Vlad Simianu, MD
Surgery · Seattle, WANPI 1689992273
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $9,000 of the $14,557 with a category attached, or 61.8%. 10 manufacturers reported payments, led by Intuitive Surgical at 57.2% of the total. Reporting peaked in 2021 at $5,182 and has fallen 77.3% since, to $1,177 in 2025.
Across 57 payments — averaging $255.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- Davol Inc.$4K
- Medtronic$1K
- Asensus Surgical, Inc.$600
- Stryker$303
- KCI USA, Inc.$129
- plus $454 from 4 others
Across 3 payments — averaging $529.86 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.
- Takeda Pharmaceuticals U.S.A., Inc.$2K
What the payments were for
- Consulting fees$6004%
- Speaking & faculty fees$9,00062%
- Travel & lodging$1,3389%
- Food & beverage$3,17622%
- Education$4443%
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 | 33 | $8,323 |
| Davol Inc. | 4 | $3,602 |
| Medtronic(2 entities) | 12 | $1,146 |
| Asensus Surgical, Inc. | 1 | $600 |
| Stryker | 2 | $303 |
| KCI USA, Inc. | 1 | $129 |
| Olympus America Inc. | 1 | $125 |
| Baxter Healthcare | 1 | $119 |
| Myriad Genetic Laboratories, Inc. | 1 | $116 |
| AbbVie | 1 | $94 |
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$7,599
- Senhance$1,800
- INTERSTIM$888
- 1588 HD 3 CHIP CAMERA$158
- SPY-PHI SYSTEM$146
- VAC VERAFLO$129
- PREVENA$129
- Olympus GI Accessories$125
- FLOSEAL$119
- BRACAnalysis CDx$116
How this compares
$14,557 in reported general payments places this provider in the 85th percentile of 549 surgery providers in Washington.
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 |
|---|---|---|
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 15 | $235 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 11 | $142 |
| Metronidazole | 35 | $100 |
| Neomycin Sulfate | 24 | $95 |
| Ondansetron Hcl | 28 | $40 |
| Metoclopramide Hcl | 34 | $38 |
Paid to pharmacies, not to this prescriber.
Other surgery in Seattle
- Matthew KleinSeattle$328K
- Adnan AlseidiSeattle$240K
- Amir BastawrousSeattle$131K
- Zeljka JutricSeattle$100K
- Andrew TingSeattle$56K
- David MulliganSeattle$24K
- Shane OttmannSeattle$23K
- Brian SungSeattle$21K
- Jonathan ShamSeattle$20K
- Theresa WangSeattle$20K
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.