Christopher Annis, MD
Interventional Pain Medicine · Elkhart, INNPI 1376760827
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 91 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Medtronic at 56.6% of the total. 2025 is the largest year on record at $1,518, 3.3 times the $454 reported in 2019. That places this record below the midpoint for interventional pain medicine clinicians in IN, where the typical reported total is $4,157.
Across 91 payments — averaging $45.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Abbott$565
- Globus Medical$479
- Nevro Corp.$258
- Inspire Medical Systems, Inc.$164
- Portola Pharmaceuticals, LLC$138
- plus $203 from 4 others
What the payments were for
- Food & beverage$4,157100%
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 |
|---|---|---|
| Medtronic(2 entities) | 57 | $2,351 |
| Abbott | 9 | $565 |
| Globus Medical | 7 | $479 |
| Nevro Corp. | 9 | $258 |
| Inspire Medical Systems, Inc. | 4 | $164 |
| Portola Pharmaceuticals, LLC | 1 | $138 |
| Pacira Therapeutics, Inc. | 1 | $106 |
| Stryker | 1 | $67 |
| Boston Scientific | 1 | $15 |
| Vertos Medical, Inc. | 1 | $14 |
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.
- INTELLIS ADAPTIVESTIM$755
- Senza$325
- ELEVATE SPINAL SYSTEM$173
- SYNCHROMEDII$138
- ANDEXXA$138
- Zilretta$106
- Senza Spinal Cord Stimulation System$102
How this compares
$4,157 in reported general payments places this provider in the 50th percentile of 68 interventional pain medicine providers in Indiana.
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 | 522 | $12,449 |
| NucyntaTapentadol Hcl | 11 | $7,503 |
| Gabapentin | 490 | $5,983 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 264 | $5,846 |
| Pregabalin | 177 | $3,847 |
| Xtampza ErOxycodone Myristate | 15 | $3,559 |
| Tramadol Hcl | 353 | $3,180 |
| Celecoxib | 73 | $2,278 |
| Duloxetine Hcl | 147 | $2,096 |
| Lidocaine | 20 | $1,914 |
| Methocarbamol | 147 | $1,397 |
| Diclofenac Sodium | 85 | $1,136 |
| Tizanidine Hcl | 109 | $956 |
| Morphine Sulfate ErMorphine Sulfate | 39 | $937 |
| Fentanyl | 14 | $925 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Elkhart
- Orlando LandrumElkhart$34K
- Jonathan SchrockElkhart$6K
- Joshua WellingtonCarmel$315K
- Joseph RutledgeLafayette$96K
- Mahendra SanapatiEvansville$31K
- Nikhil ShettyMunster$29K
- David GordonIndianapolis$28K
- Vinayak BelamkarIndianapolis$28K
- Jocelyn BushIndianapolis$20K
- Scott KimGreenwood$18K
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.