David Rustom, MD
Pain Medicine · Detroit, MINPI 1073877320
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,333 of the $6,404 with a category attached, or 83.3%. 14 manufacturers reported payments, led by Nalu Medical, Inc. at 30.6% of the total. Reporting peaked in 2024 at $2,161 and has fallen 55.3% since, to $967 in 2025.
Across 93 payments — averaging $68.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nalu Medical, Inc.$2K
- Medtronic$1K
- Nevro Corp.$528
- Abbott$480
- SPR Therapeutics, Inc$446
- Vertos Medical, Inc.$435
- plus $1K from 8 others
Across 1 payment — averaging $12,561 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- SPR Therapeutics, Inc$13K
What the payments were for
- Consulting fees$4006%
- Travel & lodging$67210%
- Food & beverage$5,33383%
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 |
|---|---|---|
| Nalu Medical, Inc. | 20 | $1,958 |
| Medtronic | 13 | $1,308 |
| Nevro Corp. | 10 | $528 |
| Abbott | 6 | $480 |
| SPR Therapeutics, Inc | 9 | $446 |
| Vertos Medical, Inc. | 7 | $435 |
| Boston Scientific | 5 | $409 |
| AbbVie(2 entities) | 8 | $250 |
| Globus Medical | 7 | $225 |
| Si-bone, Inc. | 4 | $183 |
| Stryker | 1 | $124 |
| Averitas Pharma Inc. | 1 | $30 |
| GRT US Holding, Inc. | 1 | $15 |
| Saluda Medical Americas, 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.
- Nalu Neurostimulation System$1,639
- INTELLIS ADAPTIVESTIM$898
- Senza$411
- SPRINT PNS System$361
- mild Device Kit$296
- WaveWriter Alpha Prime 16$269
- PROCLAIM$242
- INCEPTIV$140
- INTELLIS$140
- SPINEJACK$124
- UBRELVY$111
- GENERAL PAIN MANAGEMENT$109
- iFuse Implant$107
How this compares
$6,404 in reported general payments places this provider in the 75th percentile of 139 pain medicine providers in Michigan.
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 | 725 | $5,800 |
| Diclofenac Sodium | 140 | $5,645 |
| Lidocaine | 98 | $5,380 |
| Gabapentin | 564 | $4,015 |
| Pregabalin | 145 | $3,121 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 17 | $2,184 |
| Celecoxib | 29 | $1,687 |
| Tizanidine Hcl | 257 | $1,573 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 201 | $1,286 |
| Naloxone Hcl | 14 | $1,193 |
| Cyclobenzaprine Hcl | 156 | $1,000 |
| Duloxetine Hcl | 78 | $899 |
| Baclofen | 73 | $757 |
| Amitriptyline Hcl | 94 | $548 |
| Tramadol Hcl | 238 | $544 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Detroit
- Anmar DalatiDetroit$23K
- Daniel ZukowskiDetroit$21K
- David KimDetroit$8K
- Mahmoud SabbaghDetroit$6K
- Nabil SibaiDetroit$6K
- Michael WilsonDetroit$4K
- Harry SukumaranRochester Hills$304K
- Nasir KhatriFlint$133K
- Yijia ChuGrand Rapids$88K
- Mark MounayerSouthfield$85K
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.