Vitaly Piluiko, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Orange Park, FLNPI 1154398303
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.6%), education and travel and lodging — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Intuitive Surgical at 32.3% of the total. Reporting peaked in 2020 at $3,544 and has fallen 72.7% since, to $967 in 2025.
Across 114 payments — averaging $82.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Medtronic$2K
- Edwards Lifesciences$1K
- Atricure, Inc.$1K
- Abiomed$295
- Johnson & Johnson$211
- plus $1K from 20 others
What the payments were for
- Travel & lodging$1,13812%
- Food & beverage$5,25056%
- Education$3,06032%
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 |
|---|---|---|
| Intuitive Surgical | 3 | $3,051 |
| Medtronic(2 entities) | 21 | $1,856 |
| Edwards Lifesciences | 25 | $1,473 |
| Atricure, Inc. | 21 | $1,138 |
| Abiomed | 5 | $295 |
| Johnson & Johnson | 6 | $211 |
| Abbott | 4 | $206 |
| Impulse Dynamics (USA) Inc. | 3 | $197 |
| Cvrx, Inc. | 3 | $171 |
| Artivion, Inc. | 2 | $154 |
| Zimmer Biomet | 1 | $109 |
| Boston Scientific | 1 | $104 |
| Philips North America LLC | 1 | $63 |
| Davol Inc. | 2 | $50 |
| Corcym Inc | 2 | $48 |
| Kls-martin L.p. | 2 | $48 |
| Shockwave Medical, Inc | 1 | $48 |
| AstraZeneca | 2 | $39 |
| Angiodynamics, Inc. | 1 | $34 |
| La Jolla Pharmaceutical Company | 1 | $32 |
| Chiesi USA, Inc. | 2 | $30 |
| Grifols USA, LLC | 1 | $25 |
| Agiliti Surgical, Inc. | 1 | $23 |
| Baxter Healthcare | 1 | $19 |
| Smith+Nephew | 1 | $13 |
| Lilly USA, LLC | 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.
- Da Vinci Surgical System$3,000
- EVERA MRI XT DR SURESCAN$998
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$268
- Edwards SAPIEN 3 Transcatheter Heart Valve$248
- ATRICLIP LAA EXCLUSION SYSTEM$187
- BioGlue$140
- On-X$140
- PhotoFix$140
- XACT$132
- SURGICEL NU-KNIT$121
- PROLENE$121
- 3F$114
- STERNALOCK BLU SYSTEM$109
- EPI-SENSE GUIDED COAGULATION SYS$109
- ATRICURE ATRICLIP LAA EXCLUSION$109
- ELUVIA$104
How this compares
$9,448 in reported general payments places this provider in the 55th 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.
Other thoracic surgery (cardiothoracic vascular surgery) in Orange Park
- 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
- Joseph LamelasMiami$379K
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.