Tzvi Nussbaum, MD
Vascular Surgery · Charlotte, NCNPI 1205938255
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $14,027 of the $15,924 with a category attached, or 88.1%. 17 manufacturers reported payments, led by Medtronic at 49.8% of the total. Reporting peaked in 2019 at $4,783 and has fallen 86.4% since, to $649 in 2025.
Across 269 payments — averaging $59.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$8K
- Bard Peripheral Vascular, Inc.$2K
- Philips North America LLC$968
- W. L. Gore & Associates, Inc.$903
- Silk Road Medical, Inc.$819
- Cook Medical LLC$742
- plus $3K from 11 others
Across 1 payment — averaging $5235.00 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.
- Phraxis, Inc.$5K
What the payments were for
- Travel & lodging$1,89712%
- Food & beverage$14,02788%
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) | 152 | $7,931 |
| Bard Peripheral Vascular, Inc. | 10 | $1,631 |
| Philips North America LLC | 16 | $968 |
| W. L. Gore & Associates, Inc. | 9 | $903 |
| Silk Road Medical, Inc. | 5 | $819 |
| Cook Medical LLC | 16 | $742 |
| Shockwave Medical, Inc | 16 | $714 |
| Boston Scientific | 29 | $708 |
| Penumbra, Inc. | 4 | $413 |
| Kerecis Limited | 3 | $247 |
| Biom'up France SAS | 2 | $239 |
| Artivion, Inc. | 1 | $197 |
| Getinge USA Sales, LLC | 2 | $187 |
| Abbott | 1 | $126 |
| Elutia, Inc. | 1 | $48 |
| Humacyte Global, Inc. | 1 | $28 |
| Lemaitre Vascular, Inc. | 1 | $24 |
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.
- Endurant$1,530
- ENDURANT IIS$1,417
- Valiant Captivia$931
- ENROUTE Transcarotid Neuroprotection System$787
- ENROUTE Transcarotid Stent System$787
- ENHANCE Transcarotid Peripheral Access Kit$787
- ENROUTE 0.014 Guidewire$787
- Zilver PTX$503
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$405
- VIABAHN VBX Balloon Expandable Endoprosthesis$272
- HemoBlast Bellows$239
- Lasers$228
- CRYOVALVE SG PULMONARY HUMAN HEART VALVE$197
- Penumbra Ruby Coil$167
- GORE VIABAHN VBX Balloon Expandable Endo$162
- EKOSONIC$152
- Kerecis Omega3 Wound$146
- Kerecis Omega3 Surgibind$146
- Kerecis Omega3 GraftGuide$146
- Kerecis Omega3 SurgiClose$146
How this compares
$15,924 in reported general payments places this provider in the 80th percentile of 119 vascular surgery 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 | 36 | $42,230 |
| XareltoRivaroxaban | 49 | $31,214 |
| Cilostazol | 36 | $523 |
| ClopidogrelClopidogrel Bisulfate | 40 | $340 |
| Gabapentin | 13 | $34 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Charlotte
- Frank ArkoCharlotte$2.6M
- Erin MurphyCharlotte$598K
- Hector Crespo SotoCharlotte$178K
- Rebecca KelsoCharlotte$148K
- James AntezanaCharlotte$44K
- Peter FordCharlotte$18K
- Martin Lo SassoCharlotte$17K
- Daniel SprandoCharlotte$13K
- Adam StricklandCharlotte$3K
- Robert MendesRaleigh$408K
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.