David Napoliello
Surgery · Lewistown, MTNPI 1326049834
Payments from drug & device makers
What this record shows
This record is dominated by education: $6,500 of the $8,640 with a category attached, or 75.2%. Intuitive Surgical accounts for 88.9% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2020 at $6,371 and has fallen 97.3% since, to $172 in 2024.
Across 56 payments — averaging $154.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- TELA Bio, Inc.$202
- Sanara Medtech Inc.$150
- AbbVie$125
- Endogastric Solutions, Inc$106
- Davol Inc.$101
- plus $277 from 9 others
What the payments were for
- Travel & lodging$3354%
- Food & beverage$1,80521%
- Education$6,50075%
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 |
|---|---|---|
| Intuitive Surgical | 33 | $7,680 |
| TELA Bio, Inc. | 6 | $202 |
| Sanara Medtech Inc. | 1 | $150 |
| AbbVie | 1 | $125 |
| Endogastric Solutions, Inc | 1 | $106 |
| Davol Inc. | 2 | $101 |
| Johnson & Johnson | 3 | $74 |
| BD | 1 | $49 |
| Smith+Nephew | 2 | $48 |
| Baxter Healthcare | 1 | $30 |
| Covidien LP | 1 | $18 |
| KCI USA, Inc. | 1 | $17 |
| Triad Life Sciences Inc. | 1 | $14 |
| Innocoll Pharmaceuticals Limited | 1 | $14 |
| Teleflex LLC | 1 | $13 |
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.
- Da Vinci Surgical System$6,811
- CellerateRx$150
- STRATTICE$125
- OviTex 2S$107
- ESOPHYX$106
How this compares
$8,640 in reported general payments places this provider in the 65th percentile of 96 surgery providers in Montana.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $167 |
| Metoclopramide Hcl | 18 | $6 |
Paid to pharmacies, not to this prescriber.
Other surgery in Lewistown
- Garrett TaylorLewistown$715
- John MeansKalispell$72K
- Matthew SilvaMissoula$59K
- Michael WilcoxBillings$45K
- James CromieKalispell$35K
- Jacob OpferBozeman$29K
- Bret MurrayBillings$27K
- Ryan GunliksonWhitefish$26K
- Emily BubbersHelena$23K
- Katie DawsonButte$22K
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.