Todd Gensler, MD
Vascular Surgery · Va Beach, VANPI 1922070309
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $15,735 of the $21,371 with a category attached, or 73.6%. 29 manufacturers reported payments, led by Medtronic at 24.6% of the total. 2025 is the largest year on record at $7,112, 2.6 times the $2,720 reported in 2019.
Across 213 payments — averaging $100.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$5K
- Imperative Care, Inc$4K
- W. L. Gore & Associates, Inc.$2K
- Bard Peripheral Vascular, Inc.$2K
- Philips North America LLC$1K
- Penumbra, Inc.$862
- plus $6K from 23 others
Across 5 payments — averaging $6502.00 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.
- Cordis Corporation$33K
What the payments were for
- Consulting fees$3,77518%
- Travel & lodging$1,7968%
- Food & beverage$15,73574%
- Education$650%
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) | 63 | $5,250 |
| Imperative Care, Inc | 6 | $4,256 |
| W. L. Gore & Associates, Inc. | 20 | $1,919 |
| Bard Peripheral Vascular, Inc. | 15 | $1,805 |
| Philips North America LLC | 12 | $1,323 |
| Penumbra, Inc. | 12 | $862 |
| Endologix LLC | 11 | $843 |
| Silk Road Medical, Inc. | 6 | $733 |
| Cook Medical LLC | 11 | $700 |
| Boston Scientific | 4 | $526 |
| Bolton Medical Inc | 9 | $493 |
| Abbott | 3 | $397 |
| Shockwave Medical, Inc | 4 | $382 |
| Inari Medical, Inc. | 8 | $356 |
| Stryker | 7 | $305 |
| Smith+Nephew | 4 | $171 |
| Baxter Healthcare | 4 | $166 |
| GE HealthCare | 2 | $160 |
| Shape Memory Medical Inc. | 1 | $149 |
| Cardiovascular Systems Inc. | 1 | $147 |
| Surmodics, Inc. | 1 | $119 |
| KCI USA, Inc. | 1 | $100 |
| Johnson & Johnson | 1 | $97 |
| Getinge USA Sales, LLC | 2 | $23 |
| BD | 1 | $22 |
| Cordis US CORP. | 1 | $19 |
| Convatec Inc. | 1 | $18 |
| Tactile Systems Technology Inc | 1 | $16 |
| Lemaitre Vascular, Inc. | 1 | $14 |
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.
- ZOOM 88-T LARGE DISTAL PLATFORM$3,556
- ENDURANT IIS$3,131
- ENROUTE Transcarotid Neuroprotection System$846
- SYMPHONY CATHETER$580
- Indigo System$564
- ENROUTE Transcarotid Stent$549
- GORE TAG Conformable Thoracic Endoprosthesis$433
- (9520) IGT Devices Undivided$400
- C3 Delivery System$393
- GORE EXCLUDER AAA Endoprosthesis$391
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$337
- GENERAL VASCULAR INTERVENTION$315
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$297
- FLOWTRIEVER CATHETER, S$261
- CT THROMBECTOMY SYSTEM KIT$261
- ESPRIT$248
- SPY-PHI SYSTEM$167
- GORE DRYSEAL FLEX Introducer Sheath$165
- PERCLOSE PROGLIDE$149
- IMPEDE EMBOLIZATION PLUG$149
How this compares
$21,371 in reported general payments places this provider in the 75th percentile of 143 vascular surgery providers in Virginia.
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 |
|---|---|---|
| XareltoRivaroxaban | 28 | $25,367 |
| ClopidogrelClopidogrel Bisulfate | 105 | $1,124 |
| Cilostazol | 13 | $657 |
| Gabapentin | 26 | $385 |
| Atorvastatin Calcium | 41 | $354 |
| Rosuvastatin Calcium | 14 | $67 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonXarelto | $97 | $25,36728 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 143 vascular surgery providers in Virginia.
Other vascular surgery in Va Beach
- Jean PannetonVirginia Beach$1.3M
- John DeitrickRichmond$684K
- Rasesh ShahChesapeake$465K
- David DexterNorfolk$404K
- Samuel SteermanVirginia Beach$252K
- Joseph BabrowiczFairfax$202K
- Joshua AdamsRoanoke$138K
- Richard NevilleFalls Church$114K
- Anthony ComerotaFalls Church$107K
- Animesh RathoreNorfolk$83K
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.