Michael Narvaez, MD
Sports Medicine · Arlington, VANPI 1053725143
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (58.9%), grants and travel and lodging — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Micromed Inc at 45.3% of the total. Reporting peaked in 2020 at $44,212 and has fallen 90.0% since, to $4,430 in 2025. Among sports medicine clinicians in VA 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 276 payments — averaging $368.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Micromed Inc$46K
- Arthrex$36K
- Supreme Orthopedic Systems, LLC$6K
- Smith+Nephew$5K
- Stryker$4K
- DJO, LLC$2K
- plus $2K from 14 others
Across 3 payments — averaging $8186.93 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.
- Arthrex$25K
What the payments were for
- Speaking & faculty fees$2,5002%
- Grants$21,94422%
- Travel & lodging$9,2569%
- Food & beverage$8,0878%
- Education$59,97459%
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 |
|---|---|---|
| Micromed Inc | 41 | $46,122 |
| Arthrex | 92 | $35,739 |
| Supreme Orthopedic Systems, LLC | 51 | $6,366 |
| Smith+Nephew | 20 | $5,490 |
| Stryker | 41 | $3,759 |
| DJO, LLC | 4 | $1,944 |
| Medical Device Business Services, Inc. | 9 | $1,251 |
| Johnson & Johnson | 5 | $266 |
| Integrity Orthopaedics, Inc. | 2 | $238 |
| Avanos Medical | 1 | $144 |
| Bioventus LLC | 1 | $125 |
| Team_makena_llc | 1 | $109 |
| Integra Lifesciences Corporation | 1 | $68 |
| Linvatec Corporation | 1 | $30 |
| Radius Health, Inc. | 1 | $25 |
| ERMI LLC | 1 | $21 |
| Checkpoint Surgical, Inc | 1 | $20 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Fidia Pharma USA Inc. | 1 | $14 |
| Orthofix Medical, 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.
- CINCHLOCK SS$1,056
- GRYPHON$997
- NA$931
- SALVATION$294
- HIPCHECK$285
- Regeneten$281
- MICRORAPTOR Knotless Anchor$281
- ACCUPASS DIRECT Crescent XL$200
- Integrity Orthopaedics$199
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET$173
- SAMURAI$169
- ALPHAVENT$155
- Bone Anchors with Arthroscopic Delivery System$149
- FLOW Wands (F50 / F90)$145
- Footprint Ultra PK. SL, 4.5 and 5.5mm Knotless Anchor$145
- Firstpass$145
- COOLIEF* COOLED RADIOFREQUENCY$144
- Q-FIX$135
- Durolane$125
- ARTHROPLASTY IMPLANTS ANATOMIC TOTAL SHOULDER ECLIPSE$122
How this compares
$101,762 in reported general payments places this provider in the 90th percentile of 171 sports medicine providers in Virginia.
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 |
|---|---|---|
| Ondansetron OdtOndansetron | 32 | $462 |
| Oxycodone Hcl | 30 | $97 |
| Ibuprofen | 34 | $78 |
| Meloxicam | 34 | $61 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Arlington
- Sameer NagdaArlington$207K
- Andrew WolffArlington$174K
- Ronald PaikArlington$32K
- Ryan HubbardArlington$25K
- Lonnie DavisArlington$22K
- Stephen SaddlerArlington$14K
- David DiduchCharlottesville$3.8M
- Thorp DavisMechanicsville$3M
- Stephen BrockmeierCharlottesville$2.6M
- William NordtRichmond$2.6M
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.