David Palma, MD
Physical Medicine & Rehabilitation · North Andover, MANPI 1083875462
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,828 of the $3,356 with a category attached, or 84.2%. 22 manufacturers reported payments, led by Abbott at 37.7% of the total. Reporting peaked in 2022 at $1,212 and has fallen 64.4% since, to $432 in 2025. Among physical medicine & rehabilitation 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 119 payments — averaging $28.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$1K
- Bioventus LLC$458
- Medtronic$331
- Valinor Pharma, LLC$167
- Vertex$155
- Boston Scientific$154
- plus $826 from 16 others
What the payments were for
- Travel & lodging$51515%
- Food & beverage$2,82884%
- Education$140%
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 |
|---|---|---|
| Abbott | 43 | $1,266 |
| Bioventus LLC | 6 | $458 |
| Medtronic(2 entities) | 14 | $331 |
| Valinor Pharma, LLC | 11 | $167 |
| Vertex | 7 | $155 |
| Boston Scientific | 6 | $154 |
| Endo Pharmaceuticals Inc. | 6 | $140 |
| Nalu Medical, Inc. | 3 | $135 |
| Painteq LLC | 4 | $98 |
| Relievant Medsystems, Inc. | 3 | $72 |
| Endo USA, Inc. | 3 | $65 |
| Johnson & Johnson(2 entities) | 2 | $49 |
| ANI Pharmaceuticals, Inc. | 2 | $43 |
| Hydrocision, Inc. | 1 | $40 |
| UCB, Inc. | 1 | $33 |
| Pacira Therapeutics, Inc. | 1 | $32 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Baudax Bio Inc. | 1 | $23 |
| Averitas Pharma Inc. | 1 | $23 |
| Smith+Nephew | 1 | $20 |
| Vertos Medical, Inc. | 1 | $17 |
| Convatec 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.
How this compares
$3,356 in reported general payments places this provider in the 90th percentile of 244 physical medicine & rehabilitation providers in Massachusetts.
See all physical medicine & rehabilitation 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 | 445 | $10,076 |
| Xtampza ErOxycodone Myristate | 12 | $4,480 |
| Oxycodone Hcl | 289 | $4,328 |
| Tizanidine Hcl | 508 | $4,175 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 238 | $3,048 |
| Lidocaine | 21 | $3,002 |
| Pregabalin | 159 | $2,846 |
| Tramadol Hcl | 353 | $2,529 |
| Cyclobenzaprine Hcl | 121 | $1,947 |
| Naproxen | 174 | $1,286 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 75 | $1,237 |
| Morphine Sulfate ErMorphine Sulfate | 41 | $722 |
| Baclofen | 87 | $615 |
| Ibuprofen | 34 | $369 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 21 | $335 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in North Andover
- Scott DowdNorth Andover$1K
- Zachary BohartBurlington$633K
- Sabrina PaganoniCharlestown$80K
- Walter SussmanWellesley$50K
- Stephen KoelbelWeymouth$24K
- Moorice CaparoCharlestown$18K
- Didem InanogluBoston$13K
- Andrew DuarteWorcester$8K
- Jenna MeriggiHaverhill$6K
- Jerry Chi Chuan FangBrockton$5K
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.