Dominant Flex
Payments companies reported to CMS as associated with Dominant Flex. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Dominant Flex, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Dominant Flex
These are the largest totals companies reported as associated with Dominant Flex. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Kevin Lobdell | Charlotte, NC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $518.26 |
| Stephen Cassivi | Rochester, MN | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $289.79 |
| Daniel Engelman | Springfield, MA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $289.77 |
| Carmelo Milano | Lumberton, NC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $228.48 |
| Joseph Wilson | Rancho Mirage, CA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $45.90 |
| Daniel Logsdon | Rancho Mirage, CA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $45.89 |
| David Seaman | Louisburg, NC | Surgery | $33.74 |
| John Maurice | Orange, CA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $23.40 |
| Brytni Moore | Dallas, TX | Acute Care (Nurse Practitioner) | $17.32 |
| Todd Demmy | Buffalo, NY | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $10.12 |
Prescribed Dominant Flex?
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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.