David Gutierrez, MD
Pain Medicine · New Haven, CTNPI 1760828172
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.0%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. SPR Therapeutics, Inc accounts for 83.6% of it on its own, with 18 other manufacturers making up the rest. 2025 is the largest year on record at $75,842, more than ten times the $1,333 reported in 2020. Among pain medicine clinicians in CT with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 407 payments — averaging $371.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- SPR Therapeutics, Inc$127K
- Boston Scientific$20K
- Relievant Medsystems, Inc.$2K
- Saluda Medical Americas, Inc.$1K
- Medtronic$294
- Nalu Medical, Inc.$187
- plus $956 from 13 others
What the payments were for
- Consulting fees$74,08949%
- Speaking & faculty fees$13,7009%
- Travel & lodging$51,01834%
- Food & beverage$12,5278%
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 |
|---|---|---|
| SPR Therapeutics, Inc | 242 | $126,570 |
| Boston Scientific | 99 | $20,042 |
| Relievant Medsystems, Inc. | 12 | $1,828 |
| Saluda Medical Americas, Inc. | 22 | $1,457 |
| Medtronic | 5 | $294 |
| Nalu Medical, Inc. | 2 | $187 |
| Bioventus LLC | 2 | $137 |
| AbbVie | 1 | $118 |
| Vertex | 1 | $116 |
| Axogen | 1 | $110 |
| Averitas Pharma Inc. | 4 | $108 |
| Merck | 6 | $97 |
| Biotronik NRO, Inc. | 3 | $68 |
| Abbott | 1 | $66 |
| Vertos Medical, Inc. | 2 | $48 |
| Antares Pharma, Inc. | 1 | $25 |
| Urovant Sciences Inc | 1 | $25 |
| Nevro Corp. | 1 | $21 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
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.
- SPRINT PNS System$123,762
- Intracept$20,257
- GENERAL PAIN MANAGEMENT$983
- SPECTRA WAVEWRITER$811
- Evoke SCS$538
- Evoke$517
- WaveWriter Alpha Prime 16$350
- INTELLIS ADAPTIVESTIM$141
- VRAYLAR$118
- JOURNAVX$116
- GENERAL - THERAPIES$111
- AVANCE NERVE GRAFT$110
- Nalu Neurostimulation System$109
How this compares
$151,334 in reported general payments places this provider in the 95th percentile of 69 pain medicine providers in Connecticut.
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 |
|---|---|---|
| Xtampza ErOxycodone Myristate | 16 | $15,915 |
| Pregabalin | 57 | $1,668 |
| Morphine Sulfate ErMorphine Sulfate | 12 | $1,369 |
| Lidocaine | 13 | $838 |
| Gabapentin | 61 | $827 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 78 | $666 |
| Baclofen | 44 | $631 |
| Morphine Sulfate | 22 | $601 |
| Tizanidine Hcl | 39 | $516 |
| Methocarbamol | 21 | $506 |
| Oxycodone Hcl | 32 | $387 |
| Tramadol Hcl | 75 | $309 |
| Diclofenac Sodium | 14 | $292 |
| Cyclobenzaprine Hcl | 12 | $214 |
| Methylprednisolone | 22 | $135 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in New Haven
- Yili HuangNew Haven$18K
- Daniel HaddadNew Haven$10K
- Robert ChowNew Haven$5K
- Clarisse Melinda San JuanNew Haven$4K
- Kanishka RajputNew Haven$1K
- Ruchi SharmaNew Haven$890
- Lloyd SaberskiNew Haven$700
- Donna Ann ThomasNew Haven$524
- Colin Beals-ReidNew Haven$193
- Sandeep JoharWaterbury$329K
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.