Toghrul Talishinskiy, MD
Surgery · Danbury, CTNPI 1386888477
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (33.1%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. Medtronic accounts for 71.5% of it on its own, with 24 other manufacturers making up the rest. 2025 is the largest year on record at $37,351, more than ten times the $812 reported in 2019. Among surgery clinicians in CT 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 220 payments — averaging $374.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$59K
- Intuitive Surgical$16K
- Davol Inc.$3K
- Medical Device Business Services, Inc.$2K
- Covidien LP$789
- Novo Nordisk$295
- plus $1K from 19 others
What the payments were for
- Consulting fees$27,31633%
- Speaking & faculty fees$16,28420%
- Travel & lodging$16,63020%
- Food & beverage$8,14510%
- Education$13,66317%
- Gifts$3890%
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 | 105 | $58,923 |
| Intuitive Surgical | 29 | $15,940 |
| Davol Inc. | 18 | $3,224 |
| Medical Device Business Services, Inc. | 8 | $1,927 |
| Covidien LP | 12 | $789 |
| Novo Nordisk | 15 | $295 |
| Johnson & Johnson | 5 | $254 |
| Mozarc Medical US LLC | 2 | $155 |
| Boston Scientific | 1 | $149 |
| Shionogi Inc | 1 | $121 |
| Stryker | 1 | $115 |
| Conmed Corporation | 3 | $99 |
| Gilead | 1 | $74 |
| Intra-sana Laboratories | 3 | $70 |
| Teleflex LLC | 3 | $49 |
| Vertex | 3 | $48 |
| Baxter Healthcare | 2 | $45 |
| KARL Storz Endoscopy-america | 1 | $39 |
| Standard Bariatrics, Inc. | 1 | $24 |
| Lilly USA, LLC | 1 | $18 |
| Currax Pharmaceuticals LLC | 1 | $17 |
| Olympus America Inc. | 1 | $15 |
| Endo Pharmaceuticals Inc. | 1 | $15 |
| AbbVie | 1 | $11 |
| Phathom Pharmaceuticals, Inc. | 1 | $11 |
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$15,596
- Signia$9,507
- Echelon Flex$1,734
- Phasix Mesh$1,076
- LINX Reflux Management System$290
- ENDO GIA ULTRA$259
- PHASIX$256
- APOLLO ESG System$149
- Bard 3DMax Mesh$136
- Sonicision$124
- Mulpleta$121
- LigaSure$120
- Argyle$119
- SPY-PHI SYSTEM$115
- 1688$115
- Signet$104
How this compares
$82,427 in reported general payments places this provider in the 95th percentile of 289 surgery providers in Connecticut.
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 |
|---|---|---|
| Ondansetron Hcl | 55 | $367 |
| Pantoprazole Sodium | 45 | $260 |
| Oxycodone Hcl | 80 | $114 |
Paid to pharmacies, not to this prescriber.
Other surgery in Danbury
- Julio TeixeiraDanbury$34K
- John MortonNew Haven$970K
- Joseph AferzonPortland$712K
- Andrew DuffyNew Haven$256K
- Sherard ChiuFairfield$148K
- Nikhilesh SekharFairfield$140K
- Anees ChagparNew Haven$121K
- Roselle CrombieFairfield$113K
- Craig FlochNorwalk$88K
- Mark FariesNew Haven$84K
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.