TODD W GIENAPP

Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease VANCOUVER, WA NPI 1689764086

General Payments — all program years on this page

$5,335.70

  • Category: General Payments
  • Program years: PY2018–2022
  • Record count: 17
  • As of (CMS publication): 2026-01-23

Latest program year (PY2022): $4,801.95 across 9 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2022) · sorted by reported total.

Nature of paymentAmountRecords
Education $3,000.001
Travel and Lodging $1,671.846
Food and Beverage $130.112

By paying entity

Latest program year (PY2022) · sorted by reported total.

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $4,801.959

By program year

Program yearAmountRecords
2018 $38.001
2019 $23.331
2020 $19.221
2021 $453.205
2022 $4,801.959

Records — PY2022 (9)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
960499915 Intuitive Surgical, Inc. $445.30 05/25/2022 Travel and Lodging Undisputed 01/23/2026 View at CMS
960499917 Intuitive Surgical, Inc. $374.10 06/13/2022 Travel and Lodging Undisputed 01/23/2026 View at CMS
960499919 Intuitive Surgical, Inc. $219.08 06/17/2022 Travel and Lodging Undisputed 01/23/2026 View at CMS
960579633 Intuitive Surgical, Inc. $16.00 08/24/2022 Food and Beverage Undisputed 01/23/2026 View at CMS
960584129 Intuitive Surgical, Inc. $114.11 10/25/2022 Food and Beverage Undisputed 01/23/2026 View at CMS
960633329 Intuitive Surgical, Inc. $3,000.00 08/31/2022 Education Undisputed 01/23/2026 View at CMS
960633331 Intuitive Surgical, Inc. $19.00 07/13/2022 Travel and Lodging Undisputed 01/23/2026 View at CMS
960633333 Intuitive Surgical, Inc. $286.89 07/13/2022 Travel and Lodging Undisputed 01/23/2026 View at CMS
960633335 Intuitive Surgical, Inc. $327.47 08/24/2022 Travel and Lodging Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2022_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.