Kenneth Varley, MD
Interventional Pain Medicine · Birmingham, ALNPI 1043380900
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,835 of the $4,012 with a category attached, or 70.7%. 14 manufacturers reported payments, led by Nevro Corp. at 39.9% of the total. Reporting peaked in 2019 at $1,614 and has fallen 95.5% since, to $72 in 2025. That places this record below the midpoint for interventional pain medicine clinicians in AL, where the typical reported total is $4,812.
Across 66 payments — averaging $60.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$2K
- Neuronetics, Inc.$1K
- Epimed International, Inc$600
- Abbott$152
- Medtronic$142
- Boston Scientific$135
- plus $254 from 8 others
What the payments were for
- Travel & lodging$1,17729%
- Food & beverage$2,83571%
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 |
|---|---|---|
| Nevro Corp. | 25 | $1,601 |
| Neuronetics, Inc. | 5 | $1,128 |
| Epimed International, Inc | 5 | $600 |
| Abbott | 9 | $152 |
| Medtronic(2 entities) | 6 | $142 |
| Boston Scientific | 7 | $135 |
| Curonix LLC | 1 | $98 |
| Globus Medical | 1 | $44 |
| Collegium Pharmaceutical, Inc. | 2 | $28 |
| Pacira Therapeutics, Inc. | 1 | $24 |
| Assertio Therapeutics, Inc. | 1 | $18 |
| Radius Health, Inc. | 1 | $15 |
| Si-bone, Inc. | 1 | $14 |
| Biodelivery Sciences International, Inc. | 1 | $13 |
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
$4,012 in reported general payments places this provider in the 45th percentile of 33 interventional pain medicine providers in Alabama.
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 |
|---|---|---|
| Nucynta ErTapentadol Hcl | 19 | $33,821 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 1,011 | $30,843 |
| Xtampza ErOxycodone Myristate | 28 | $22,050 |
| OxycontinOxycodone Hcl | 13 | $21,979 |
| Fentanyl | 137 | $20,500 |
| NucyntaTapentadol Hcl | 14 | $9,963 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 398 | $9,599 |
| MovantikNaloxegol Oxalate | 21 | $8,703 |
| Diclofenac Sodium-MisoprostolDiclofenac Sodium/Misoprostol | 28 | $2,473 |
| Gabapentin | 216 | $2,161 |
| Buprenorphine Hcl | 26 | $2,018 |
| Morphine Sulfate ErMorphine Sulfate | 74 | $1,952 |
| Tizanidine Hcl | 189 | $1,856 |
| Oxycodone Hcl | 109 | $1,362 |
| Methadone Hcl | 37 | $951 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Collegium Pharmaceutical, Inc.Nucynta Er, Xtampza Er, Nucynta | $28 | $65,83461 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 45th percentile of 33 interventional pain medicine providers in Alabama.
Other interventional pain medicine in Birmingham
- Michael KendrickBirmingham$90K
- Ryan AlmeidaBirmingham$14K
- James GillespieBirmingham$8K
- Richard ThomaBirmingham$6K
- Anna MelerineBirmingham$5K
- Audra EasonBirmingham$5K
- Victor MendozaBirmingham$165
- Bradley WargoMuscle Shoals$41K
- Jacob VellaMontgomery$28K
- John IronsVestavia$22K
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.