Alexander Chamessian, MD
Physical Medicine & Rehabilitation · Creve Coeur, MONPI 1275194839
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (29.3%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Boston Scientific at 26.0% of the total. 2025 is the largest year on record at $34,348, more than ten times the $154 reported in 2021. Among physical medicine & rehabilitation clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 84 payments — averaging $650.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$14K
- Promega Corporation$12K
- Pacira Pharmaceuticals Incorporated$10K
- SPR Therapeutics, Inc$9K
- Medtronic$6K
- Abbott$3K
- plus $511 from 5 others
Across 3 payments — averaging $18,881 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Vertex$57K
What the payments were for
- Consulting fees$9,50017%
- Grants$16,00029%
- Travel & lodging$5,79011%
- Food & beverage$14,83027%
- Charitable contribution$8,50016%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Boston Scientific | 23 | $14,227 |
| Promega Corporation | 2 | $11,565 |
| Pacira Pharmaceuticals Incorporated | 14 | $10,483 |
| SPR Therapeutics, Inc | 6 | $8,910 |
| Medtronic | 28 | $6,336 |
| Abbott | 4 | $2,587 |
| Nalu Medical, Inc. | 2 | $175 |
| Nevro Corp. | 1 | $145 |
| Saluda Medical Americas, Inc. | 1 | $90 |
| Averitas Pharma Inc. | 2 | $69 |
| Vertex | 1 | $32 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- EXPAREL$10,019
- WaveWriter Alpha Prime 16$10,000
- SPRINT PNS System$8,758
- SYNCHROMEDII$3,750
- GENERAL - THERAPIES$1,991
- INTELLIS ADAPTIVESTIM$1,914
- PROCLAIM$267
- GENERAL PAIN MANAGEMENT$149
- Nalu Neurostimulation System$149
- Senza$145
- INCEPTIV$116
- Intracept$106
How this compares
$54,620 in reported general payments places this provider in the 95th percentile of 182 physical medicine & rehabilitation providers in Missouri.
See all physical medicine & rehabilitation providers in Missouri →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 143 | $2,535 |
| Baclofen | 55 | $1,461 |
| Duloxetine Hcl | 51 | $1,158 |
| Topiramate | 17 | $1,152 |
| Tizanidine Hcl | 51 | $944 |
| Celecoxib | 35 | $611 |
| Methocarbamol | 35 | $438 |
| Nortriptyline Hcl | 19 | $305 |
| Ibuprofen | 11 | $297 |
| Lamotrigine | 12 | $208 |
| Cyclobenzaprine Hcl | 15 | $172 |
| Meloxicam | 16 | $9 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Creve Coeur
- Lizette AlvarezSaint Louis$182K
- Heidi HunterCape Girardeau$150K
- Constantine FotopoulosKansas City$91K
- Joseph BurrisColumbia$75K
- Jane EmersonColumbia$44K
- Reza FaridColumbia$37K
- Nathan KenyonJefferson City$24K
- Kunj PatelSaint Louis$17K
- Vovanti JonesColumbia$9K
- Tulsi PandatSaint Louis$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.