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Dr. Todd R. Vogel, MD

(Todd Vogel, MD)

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Specializes in: Vascular Surgery and General Practice

New York Medical College

Professional interests include: vascular malformations, dialysis, atherosclerosis, and more.

1 Hospital Drive
Columbia, MO

(573) 882-4141

Dr. Todd R. Vogel, MD is a vascular surgeon in Columbia, MO specializing in vascular surgery and general practice. He graduated from New York Medical College. Dr. Todd R. Vogel, MD is affiliated with U.S. Department of Veterans Affairs, University Hospital, University of Missouri Health Care and THE CURATORS OF THE UNIVERSITY OF MISSOURI.

Office Locations

1 Hospital Drive
Columbia, MO 65212

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University of Missouri Health Care

1 Hospital Drive
Columbia, MO

(573) 882-4141

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University of Missouri Health Care

1125 Madison Street
Jefferson City, MO

(573) 632-5000

(573) 632-5880

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4801 Linwood Boulevard Kansas City Vamc (589)
Kansas City, MO 64128

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Some issues Dr. Todd R. Vogel, MD can help you with:

Angioplasty

Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.

Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:

Peripheral arterial disease, which reduces blood flow in the arms or legs
Atherosclerosis, or general hardening of the arteries
Carotid artery stenosis, or narrowing of the arteries in the neck that supply the brain
Coronary artery disease, or narrowing of the arteries near the heart
Renal vascular hypertension, or narrowing of the arteries in the kidney, leading to increased blood pressure

During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.

There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

In The News

"https://www.muhealth.org/our-stories/broken-limbs-unbroken-spirit-tinas-story-survival", University of Missouri Health Care

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2012 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	185
hospital care	64
inpatient care	64
vascular procedures	32

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2013 were hospital care, inpatient care, vascular procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	386
endarterectomy	13
hospital care	154
inpatient care	154
minimally invasive procedures	24
neck surgery	13
stent placement (stenting)	12
ultrasound (sonogram)	11
vascular procedures	107

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	177
Female	124

**Ethnicity**
Non-Hispanic White	266
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	133
From 75 to 84	65
85 and over	20
Less than 65	83

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2013

Hypertension	75
High Cholesterol	62
Stroke	11
Ischemic Heart Disease	62
Depression	36
Chronic Kidney Disease	43
Asthma	12
Osteoperosis	7
Atrial Fibrilation	15
Heart Failure	41
Chronic Obstructive Pulmonary Disease	37
Diabetes	53
Dementia	13
Cancer	11

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2014 were hospital care, inpatient care, vascular procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	464
hospital care	89
inpatient care	89
minimally invasive procedures	12
stent placement (stenting)	12
vascular procedures	69

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	173
Female	164

**Ethnicity**
Non-Hispanic White	304
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	148
From 75 to 84	77
85 and over	26
Less than 65	86

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2014

Hypertension	75
High Cholesterol	58
Stroke	9
Ischemic Heart Disease	57
Depression	36
Chronic Kidney Disease	42
Asthma	9
Osteoperosis	9
Atrial Fibrilation	14
Heart Failure	34
Chronic Obstructive Pulmonary Disease	34
Diabetes	45
Dementia	13
Cancer	8

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2015 were vascular procedures, hospital care, inpatient care and minimally invasive procedures.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	556
endarterectomy	12
hospital care	132
inpatient care	132
minimally invasive procedures	28
neck surgery	12
stent placement (stenting)	28
ultrasound (sonogram)	12
vascular procedures	162

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	430
Female	340

**Ethnicity**
Non-Hispanic White	698
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	336
From 75 to 84	178
85 and over	84
Less than 65	172

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2015

Hypertension	75
High Cholesterol	67
Stroke	9
Ischemic Heart Disease	60
Depression	35
Chronic Kidney Disease	44
Asthma	21
Osteoperosis	6
Atrial Fibrilation	15
Heart Failure	36
Chronic Obstructive Pulmonary Disease	34
Diabetes	43
Dementia	12
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2016 were vascular procedures, hospital care, inpatient care and minimally invasive procedures.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	566
hospital care	58
inpatient care	58
minimally invasive procedures	24
stent placement (stenting)	24
vascular procedures	125

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	231
Female	170

**Ethnicity**
Non-Hispanic White	358
Black	31
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	174
From 75 to 84	109
85 and over	26
Less than 65	92

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2016

Hypertension	75
High Cholesterol	64
Stroke	10
Ischemic Heart Disease	56
Depression	32
Chronic Kidney Disease	47
Asthma	33
Osteoperosis	4
Atrial Fibrilation	13
Heart Failure	31
Chronic Obstructive Pulmonary Disease	35
Diabetes	41
Dementia	13
Cancer	10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2017 were vascular procedures, hospital care, inpatient care and angioplasty.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

angioplasty	13
doctor visit	511
hospital care	47
inpatient care	47
minimally invasive procedures	13
vascular procedures	70

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	204
Female	168

**Ethnicity**
Non-Hispanic White	341
Black	20
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	156
From 75 to 84	105
85 and over	29
Less than 65	82

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2017

Hypertension	75
High Cholesterol	63
Stroke	7
Ischemic Heart Disease	62
Depression	32
Chronic Kidney Disease	55
Asthma	6
Osteoperosis	6
Atrial Fibrilation	12
Heart Failure	33
Chronic Obstructive Pulmonary Disease	33
Diabetes	49
Dementia	11
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2018 were vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	418
hospital care	12
inpatient care	12
vascular procedures	76

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	182
Female	131

**Ethnicity**
Non-Hispanic White	295
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	134
From 75 to 84	84
85 and over	35
Less than 65	60

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2018

Hypertension	75
High Cholesterol	69
Stroke	9
Ischemic Heart Disease	55
Depression	31
Chronic Kidney Disease	53
Asthma	0
Osteoperosis	7
Atrial Fibrilation	14
Heart Failure	30
Chronic Obstructive Pulmonary Disease	26
Diabetes	46
Dementia	11
Cancer	12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2019 were vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	358
hospital care	18
inpatient care	18
vascular procedures	55

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	170
Female	118

**Ethnicity**
Non-Hispanic White	276
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	120
From 75 to 84	90
85 and over	29
Less than 65	49

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2019

Hypertension	75
High Cholesterol	68
Stroke	6
Ischemic Heart Disease	60
Depression	30
Chronic Kidney Disease	51
Asthma	0
Osteoperosis	9
Atrial Fibrilation	12
Heart Failure	32
Chronic Obstructive Pulmonary Disease	32
Diabetes	44
Dementia	14
Cancer	13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2020 were vascular procedures, hospital care, inpatient care and minimally invasive procedures.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	228
hospital care	45
inpatient care	45
minimally invasive procedures	13
stent placement (stenting)	13
vascular procedures	60

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	136
Female	109

**Ethnicity**
Non-Hispanic White	227
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	99
From 75 to 84	76
85 and over	25
Less than 65	45

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2020

Hypertension	75
High Cholesterol	68
Stroke	10
Ischemic Heart Disease	67
Depression	28
Chronic Kidney Disease	55
Asthma	0
Osteoperosis	7
Atrial Fibrilation	17
Heart Failure	38
Chronic Obstructive Pulmonary Disease	36
Diabetes	45
Dementia	16
Cancer	14

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2021 were vascular procedures, hospital care, inpatient care and minimally invasive procedures.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	233
hospital care	50
inpatient care	50
minimally invasive procedures	13
stent placement (stenting)	13
vascular procedures	57

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	150
Female	101

**Ethnicity**
Non-Hispanic White	232
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	94
From 75 to 84	76
85 and over	28
Less than 65	53

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2021

Hypertension	75
High Cholesterol	65
Stroke	11
Ischemic Heart Disease	60
Depression	27
Chronic Kidney Disease	53
Asthma	6
Osteoperosis	7
Atrial Fibrilation	14
Heart Failure	35
Chronic Obstructive Pulmonary Disease	34
Diabetes	43
Dementia	14
Cancer	11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO during 2022 were vascular procedures, hospital care, inpatient care and minimally invasive procedures.

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

doctor visit	245
hospital care	30
inpatient care	30
minimally invasive procedures	12
stent placement (stenting)	12
vascular procedures	52

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	136
Female	87

**Ethnicity**
Non-Hispanic White	208
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	80
From 75 to 84	73
85 and over	26
Less than 65	44

Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	17
Ischemic Heart Disease	51
Depression	21
Chronic Kidney Disease	36
Asthma	7
Osteoperosis	10
Atrial Fibrilation	25
Heart Failure	28
Chronic Obstructive Pulmonary Disease	32
Diabetes	42
Dementia	13
Cancer	17

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Todd R. Vogel, MD for Medicare patients.

The highest averages for the top procedures that Dr. Todd R. Vogel, MD treated as a vascular surgeon in Columbia, MO were vascular procedures, hospital care, inpatient care and minimally invasive procedures.

angioplasty	13
doctor visit	377
endarterectomy	12
hospital care	63
inpatient care	63
minimally invasive procedures	17
neck surgery	12
stent placement (stenting)	16
ultrasound (sonogram)	11
vascular procedures	78

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Todd R. Vogel, MD.

**Gender**
Male	180
Female	137

**Ethnicity**
Black / African American	4
Asian / Pacific Islander	0
Non-Hispanic White	291
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	84
85 and over	29
Less than 65	69
65 to 74	134

Average of Total of Conditions of Medicare patients treated by Dr. Todd R. Vogel, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Todd R. Vogel, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	68
High Cholesterol	59
Stroke	9
Ischemic Heart Disease	53
Depression	28
Chronic Kidney Disease	43
Asthma	8
Osteoporosis	6
Heart Failure	30
Chronic Obstructive Pulmonary Disease	30
Diabetes	41
Atrial Fibrillation	13
Dementia	11
Cancer	10

Education & Training

Dr. Todd R. Vogel, MD graduated from New York Medical College. He completed residency at UMDNJ-Robert Wood Johnson Medical School Affiliated Hospitals. He is certified by the American Board of Surgery and has a state license in Missouri.

Medical School: New York Medical College

Residency: UMDNJ-Robert Wood Johnson Medical School Affiliated Hospitals

Board Certification: American Board of Surgery

Licensed In: Missouri

Affiliations & Hospitals

Dr. Todd R. Vogel, MD is associated with these hospitals and organizations:

U.S. Department of Veterans Affairs

University Hospital

University of Missouri Health Care

THE CURATORS OF THE UNIVERSITY OF MISSOURI

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General Payments

These charts describe general payments received by Dr. Todd R. Vogel, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Endologix LLC	$28,391 AFX2 Bifurcated Endograft System $12,419	Alto Abdominal Stent Graft System $9,115	Ovation iX Iliac Stent Graft $349	Torus Stent Graft System $88	ENDOCROSS Device $50	Other $6,371
Medtronic Vascular, Inc.	$11,294 Catheters $5,225	IN.PACT Admiral $2,522	Aortic Stent Grafts $1,581	Endurant $1,492	Aptus Heli-FX $300	Other $174
Avinger Inc.	$4,657 Vascular Disease $1,032	PANTHERIS $400	$3,226
Endologix, Inc.	$3,486 OVATION $2,101	AFX $1,238	$146
Medtronic, Inc.	$2,129 ENDURANT IIS $1,148	Endurant $577	HawkOne $113	Valiant Captivia $110	NA $62	Other $119
Other	$8,759 AI - AAA $779	OVATION $727	AFX $663	Aortic Intervention $643	Supera peripheral stent system $506	Other $5,442

**Types of Payments**
Food and Beverage	$22,607
Consulting Fee	$21,950
Travel and Lodging	$9,116
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$5,000
Entertainment	$43

Research Payments

Dr. Todd R. Vogel, MD has received 25 research payments totaling $72,561.

Biography

Dr. Todd Vogel works as a general practice and vascular surgery. Areas of expertise for Dr. Vogel include peripheral artery disease (PAD), aortic aneurysm, and atherosclerosis. He is professionally affiliated with the University of Missouri Health Care, the University Hospital, and U.S. Department of Veterans Affairs. Dr. Vogel obtained his medical school training at New York Medical College and performed his residency at Vanderbilt University Medical Center and a hospital affiliated with UMDNJ-Robert Wood Johnson Medical School. He has received the following distinctions: Distinguished Fellow 2015, Society for Vascular Surgery for substantial contributions; research, service, or education; and Best Doctors.