Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

LAMIERE J DOWNING

Allopathic & Osteopathic Physicians Surgery

NPI
1699750976
CMS profile
76415
Location
CHRISTIANSBURG, VA

General Payments · PY2018–2024

$55,415.65

  • Reported across 54 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$41,074.79

32 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Silk Road Medical, Inc. $41,074.79 32

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $68.88 2
PY2019 $1,174.83 8
PY2023 $13,097.15 12
PY2024 $41,074.79 32

Payment records · PY2024 (32)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Silk Road Medical, Inc. $1,048.20 04/17/2024 Travel and Lodging Undisputed 01/23/2026 1082271380 CMS
Silk Road Medical, Inc. $298.75 04/17/2024 Travel and Lodging Undisputed 01/23/2026 1082271382 CMS
Silk Road Medical, Inc. $229.25 04/17/2024 Travel and Lodging Undisputed 01/23/2026 1082271384 CMS
Silk Road Medical, Inc. $1,925.00 04/25/2024 Compensation for serving as faculty or as a speaker for a medical education program Undisputed 01/23/2026 1082271478 CMS
Silk Road Medical, Inc. $64.21 04/28/2024 Food and Beverage Undisputed 01/23/2026 1082271464 CMS
Silk Road Medical, Inc. $22.89 04/29/2024 Food and Beverage Undisputed 01/23/2026 1082271466 CMS
Silk Road Medical, Inc. $5,250.00 05/09/2024 Consulting Fee Undisputed 01/23/2026 1082271352 CMS
Silk Road Medical, Inc. $1,096.20 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1082271386 CMS
Silk Road Medical, Inc. $288.25 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1082271388 CMS
Silk Road Medical, Inc. $154.50 05/16/2024 Food and Beverage Undisputed 01/23/2026 1082271390 CMS
Silk Road Medical, Inc. $373.32 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1082271392 CMS
Silk Road Medical, Inc. $184.70 05/17/2024 Food and Beverage Undisputed 01/23/2026 1082271394 CMS
Silk Road Medical, Inc. $173.99 07/14/2024 Travel and Lodging Undisputed 01/23/2026 1082271396 CMS
Silk Road Medical, Inc. $158.12 07/26/2024 Travel and Lodging Undisputed 01/23/2026 1082271358 CMS
Silk Road Medical, Inc. $5,250.00 07/26/2024 Compensation for serving as faculty or as a speaker for a medical education program Undisputed 01/23/2026 1082271482 CMS
Silk Road Medical, Inc. $149.58 09/11/2024 Travel and Lodging Undisputed 01/23/2026 1082271362 CMS
Silk Road Medical, Inc. $237.18 09/11/2024 Travel and Lodging Undisputed 01/23/2026 1082271364 CMS
Silk Road Medical, Inc. $3,500.00 09/11/2024 Compensation for serving as faculty or as a speaker for a medical education program Undisputed 01/23/2026 1082271484 CMS
Silk Road Medical, Inc. $1,904.20 09/19/2024 Travel and Lodging Undisputed 01/23/2026 1082271398 CMS
Silk Road Medical, Inc. $5,250.00 09/20/2024 Compensation for serving as faculty or as a speaker for a medical education program Undisputed 01/23/2026 1082271486 CMS
Silk Road Medical, Inc. $591.53 09/26/2024 Travel and Lodging Undisputed 01/23/2026 1082271400 CMS
Silk Road Medical, Inc. $309.08 09/26/2024 Travel and Lodging Undisputed 01/23/2026 1082271402 CMS
Silk Road Medical, Inc. $154.77 09/26/2024 Travel and Lodging Undisputed 01/23/2026 1082271404 CMS
Silk Road Medical, Inc. $5,250.00 10/03/2024 Compensation for serving as faculty or as a speaker for a medical education program Undisputed 01/23/2026 1082271488 CMS
Silk Road Medical, Inc. $49.58 10/10/2024 Travel and Lodging Undisputed 01/23/2026 1082271366 CMS
Silk Road Medical, Inc. $2,100.00 10/10/2024 Compensation for serving as faculty or as a speaker for a medical education program Undisputed 01/23/2026 1082271490 CMS
Silk Road Medical, Inc. $129.38 10/16/2024 Food and Beverage Undisputed 01/23/2026 1082271406 CMS
Silk Road Medical, Inc. $197.95 12/08/2024 Travel and Lodging Undisputed 01/23/2026 1082271368 CMS
Silk Road Medical, Inc. $789.95 12/08/2024 Travel and Lodging Undisputed 01/23/2026 1082271408 CMS
Silk Road Medical, Inc. $243.68 12/08/2024 Travel and Lodging Undisputed 01/23/2026 1082271410 CMS
Silk Road Medical, Inc. $200.53 12/09/2024 Food and Beverage Undisputed 01/23/2026 1082271412 CMS
Silk Road Medical, Inc. $3,500.00 12/20/2024 Compensation for serving as faculty or as a speaker for a medical education program Undisputed 01/23/2026 1082271492 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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