Ashik Shrestha, DO
Vascular Neurology · Jacksonville, FLNPI 1265811152
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.7% of the total across 13 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 11 manufacturers, the largest accounting for just 15.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $929 and has fallen 65.3% since, to $322 in 2024. That places this record below the midpoint for vascular neurology clinicians in FL, where the typical reported total is $1,787.
Across 13 payments — averaging $105.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$216
- Sanofi$147
- Sarepta Therapeutics, Inc.$125
- Eisai Inc.$123
- AbbVie$120
- Corium, LLC$119
- plus $526 from 5 others
What the payments were for
- Food & beverage$1,27693%
- Education$1007%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 2 | $216 |
| Sanofi | 1 | $147 |
| Sarepta Therapeutics, Inc. | 1 | $125 |
| Eisai Inc. | 1 | $123 |
| AbbVie | 1 | $120 |
| Corium, LLC | 1 | $119 |
| Jazz Pharmaceuticals Inc. | 1 | $115 |
| Idorsia Pharmaceuticals US Inc | 1 | $115 |
| Lundbeck LLC | 1 | $113 |
| AstraZeneca | 2 | $100 |
| SK Life Science, Inc. | 1 | $83 |
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.
How this compares
$1,376 in reported general payments places this provider in the 35th percentile of 40 vascular neurology providers in Florida.
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.
Other vascular neurology in Jacksonville
- Amin AghaebrahimJacksonville$36K
- Dania QaryoutiJacksonville$6K
- Adil ZiaJacksonville$2K
- Scott DellorsoJacksonville$2K
- Roberta SantosJacksonville$1K
- Caitlin D'souzaJacksonville$236
- Benjamin AlwoodJacksonville$185
- Maxim MokinTampa$137K
- Robert MannelJacksonville Beach$92K
- Alexander SenetarSarasota$42K
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.