Chandur Piryani, MD
Interventional Pain Medicine · Niagara, WINPI 1811969066
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,941 of the $2,553 with a category attached, or 76.0%. 13 manufacturers reported payments, led by Saluda Medical Americas, Inc. at 37.0% of the total. Reporting peaked in 2023 at $979 and has fallen 53.9% since, to $451 in 2025. That places this record below the midpoint for interventional pain medicine clinicians in WI, where the typical reported total is $2,684.
Across 51 payments — averaging $50.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Saluda Medical Americas, Inc.$946
- Medtronic$887
- Abbott$244
- Boston Scientific$166
- Gilead$96
- Vertex$59
- plus $154 from 7 others
What the payments were for
- Travel & lodging$61224%
- Food & beverage$1,94176%
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 |
|---|---|---|
| Saluda Medical Americas, Inc. | 4 | $946 |
| Medtronic(2 entities) | 30 | $887 |
| Abbott | 3 | $244 |
| Boston Scientific | 2 | $166 |
| Gilead | 1 | $96 |
| Vertex | 3 | $59 |
| Curonix LLC | 2 | $44 |
| Globus Medical | 1 | $34 |
| AbbVie | 1 | $18 |
| Spinal Simplicity, LLC | 1 | $17 |
| Foundation Fusion Solutions, LLC | 1 | $16 |
| Pacira Therapeutics, Inc. | 1 | $13 |
| Nalu Medical, Inc. | 1 | $12 |
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
$2,553 in reported general payments places this provider in the 45th percentile of 41 interventional pain medicine providers in Wisconsin.
See all interventional pain medicine providers in Wisconsin →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 189 | $4,134 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 149 | $2,741 |
| Lidocaine | 22 | $2,344 |
| Gabapentin | 109 | $1,830 |
| Morphine Sulfate ErMorphine Sulfate | 33 | $780 |
| Tizanidine Hcl | 134 | $546 |
| Morphine Sulfate | 20 | $345 |
| Tramadol Hcl | 43 | $255 |
| Methocarbamol | 41 | $241 |
| Oxycodone Hcl | 13 | $89 |
| Meloxicam | 24 | $37 |
| Naproxen | 13 | $5 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Niagara
- Vijay SinghNiagara$152
- Katherine LiaoNiagara$17
- Christopher HowsonGreen Bay$114K
- Matthew PileckiMount Pleasant$29K
- Christina MooreMilwaukee$26K
- Nileshkumar PatelGreenfield$25K
- Daniel BrunnerNeenah$24K
- Vishal Patelde Pere$23K
- Colin StairSummit$17K
- Timothy StaackeKenosha$13K
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.