Keron Navarengom, MD
Geriatric Medicine · Manchester, NHNPI 1740410505
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 31 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Abbott at 37.2% of the total. Reporting peaked in 2024 at $459 and has fallen 95.1% since, to $23 in 2025.
Across 31 payments — averaging $28.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$328
- E.r. Squibb & Sons, L.L.C.$149
- Amgen$146
- Pfizer$110
- Novartis$48
- Novo Nordisk$42
- plus $58 from 3 others
What the payments were for
- Food & beverage$880100%
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 |
|---|---|---|
| Abbott | 4 | $328 |
| E.r. Squibb & Sons, L.L.C. | 7 | $149 |
| Amgen | 6 | $146 |
| Pfizer | 6 | $110 |
| Novartis | 2 | $48 |
| Novo Nordisk | 2 | $42 |
| Johnson & Johnson | 2 | $34 |
| Astellas Pharma US Inc | 1 | $19 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $5 |
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
Too few geriatric medicine providers in New Hampshireto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| JardianceEmpagliflozin | 11 | $8,537 |
| Metoprolol Succinate | 11 | $128 |
| Pantoprazole Sodium | 13 | $112 |
| Warfarin Sodium | 16 | $77 |
| Atorvastatin Calcium | 11 | $41 |
| Losartan Potassium | 12 | $41 |
Paid to pharmacies, not to this prescriber.
Other geriatric medicine in Manchester
- Raphael FarraManchester$15
- Samuel GoldmanManchester$0
- Masooma AtharManchester$0
- Manish ChopraManchester$0
- Youcef SennourLebanon$2K
- Ana Castellanos MendezConcord$776
- Sourya MahapatraNashua$222
- Chun Rui ZhaoNashua$206
- Suseela KumarLebanon$118
- Stuart LewisLebanon$20
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.