David Syn, MD
General Surgery · Lubbock, TXNPI 1487730511
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,656 of the $7,883 with a category attached, or 71.7%. 12 manufacturers reported payments, led by Stryker at 38.9% of the total. Reporting peaked in 2024 at $2,066 and has fallen 75.4% since, to $508 in 2025.
Across 62 payments — averaging $127.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Intuitive Surgical$2K
- W. L. Gore & Associates, Inc.$2K
- Heron Therapeutics, Inc.$200
- BD$139
- Johnson & Johnson$137
- plus $335 from 6 others
What the payments were for
- Travel & lodging$5,65672%
- Food & beverage$2,22828%
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 |
|---|---|---|
| Stryker | 4 | $3,064 |
| Intuitive Surgical | 20 | $2,494 |
| W. L. Gore & Associates, Inc. | 19 | $1,513 |
| Heron Therapeutics, Inc. | 2 | $200 |
| BD | 3 | $139 |
| Johnson & Johnson | 6 | $137 |
| Aesculap, Inc. | 1 | $128 |
| Coopersurgical, Inc. | 3 | $70 |
| Bard Peripheral Vascular, Inc. | 1 | $65 |
| Smith+Nephew | 1 | $31 |
| Innovation Technologies Inc | 1 | $28 |
| Merck | 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.
- Da Vinci Surgical System$1,945
- SPY-PHI SYSTEM$1,777
- 1588 HD 3 CHIP CAMERA$1,287
- GORE BIO-A Tissue Reinforcement$732
- CAIMAN VESSEL SEALERS$128
- Zynrelef$123
How this compares
$7,883 in reported general payments places this provider in the 85th percentile of 61 general surgery providers in Texas.
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 |
|---|---|---|
| Pantoprazole Sodium | 12 | $60 |
Paid to pharmacies, not to this prescriber.
Other general surgery in Lubbock
- Sheyenne ScottLubbock$0
- Omar BarakatHouston$145K
- Adam SmithFort Worth$62K
- Aaron BranskyPlano$32K
- Michael DarnellFt Worth$18K
- Jay StaufferFredericksburg$17K
- Younan NowzaradanHouston$13K
- Dean KocayAustin$10K
- Rusty MilhoanArlington$9K
- Frank DuperierSan Antonio$8K
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.