Payment overview · 2025
General Payments
$786.39
26 reported records · 7 companies
Healthcare provider profile · identity verified
David Vance
Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology · JONESBORO, AR · NPI 1205001799
Verified facts
What the public records show
CMS Open Payments records show David Vance received $786.39 in general payments during 2025 across 26 reported records.
Abbott Laboratories accounted for 33.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 21 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Abbott Laboratories | Unresolved — no canonical attribution shown | $260.97 | 33.2% | 12 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$209.24 | 26.6% | 5 | 2025 |
| AtriCure, Inc. | Unresolved — no canonical attribution shown | $155.87 | 19.8% | 2 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $97.39 | 12.4% | 4 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $28.30 | 3.6% | 1 | 2025 |
| Terumo Medical Corporation | Unresolved — no canonical attribution shown | $21.09 | 2.7% | 1 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $13.53 | 1.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $786.39 | 26 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| ATRICLIP LAA EXCLUSION SYSTEM Normalized: atriclip laa exclusion system |
Device | AtriCure, Inc. | $155.87 | 2 | 2025 |
Source payment records
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| SYNERGY ABLATION SYSTEM Normalized: synergy ablation system |
Device | AtriCure, Inc. | $155.87 | 2 | 2025 |
Source payment records
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| ENSITE Normalized: ensite |
Device | Abbott Laboratories | $90.03 | 2 | 2025 |
Source payment records
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| AFFERA MAPPING SYSTEM Normalized: affera mapping system |
Device | Medtronic, Inc. | $81.11 | 3 | 2025 |
Source payment records
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| EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX Normalized: epi sense guided coagulation system with visitrax |
Device | AtriCure, Inc. | $57.06 | 1 | 2025 |
Source payment records
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| AURORA EV-ICD MRI SURESCAN Normalized: aurora ev icd mri surescan |
Device | Medtronic, Inc. | $53.91 | 1 | 2025 |
Source payment records
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| AVEIR Normalized: aveir |
Device | Abbott Laboratories | $50.19 | 4 | 2025 |
Source payment records
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| ASSURITY Normalized: assurity |
Device | Abbott Laboratories | $40.53 | 1 | 2025 |
Source payment records
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| GALLANT Normalized: gallant |
Device | Abbott Laboratories | $33.93 | 3 | 2025 |
Source payment records
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| General - Therapies Normalized: general therapies |
Device | Boston Scientific Corporation | $32.00 | 1 | 2025 |
Source payment records
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $28.30 | 1 | 2025 |
Source payment records
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| MITRACLIP Normalized: mitraclip |
Device | Abbott Laboratories | $27.78 | 1 | 2025 |
Source payment records
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| General - Balloon Catheters Normalized: general balloon catheters |
Device | Boston Scientific Corporation | $26.16 | 1 | 2025 |
Source payment records
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| General - Structural Heart Normalized: general structural heart |
Device | Boston Scientific Corporation | $24.64 | 1 | 2025 |
Source payment records
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| AZUR CX DETACHABLE Normalized: azur cx detachable |
Device | Terumo Medical Corporation | $21.09 | 1 | 2025 |
Source payment records
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| GLIDESHEATH SLENDER Normalized: glidesheath slender |
Device | Terumo Medical Corporation | $21.09 | 1 | 2025 |
Source payment records
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| METACROSS OTW Normalized: metacross otw |
Device | Terumo Medical Corporation | $21.09 | 1 | 2025 |
Source payment records
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| R2P MISAGO Normalized: r2p misago |
Device | Terumo Medical Corporation | $21.09 | 1 | 2025 |
Source payment records
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| ENSITE PRECISION Normalized: ensite precision |
Device | Abbott Laboratories | $18.51 | 1 | 2025 |
Source payment records
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| Baylis Medical Company Radiofrequency Puncture Generator Normalized: baylis medical company radiofrequency puncture generator |
Device | Boston Scientific Corporation | $14.59 | 1 | 2025 |
Source payment records
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| Labosys Normalized: labosys |
Device | Philips North America LLC | $13.53 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Eliquis | Apixaban | 951 | 175 |
| Sotalol | Sotalol Hcl | 527 | 114 |
| Amiodarone Hcl | Amiodarone Hcl | 367 | 102 |
| Metoprolol Tartrate | Metoprolol Tartrate | 312 | 79 |
| Flecainide Acetate | Flecainide Acetate | 230 | 41 |
| Carvedilol | Carvedilol | 187 | 50 |
| Metoprolol Succinate | Metoprolol Succinate | 149 | 39 |
| Xarelto | Rivaroxaban | 132 | 22 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 101 | 29 |
| Dofetilide | Dofetilide | 91 | 20 |
| Mupirocin | Mupirocin | 67 | 66 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 63 | 62 |
| Digoxin | Digoxin | 58 | 18 |
| Spironolactone | Spironolactone | 49 | 14 |
| Amlodipine Besylate | Amlodipine Besylate | 47 | 15 |
| Furosemide | Furosemide | 46 | 13 |
| Warfarin Sodium | Warfarin Sodium | 46 | 13 |
| Lisinopril | Lisinopril | 43 | 17 |
| Losartan Potassium | Losartan Potassium | 43 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 34 | 34 |
| Clopidogrel | Clopidogrel Bisulfate | 29 | 12 |
| Dilt-Xr | Diltiazem Hcl | 29 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 27 | suppressed |
| Entresto | Sacubitril/Valsartan | 20 | suppressed |
| Dabigatran Etexilate | Dabigatran Etexilate Mesylate | 19 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 19 | suppressed |
| Potassium Chloride | Potassium Chloride | 18 | suppressed |
| Tiadylt Er | Diltiazem Hcl | 15 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 14 | suppressed |
| Atorvastatin Calcium | Atorvastatin Calcium | 13 | suppressed |
| Mexiletine Hcl | Mexiletine Hcl | 13 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 13 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 12 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $786.39 · 26 records | Abbott Laboratories | AFFERA MAPPING SYSTEM, ASSURITY, ATRICLIP LAA EXCLUSION SYSTEM, AURORA EV-ICD MRI SURESCAN, AVEIR, AZUR CX DETACHABLE, Baylis Medical Company Radiofrequency Puncture Generator, ENSITE, ENSITE PRECISION, EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX, GALLANT, GEMTESA, GLIDESHEATH SLENDER, General - Balloon Catheters, General - Structural Heart, General - Therapies, Labosys, METACROSS OTW, MITRACLIP, R2P MISAGO, SYNERGY ABLATION SYSTEM | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error