Erik Noren, MD
Colon & Rectal Surgery · Sacramento, CANPI 1245776434
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $15,438 of the $25,264 with a category attached, or 61.1%. 13 manufacturers reported payments, led by Guard Medical Inc. at 30.0% of the total. Among colon & rectal surgery clinicians in CA 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 68 payments — averaging $371.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Guard Medical Inc.$8K
- Intuitive Surgical$7K
- Applied Medical Resources Corporation$5K
- Olympus Corporation$4K
- Johnson & Johnson$477
- Prescient Surgical$274
- plus $731 from 7 others
What the payments were for
- Consulting fees$15,43861%
- Travel & lodging$2,91412%
- Food & beverage$3,31613%
- Education$3,58014%
- Gifts$160%
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 |
|---|---|---|
| Guard Medical Inc. | 10 | $7,569 |
| Intuitive Surgical | 28 | $7,411 |
| Applied Medical Resources Corporation | 8 | $4,513 |
| Olympus Corporation | 5 | $4,288 |
| Johnson & Johnson | 4 | $477 |
| Prescient Surgical | 1 | $274 |
| Davol Inc. | 2 | $171 |
| THD America, Inc. | 1 | $170 |
| Medtronic | 4 | $143 |
| Fujifilm Healthcare Americas Corporation | 2 | $119 |
| Axonics, Inc. | 1 | $53 |
| Medspira, LLC | 1 | $50 |
| Omnilife Science, Inc | 1 | $25 |
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.
- NPSEAL LARGE$5,371
- Da Vinci Surgical System$3,792
- DAVINCI XI$2,500
- NPseal$2,377
- GelPOINT V-Path$375
- CleanCision$274
- NPSEAL MEDIUM$236
- DA VINCI SP$212
- Phasix Mesh$149
- STRATAFIX$140
- Echelon Powered Circular$119
- ECHELON ENDOPATH$119
How this compares
$25,264 in reported general payments places this provider in the 90th percentile of 176 colon & rectal surgery providers in California.
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 |
|---|---|---|
| Neomycin Sulfate | 13 | $72 |
| Metronidazole | 14 | $18 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Sacramento
- Elizabeth RaskinSacramento$126K
- Ankit SarinSacramento$60K
- Sang LeeLos Angeles$2.4M
- Pamela LeeSan Diego$544K
- Shohrat AnnaberdyevRoseville$101K
- Alessio PigazziLos Angeles$100K
- Joseph CarmichaelOrange$99K
- Phillip FleshnerWest Hollywood$95K
- Zuri MurrellBeverly Hills$86K
- Lorenc MalellariBakersfield$78K
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.