Maricela Schnur, MD
Pain Medicine · Ithaca, NYNPI 1376954883
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (54.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. SPR Therapeutics, Inc accounts for 65.6% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $20,644, 5.7 times the $3,640 reported in 2019. Among pain medicine clinicians in NY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 226 payments — averaging $252.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- SPR Therapeutics, Inc$37K
- Abbott$11K
- Medtronic$4K
- Nevro Corp.$3K
- Boston Scientific$882
- Si-bone, Inc.$381
- plus $1K from 9 others
Across 1 payment — averaging $1025.00 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.
- Medtronic$1K
What the payments were for
- Consulting fees$30,95054%
- Travel & lodging$15,06126%
- Food & beverage$11,03919%
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 |
|---|---|---|
| SPR Therapeutics, Inc | 85 | $37,420 |
| Abbott | 48 | $10,643 |
| Medtronic(2 entities) | 40 | $3,765 |
| Nevro Corp. | 31 | $2,718 |
| Boston Scientific | 8 | $882 |
| Si-bone, Inc. | 3 | $381 |
| Stryker | 3 | $360 |
| Vertos Medical, Inc. | 1 | $153 |
| Nalu Medical, Inc. | 1 | $149 |
| MML US, Inc. | 1 | $140 |
| Vertex | 1 | $125 |
| Avanos Medical | 1 | $115 |
| Protega Pharmaceutials Inc | 1 | $112 |
| Stimwave Technologies Incorporated | 1 | $56 |
| AbbVie | 1 | $30 |
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.
- SPRINT PNS System$35,546
- IonicRF Generator$5,250
- PROCLAIM$2,401
- Senza Spinal Cord Stimulation System$1,708
- SYNCHROMEDII$876
- SYNCHROMED$715
- Prodigy Family of SCS IPGs$575
- SPECTRA WAVEWRITER$563
- Vanta$501
- Proclaim XR IPG$419
- SPINEJACK$349
- ETERNA$299
- INTELLIS ADAPTIVESTIM$162
- mild Device Kit$153
- Nalu Neurostimulation System$149
- Senza$143
- ReActiv8$140
- AVAFLEX$130
- Proclaim IPG$128
- INTELLIS$128
How this compares
$57,050 in reported general payments places this provider in the 95th percentile of 503 pain medicine providers in New York.
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 | 62 | $765 |
| Duloxetine Hcl | 60 | $588 |
| Gabapentin | 69 | $513 |
| Baclofen | 15 | $39 |
| Cyclobenzaprine Hcl | 11 | $37 |
| Meloxicam | 20 | $34 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Ithaca
- Gary SchwartzBrooklyn$756K
- Amitabh GulatiNew York$614K
- William CaldwellStony Brook$530K
- Brian DurkinPort Jefferson$455K
- David SpinnerNew York$391K
- Grace FordeNew Hyde Park$355K
- Romanth WaghmaraeHamburg$158K
- Samuel BrownSouthold$147K
- Fred CohenBronx$141K
- Eric LeeNew York$117K
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.