Has Christian Gulde, MD received payments from drug or device companies?

Yes. Drug and device makers reported $26,308 in general payments to Christian Gulde, MD across 163 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Christian Gulde, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Christian Gulde, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Christian Gulde, MD

Interventional Pain Medicine · Bedford, TXNPI 1679035638

Payments from drug & device makers

What this record shows

The money is spread across several categories — grants (38.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Medtronic accounts for 64.7% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2023 at $12,285 and has fallen 79.9% since, to $2,466 in 2025.

$26,308in general payments, 2019–2025

Across 163 payments — averaging $161.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Medtronic$17K
Boston Scientific$3K
Spinal Simplicity, LLC$2K
Abbott$2K
Nalu Medical, Inc.$747
Nevro Corp.$452
plus $1K from 12 others

What the payments were for

Grants$10,00038%
Travel & lodging$8,48032%
Food & beverage$7,68129%
Education$1471%

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
Medtronic	63	$17,022
Boston Scientific	32	$2,999
Spinal Simplicity, LLC	8	$1,888
Abbott	22	$1,796
Nalu Medical, Inc.	12	$747
Nevro Corp.	7	$452
Foundation Fusion Solutions, LLC	2	$291
Saluda Medical Americas, Inc.	3	$265
SPR Therapeutics, Inc	2	$227
Avanos Medical	2	$160
Fisher & Paykel Healthcare Inc	1	$148
Vertos Medical, Inc.	1	$101
Siemens Medical Solutions USA, Inc.	2	$52
Stryker	2	$51
AbbVie	1	$50
Tersera Therapeutics LLC	1	$21
Relievant Medsystems, Inc.	1	$20
Curonix LLC	1	$19

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

$26,308 in reported general payments places this provider in the 85th percentile of 287 interventional pain medicine providers in Texas.

See all interventional pain medicine providers in Texas →

Medicare billing

Part B allowed, 2024

$40,888

Medicare patients

Services billed

319

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
OxycontinOxycodone Hcl	12	$10,910
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	44	$1,140
Morphine Sulfate ErMorphine Sulfate	11	$859
Gabapentin	35	$525
Oxycodone Hcl	35	$450
Baclofen	14	$440
Tramadol Hcl	26	$312
Buprenorphine Hcl	23	$301
Pregabalin	12	$300
Duloxetine Hcl	16	$221
Methocarbamol	20	$188
Meloxicam	50	$111

Paid to pharmacies, not to this prescriber.

Other interventional pain medicine in Bedford

Gabor RaczLubbock$3M
Pankaj MehtaKilleen$2.1M
Chad StephensSouthlake$1M
Ankur KhoslaShenandoah$277K
Brian RichDecatur$245K
Brian BruelHouston$219K
Bolkar SahinlerLubbock$188K
Timothy RatinoFort Worth$139K
Genaro GutierrezAustin$125K
Thomas WhiteShenandoah$118K

See the full list for Texas →

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.

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