Varun Puri, MD
Surgery · Saint Louis, MONPI 1336366087
Payments from drug & device makers
What this record shows
This record is dominated by grants: $1,514 of the $2,296 with a category attached, or 65.9%. Medtronic accounts for 65.9% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2022 at $1,526 and has fallen 94.5% since, to $84 in 2025.
Across 15 payments — averaging $153.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Intuitive Surgical$243
- Galvanize Therapeutics, Inc$146
- Medical Device Business Services, Inc.$125
- Baxter Healthcare$110
- Abiomed$84
- plus $74 from 3 others
Across 1 payment — averaging $343,510 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.
- AstraZeneca$344K
What the payments were for
- Grants$1,51466%
- Food & beverage$78234%
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 | 1 | $1,514 |
| Intuitive Surgical | 6 | $243 |
| Galvanize Therapeutics, Inc | 2 | $146 |
| Medical Device Business Services, Inc. | 1 | $125 |
| Baxter Healthcare | 1 | $110 |
| Abiomed | 1 | $84 |
| Zimmer Biomet | 1 | $29 |
| Lexington Medical, Inc. | 1 | $29 |
| Davol Inc. | 1 | $16 |
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.
- ALIYA SYSTEM$125
- VISTASEAL$125
- FLOSEAL$110
How this compares
$2,296 in reported general payments places this provider in the 55th percentile of 612 surgery providers in Missouri.
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 |
|---|---|---|
| Oxycodone Hcl | 49 | $474 |
Paid to pharmacies, not to this prescriber.
Other surgery in Saint Louis
- James ScottSaint Louis$307K
- Omar GuerraSaint Louis$249K
- Mark DrakeSaint Louis$212K
- Adeel KhanSaint Louis$204K
- Michael AwadSaint Louis$176K
- Laurie PunchSaint Louis$141K
- Jeffrey BlatnikSaint Louis$134K
- Sekhar DharmarajanSaint Louis$110K
- Shaina EckhouseSaint Louis$67K
- Jason RheeSaint Louis$63K
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.