Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Joshua Adams

Vascular Surgery Roanoke, VA Medical Doctor

NPI 1932313095 CMS profile 178952

1906 Belleview Ave Se, Roanoke, VA 24014

Open in the dashboard

General payments

$138,024

272 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$177,784 paid to institutions, not to them · program years 2019–2025

Through program year 2025, Joshua Adams of Roanoke, VA is reported in the CMS Open Payments database as having received $138,024 across 272 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $177,784 in research payments, paid to institutions rather than to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 96th percentile of Vascular Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $5,587 28
2024 General $5,135 22
2023 General $26,579 44
2022 General $37,962 66
2021 General $39,131 38
2020 General $5,456 17
2019 General $18,173 57

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Joshua Adams
  • Vascular Surgery median
  • Middle half of Vascular Surgery
  • National median

In program year 2025, general payments to Joshua Adams were reported at $5,587. Among 3,991 Vascular Surgery profiles paid that year, the median was $924 and the middle half received between $273 and $2,636.

Show as a table
Year Joshua Adams Vascular Surgery median Middle half National median
2019 $18,173 $796 $226–$2,363 $163
2020 $5,456 $348 $118–$1,110 $114
2021 $39,131 $471 $158–$1,421 $132
2022 $37,962 $725 $222–$2,183 $149
2023 $26,579 $836 $257–$2,440 $160
2024 $5,135 $909 $252–$2,619 $164
2025 $5,587 $924 $273–$2,636 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Bolton Medical Inc $82,404 85 payments
  2. Silk Road Medical, Inc. $16,073 26 payments
  3. Cook Medical LLC $9,848 50 payments
  4. Cook Incorporated $9,193 10 payments
  5. Integer Holdings Corporation $7,200 11 payments
  6. W. L. Gore & Associates, Inc. $4,903 38 payments
  7. Penumbra, Inc. $3,857 6 payments
  8. Medtronic Vascular, Inc. $1,185 10 payments
  9. CryoLife, Inc. $1,054 3 payments
  10. Medtronic, Inc. $827 11 payments
  11. Other $1,480 22 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Education $42,547 19 payments
  2. Consulting Fee $34,086 26 payments
  3. Food and Beverage $15,474 174 payments
  4. Travel and Lodging $15,077 33 payments
  5. Compensation for serving as faculty or as a speaker for a medical education program $15,000 10 payments
  6. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $11,840 7 payments
  7. Compensation for serving as faculty or as a speaker for a non-accredited and noncertified continuing education program $3,000 1 payment
  8. Honoraria $1,000 2 payments
Products named General payments · program years 2019–2025
  1. Relay Grafts $31,945 29 payments
  2. Grafts $29,305 25 payments
  3. ENROUTE Transcarotid Stent $15,974 23 payments
  4. ENROUTE Transcarotid Neuroprotection System $15,974 23 payments
  5. RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM $11,114 12 payments
  6. TREO ABDOMINAL STENT-GRAFT SYSTEM $6,569 12 payments
  7. ENHANCE Transcarotid Peripheral Access Kit $6,478 7 payments
  8. ENROUTE .014 Guidewire $6,478 7 payments
  9. Cook Medical Interventional Radiology $4,971 3 payments
  10. Cook Medical Zenith $4,308 5 payments
  11. Other $32,479 171 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Billing to Medicare

Part B · data year 2024 · 113 billing codes

Paid by Medicare

$185,127

Medicare's payments for the services billed

Medicare patients

2,073

Average age 75

Services billed

2,799

1,035 women, 1,038 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 54%
Ischemic heart disease 43%
Diabetes 41%
Chronic kidney disease 41%
Heart failure 38%
Atrial fibrillation 32%
Depression 30%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Records

272 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Vascular Surgery in Virginia

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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