304 |
| Bolton Medical Inc | 19 | $1,043 |
| Medtronic(2 entities) | 20 | $1,037 |
| Abbott | 14 | $863 |
| Abiomed | 14 | $846 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 16 | $277 |
| W. L. Gore & Associates, Inc. | 1 | $244 |
| Philips North America LLC | 2 | $145 |
| Cook Medical LLC | 1 | $116 |
| Atrium Medical Corporation | 2 | $108 |
| Biosense Webster, Inc. | 1 | $87 |
| Kestra Medical Technology Services, Inc. | 1 | $80 |
| Getinge USA Sales, LLC | 2 | $67 |
| La Jolla Pharmaceutical Company | 1 | $24 |
| Johnson & Johnson | 1 | $22 |
| Kls-martin L.p. | 1 | $20 |
| United Therapeutics Corporation | 1 | $19 |
| Corcym Inc | 1 | $16 |
| Scpharmaceuticals Inc. | 1 | $16 |
| Cvrx, Inc. | 1 | $13 |
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.
- TISSEEL$46,266
- EPI-SENSE GUIDED COAGULATION SYS$12,826
- Cardiac non-SynerGraft$4,996
- ON-X AORTIC HEART VALVE WITH CONFORM-X SEWING RING AND EXTENDED HOLDER$2,177
- CRYOVALVE SG PULMONARY HUMAN HEART VALVE$2,177
- ADHERUS AUTOSPRAY DURAL SEALANT$1,971
- MITRIS RESILIA Mitral Valve$1,458
- GENERAL - THERAPIES$1,200
- ATRICLIP LAA EXCLUSION SYSTEM$822
- SYNERGY ABLATION SYSTEM$643
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$500
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$470
- TREO ABDOMINAL STENT-GRAFT SYSTEM$414
- RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM$317
- Simulus$297
- GORE TAG Thoracic Endoprosthesis$244
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$237
- AMDS-Ascyrus Medical$177
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$172
- ADHERUS AUTOSPRAY ET DURAL SEALANT$171
How this compares
$140,738 in reported general payments places this provider in the 95th percentile of 408 thoracic surgery (cardiothoracic vascular surgery) providers in Florida.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Florida →
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 |
|---|---|---|
| Metoprolol Succinate | 15 | $135 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Naples
- Brian SolomonNaples$76K
- Anthony NunezOrlando$4.8M
- Barry WintonLargo$687K
- Paul DigiorgiPort Charlotte$666K
- John PirrisJacksonville$640K
- Jacques FontaineTampa$630K
- Andrew ShermanTampa$517K
- Rogerio CarrilloHialeah$515K
- Daniel O'HairFort Myers$429K
- Luis HerreraOrlando$409K
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.