Israel Pena, MD
Pain Medicine · Fort Worth, TXNPI 1467706168
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (53.6%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Boston Scientific at 27.7% of the total. Among pain medicine clinicians in TX 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 293 payments — averaging $76.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$6K
- Abbott$5K
- Medtronic$5K
- Stryker$2K
- Genesys Orthopedics Systems, L.L.C.$1K
- MML US, Inc.$661
- plus $2K from 15 others
Across 1 payment — averaging $1567.00 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.
- Abbott$2K
What the payments were for
- Consulting fees$4852%
- Travel & lodging$11,93654%
- Food & beverage$9,81044%
- Education$220%
- Gifts$150%
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 |
|---|---|---|
| Boston Scientific | 74 | $6,179 |
| Abbott | 69 | $5,455 |
| Medtronic | 86 | $4,606 |
| Stryker | 9 | $2,011 |
| Genesys Orthopedics Systems, L.L.C. | 6 | $1,221 |
| MML US, Inc. | 3 | $661 |
| Nevro Corp. | 11 | $603 |
| Si-bone, Inc. | 4 | $570 |
| Nalu Medical, Inc. | 7 | $279 |
| Spinal Simplicity, LLC | 9 | $265 |
| Vertos Medical, Inc. | 1 | $98 |
| Ferring Pharmaceuticals Inc. | 2 | $50 |
| SPR Therapeutics, Inc | 2 | $48 |
| Tersera Therapeutics LLC | 2 | $43 |
| BD | 2 | $41 |
| Pacira Pharmaceuticals Incorporated | 1 | $29 |
| Pylant Medical | 1 | $27 |
| Vertex | 1 | $26 |
| Globus Medical | 1 | $24 |
| Foundation Fusion Solutions, LLC | 1 | $16 |
| Novo Nordisk | 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.
- PROCLAIM$3,402
- SACROILIAC JOINT FUSION SYSTEM$2,280
- mild Device Kit$1,854
- OPTABLATE$1,292
- Intracept$1,251
- Superion Indirect Decompression System$1,148
- INTELLIS$938
- INTELLIS ADAPTIVESTIM$910
- WaveWriter Alpha Prime 16$653
- ReActiv8$610
- Proclaim IPG$582
- IFUSE IMPLANT SYSTEM$512
- SYNCHROMED$236
- GENERAL - THERAPIES$190
- Omnia$175
- ETERNA$161
- KYPHON Balloon Kyphoplasty$157
- Nalu Neurostimulation System$150
- Senza$110
How this compares
$22,268 in reported general payments places this provider in the 90th percentile of 583 pain medicine 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 |
|---|---|---|
| Pregabalin | 333 | $18,712 |
| Duloxetine Hcl | 526 | $17,030 |
| Gabapentin | 172 | $3,945 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 165 | $2,936 |
| Tramadol Hcl | 229 | $1,705 |
| Methocarbamol | 75 | $1,605 |
| Amitriptyline Hcl | 142 | $1,306 |
| Methadone Hcl | 96 | $780 |
| Oxycodone Hcl | 43 | $638 |
| Mupirocin | 75 | $598 |
| Tizanidine Hcl | 41 | $595 |
| Nortriptyline Hcl | 30 | $539 |
| Buprenorphine Hcl | 34 | $528 |
| Buspirone Hcl | 38 | $527 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 35 | $508 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Fort Worth
- Ashley Bailey-ClassenFort Worth$244K
- Christopher PrattFort Worth$34K
- Melissa MurphyGrapevine$653K
- Shiraz YazdaniLubbock$514K
- Aaron CalodneyTyler$296K
- Candice BurnetteSugar Land$265K
- Grant ChenHouston$175K
- Gunjan PatelHouston$166K
- Anthony BergRockwall$165K
- Puneet SayalCorpus Christi$153K
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.