Physician profile
Andrew Kastello
NPI 1578720629
$5,962.47
in general payments reported to CMS, 2019-2025
27 companies · $47.67 in 2025
The $47.67 reported for 2025 was less than what a typical Trauma Surgery provider received nationally (typical 2025 total: $294).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $33.36 · 2020: $24.02 · 2021: $91.68 · 2022: $4,910 · 2023: $670 · 2024: $185 · 2025: $47.67.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $623 · Travel and Lodging: $281.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $622.53 |
| Travel and Lodging | $281.02 |
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 |
|---|---|---|---|
| Intuitive Surgical, INC. | $5,082.28 | 2022-2023 | Da Vinci Surgical System |
| Medtronic, INC. | $133.58 | 2023-2024 | Endurant Iis, Eea, Ligasure |
| Smith+Nephew, INC. | $111.95 | 2021-2024 | Pico 7, Grafix Pl, Renasys Go V2 Home |
| Tactile Systems Technology INC | $70.25 | 2024 | Entre Plus, Flexitouch Plus |
| Takeda Pharmaceuticals U.S.A., INC. | $49.00 | 2020-2023 | Gattex |
| Philips North America LLC | $44.12 | 2021-2023 | |
| Kerecis Limited | $43.90 | 2024 | Kerecis Omega3 Marigen, Kerecis Omega3 Surgiclose, Kerecis Omega3 Graftguide |
| Bard Peripheral Vascular, INC. | $41.69 | 2022 | |
| Surmodics, INC. | $36.73 | 2022-2023 | Sublime Radial Access Guide Sheath, Sublime Radial Access 018 Rx Pta Dilatation Catheter, Sublime 014 Rx Pta Balloon Dilatation Catheter |
| Bolton Medical INC | $34.77 | 2021-2022 | |
| Boston Scientific Corporation | $26.58 | 2022 | |
| Zimmer Biomet Holdings, INC. | $26.42 | 2025 | Sternalock |
| Integra Lifesciences Corporation | $24.86 | 2023 | Integra, Primatrix, Integra Dermal Regeneration Template |
| Stryker Corporation | $22.96 | 2023 | Spy-Phi System |
| Alexion Pharmaceuticals, INC. | $22.01 | 2021 |
Show all 27 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Reprise Biomedical, INC. | $21.25 | 2025 | Miro3d |
| Springworks Therapeutics, INC. | $19.16 | 2024 | Ogsiveo |
| Haemonetics Corporation | $18.88 | 2019 | |
| Inari Medical, INC. | $18.22 | 2022 | |
| Cardiovascular Systems INC. | $17.34 | 2022 | |
| Ethicon US, LLC | $16.87 | 2022 | |
| Endogastric Solutions, INC | $14.48 | 2019 | |
| Enterra Medical, INC. | $14.39 | 2023 | |
| Janssen Pharmaceuticals, INC | $14.12 | 2024 | Xarelto |
| Lemaitre Vascular, INC. | $13.88 | 2022 | |
| Bioventus LLC | $12.90 | 2022 | |
| Medela LLC | $9.88 | 2020 |
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 Andrew Kastello 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.