Payment overview · 2025
General Payments
$4,358.03
46 reported records · 15 companies
Healthcare provider profile · identity verified
Nabil A Munfakh, MD
Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery) · SAINT LOUIS, MO · NPI 1578634226
Verified facts
What the public records show
CMS Open Payments records show Nabil A Munfakh, MD received $4,358.03 in general payments during 2025 across 46 reported records.
AtriCure, Inc. accounted for 26.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 25 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 |
|---|---|---|---|---|---|
| AtriCure, Inc. | Unresolved — no canonical attribution shown | $1,149.94 | 26.4% | 10 | 2025 |
| Edwards Lifesciences Corporation | Unresolved — no canonical attribution shown | $1,111.18 | 25.5% | 12 | 2025 |
| LeMaitre Vascular, Inc. | Unresolved — no canonical attribution shown | $500.00 | 11.5% | 1 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $267.82 | 6.2% | 5 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$265.66 | 6.1% | 5 | 2025 |
| CVRx, Inc. | Unresolved — no canonical attribution shown | $262.59 | 6.0% | 2 | 2025 |
| Cardiac Dimensions, Inc. | Unresolved — no canonical attribution shown | $204.50 | 4.7% | 2 | 2025 |
| KLS-Martin L.P. | Unresolved — no canonical attribution shown | $185.96 | 4.3% | 1 | 2025 |
| Globus Medical, Inc. | Unresolved — no canonical attribution shown | $132.06 | 3.0% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $112.07 | 2.6% | 1 | 2025 |
| Integra LifeSciences Corporation | Unresolved — no canonical attribution shown | $77.10 | 1.8% | 2 | 2025 |
| Becton, Dickinson and Company | Unresolved — no canonical attribution shown | $30.36 | 0.7% | 1 | 2025 |
| Octapharma USA, Inc. | Unresolved — no canonical attribution shown | $22.34 | 0.5% | 1 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $19.80 | 0.5% | 1 | 2025 |
| Davol Inc. | Unresolved — no canonical attribution shown | $16.65 | 0.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $3,858.03 | 45 |
| Consulting Fee | $500.00 | 1 |
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. | $893.47 | 8 | 2025 |
Source payment records
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| SYNERGY ABLATION SYSTEM Normalized: synergy ablation system |
Device | AtriCure, Inc. | $880.33 | 8 | 2025 |
Source payment records
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| ARTEGRAFT VASCULAR GRAFT Normalized: artegraft vascular graft |
Device | LeMaitre Vascular, Inc. | $500.00 | 1 | 2025 |
Source payment records
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| INSPIRIS RESILIA AORTIC VALVE Normalized: inspiris resilia aortic valve |
Device | Edwards Lifesciences Corporation | $288.07 | 3 | 2025 |
Source payment records
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| Barostim Neo System Normalized: barostim neo system |
Device | CVRx, Inc. | $262.59 | 2 | 2025 |
Source payment records
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| KONECT RESILIA Normalized: konect resilia |
Device | Edwards Lifesciences Corporation | $189.24 | 2 | 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. | $183.32 | 1 | 2025 |
Source payment records
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| FREESTYLE Normalized: freestyle |
Device | Medtronic, Inc. | $159.95 | 2 | 2025 |
Source payment records
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| MITRIS RESILIA Mitral Valve Normalized: mitris resilia mitral valve |
Device | Edwards Lifesciences Corporation | $148.00 | 1 | 2025 |
Source payment records
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| Senza Normalized: senza |
Device | Globus Medical, Inc. | $132.06 | 1 | 2025 |
Source payment records
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| AMPLATZER AMULET Normalized: amplatzer amulet |
Device | Abbott Laboratories | $112.07 | 1 | 2025 |
Source payment records
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| ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM Normalized: atricure cryoice cryosphere cryoablation system |
Device | AtriCure, Inc. | $109.27 | 2 | 2025 |
Source payment records
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| AVALUS Normalized: avalus |
Device | Medtronic, Inc. | $91.57 | 1 | 2025 |
Source payment records
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| PASCAL Normalized: pascal |
Device | Edwards Lifesciences Corporation | $89.44 | 2 | 2025 |
Source payment records
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| CODMAN CERTAS Normalized: codman certas |
Device | Integra LifeSciences Corporation | $77.10 | 2 | 2025 |
Source payment records
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| CODMAN HAKIM Normalized: codman hakim |
Device | Integra LifeSciences Corporation | $77.10 | 2 | 2025 |
Source payment records
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| CUSA CLARITY Normalized: cusa clarity |
Device | Integra LifeSciences Corporation | $77.10 | 2 | 2025 |
Source payment records
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| DuraSeal Exact Spinal Sealant System Normalized: duraseal exact spinal sealant system |
Device | Integra LifeSciences Corporation | $77.10 | 2 | 2025 |
Source payment records
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| AtriCure cryoICE Cryoablation System (CRYO2) Normalized: atricure cryoice cryoablation system cryo2 |
Device | AtriCure, Inc. | $22.98 | 1 | 2025 |
Source payment records
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| FIBRYGA Normalized: fibryga |
Biological | Octapharma USA, Inc. | $22.34 | 1 | 2025 |
Source payment records
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| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $19.80 | 1 | 2025 |
Source payment records
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| ARISTA Normalized: arista |
Device | Davol Inc. | $16.65 | 1 | 2025 |
Source payment records
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| COREVALVE EVOLUT R Normalized: corevalve evolut r |
Device | Medtronic, Inc. | $11.67 | 1 | 2025 |
Source payment records
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| EDWARDS INTUITY ELITE VALVE SYSTEM Normalized: edwards intuity elite valve system |
Device | Edwards Lifesciences Corporation | $4.37 | 1 | 2025 |
Source payment records
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| MOSAIC Normalized: mosaic |
Device | Medtronic, Inc. | $2.47 | 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 |
|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 60 | 54 |
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 | $4,358.03 · 46 records | AtriCure, Inc. | AMPLATZER AMULET, ARISTA, ARTEGRAFT VASCULAR GRAFT, ATRICLIP LAA EXCLUSION SYSTEM, ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM, AVALUS, AtriCure cryoICE Cryoablation System (CRYO2), Barostim Neo System, CODMAN CERTAS, CODMAN HAKIM, COREVALVE EVOLUT R, CUSA CLARITY, DuraSeal Exact Spinal Sealant System, EDWARDS INTUITY ELITE VALVE SYSTEM, EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX, FIBRYGA, FREESTYLE, INSPIRIS RESILIA AORTIC VALVE, KONECT RESILIA, LifeVest, MITRIS RESILIA Mitral Valve, MOSAIC, PASCAL, SYNERGY ABLATION SYSTEM, Senza | — | — |
| 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