Vivian Letran, DO
Surgery · Dublin, CANPI 1184981029
Payments from drug & device makers
Across 113 payments — averaging $34.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vector Surgical, LLC$461
- Davol Inc.$374
- Takeda Pharmaceuticals U.S.A., Inc.$275
- Focal Therapeutics, Inc.$232
- Johnson & Johnson$230
- Merck$215
- plus $2K from 36 others
What the payments were for
- Food & beverage$3,872100%
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 |
|---|---|---|
| Vector Surgical, LLC | 3 | $461 |
| Davol Inc. | 11 | $374 |
| Takeda Pharmaceuticals U.S.A., Inc. | 12 | $275 |
| Focal Therapeutics, Inc. | 5 | $232 |
| Johnson & Johnson(2 entities) | 7 | $230 |
| Merck | 10 | $215 |
| Myriad Genetic Laboratories, Inc. | 5 | $183 |
| Lilly USA, LLC | 7 | $156 |
| Amgen | 5 | $143 |
| Molli Surgical (US) Inc | 1 | $134 |
| Intuitive Surgical | 2 | $119 |
| Acera Surgical, Inc. | 1 | $111 |
| AstraZeneca | 4 | $109 |
| Hologic Sales And Service, LLC | 1 | $108 |
| Avanos Medical | 4 | $105 |
| Endomagnetics Ltd | 1 | $67 |
| Acell, Inc. | 1 | $59 |
| Bioptics, Inc. | 1 | $53 |
| Puma Biotechnology, Inc. | 2 | $48 |
| Boehringer Ingelheim | 3 | $47 |
| Stryker | 2 | $45 |
| Incyte Corporation | 2 | $45 |
| Rigel Pharmaceuticals, Inc. | 2 | $40 |
| Eisai Inc. | 2 | $39 |
| Novartis | 1 | $35 |
| Sanofi | 1 | $32 |
| Sumitomo Pharma America, Inc. | 1 | $31 |
| TELA Bio, Inc. | 1 | $31 |
| EMD Serono, Inc. | 2 | $31 |
| Stemline Therapeutics Inc. | 1 | $30 |
| Siemens Medical Solutions USA, Inc. | 1 | $29 |
| Myovant Sciences Inc. | 1 | $29 |
| AVEO Pharmaceuticals, Inc. | 1 | $26 |
| Exelixis Inc. | 1 | $26 |
| Elucent Medical | 1 | $25 |
| Beigene USA, Inc. | 1 | $24 |
| Covidien LP | 1 | $23 |
| Tempus AI, Inc | 1 | $22 |
| Regeneron Healthcare Solutions, Inc. | 1 | $22 |
| Bayer | 1 | $22 |
| Deciphera Pharmaceuticals Inc. | 1 | $19 |
| ADC Therapeutics America, Inc. | 1 | $18 |
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.
- MarginMarker$200
- myRisk$115
- Restrata Wound Matrix$111
- SENTIMAG$108
How this compares
$3,872 in reported general payments places this provider in the 55th percentile of 2,363 surgery providers in California.
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 |
|---|---|---|
| Tramadol Hcl | 11 | $15 |
Paid to pharmacies, not to this prescriber.
Other surgery in Dublin
- Timothy ChuterSan Francisco$8.9M
- Peter StockSan Francisco$6.5M
- Santiago HorganSan Diego$2.8M
- Kenneth DeckLaguna Hills$2.4M
- Daniel RiskinSan Jose$2.2M
- Michael DemeureNewport Beach$1.7M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
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.