Physician profile
Ryan V Messiner
NPI 1114075801
$1,579.18
in general payments reported to CMS, 2019-2025
14 companies · $659 in 2025
The $659 reported for 2025 was less than what a typical Vascular Surgery provider received nationally (typical 2025 total: $927).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $339 · 2022: $172 · 2023: $82.34 · 2024: $327 · 2025: $659.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $715 · Travel and Lodging: $353.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $714.90 |
| Travel and Lodging | $353.47 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Globus Medical, INC. | $353.47 | 2025 | Alif |
| W. L. Gore & Associates, INC. | $189.29 | 2019-2024 | Gore Viabahn Endoprosthesis With Heparin, Excluder Conformable Aaa Endoprosthesis With Active Control, Gore Viabahn Endoprosthesis |
| Cook Medical LLC | $165.27 | 2024 | Zenith Spiral-Z |
| Stryker Corporation | $164.01 | 2025 | Limflow System |
| Silk Road Medical, INC. | $146.77 | 2024 | Enroute Transcarotid Neuroprotection System, Enroute Enflate Transcarotid Rx Balloon Dilatation Catheter, Enroute Transcarotid Stent |
| Bolton Medical INC | $141.88 | 2025 | Treo Abdominal Stent-Graft System |
| Terumo Medical Corporation | $118.75 | 2019 | |
| Endologix LLC | $94.44 | 2022 | |
| Cardinal Health 200 LLC | $80.86 | 2019 | |
| Artivion, INC. | $53.48 | 2022 | |
| Lemaitre Vascular, INC. | $24.14 | 2022 | |
| Medtronic USA, INC. | $17.47 | 2019 | |
| Ekos Corporation | $16.95 | 2019 | |
| Cardiovascular Systems INC. | $12.40 | 2019 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Ryan Messiner listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.