David Garas, MD
Pain Medicine · Natick, MANPI 1699202655
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $13,175 of the $20,963 with a category attached, or 62.8%. 15 manufacturers reported payments, led by Boston Scientific at 46.6% of the total. Among pain medicine clinicians in MA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 244 payments — averaging $85.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$10K
- Medtronic$6K
- Abbott$3K
- Relievant Medsystems, Inc.$659
- SPR Therapeutics, Inc$322
- Nevro Corp.$270
- plus $850 from 9 others
What the payments were for
- Travel & lodging$7,78837%
- Food & beverage$13,17563%
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 |
|---|---|---|
| Boston Scientific | 104 | $9,776 |
| Medtronic | 61 | $5,851 |
| Abbott | 43 | $3,236 |
| Relievant Medsystems, Inc. | 8 | $659 |
| SPR Therapeutics, Inc | 3 | $322 |
| Nevro Corp. | 6 | $270 |
| Vertos Medical, Inc. | 3 | $192 |
| Fidia Pharma USA Inc. | 4 | $175 |
| MML US, Inc. | 3 | $159 |
| Painteq LLC | 3 | $144 |
| Saluda Medical Americas, Inc. | 2 | $85 |
| Nalu Medical, Inc. | 1 | $42 |
| Curonix LLC | 1 | $20 |
| AbbVie | 1 | $18 |
| Stryker | 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.
- VANTA ADAPTIVESTIM$2,198
- Intracept$1,782
- Superion Indirect Decompression System$1,390
- Proclaim IPG$1,258
- WaveWriter Alpha Prime 16$1,134
- INTELLIS ADAPTIVESTIM$1,098
- GENERAL - THERAPIES$885
- WAVEWRITER ALPHA$726
- SYNCHROMEDII$720
- PROCLAIM$449
- GENERAL PAIN MANAGEMENT$273
- SPRINT PNS System$264
- RESTORE$219
- ETERNA$178
- mild Device Kit$159
- Omnia$134
- INTELLIS$133
- OCTRODE$121
- PAINTEQ$102
How this compares
$20,963 in reported general payments places this provider in the 90th percentile of 137 pain medicine providers in Massachusetts.
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 | 80 | $1,405 |
| Oxycodone Hcl | 59 | $705 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 12 | $260 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $234 |
| Hydromorphone Hcl | 27 | $221 |
| Baclofen | 14 | $181 |
| Tramadol Hcl | 44 | $141 |
| Meloxicam | 21 | $85 |
| Diazepam | 13 | $8 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Natick
- Hariharan SundramNewton$1.7M
- Thomas SimopoulosBoston$181K
- Ivan UritsWareham$70K
- Antje BarreveldNewton$64K
- Arti OriBoston$62K
- Christine SangBoston$56K
- Ali EbrahimiBurlington$41K
- Alexandra AdlerLowell$35K
- Eduard VaynbergBoston$32K
- Daniel VardehEast Sandwich$20K
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.