Michael Shapiro, MD
Physical Medicine and Rehabilitation · Carson City, NVNPI 1033200951
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $26,908 of the $27,149 with a category attached, or 99.1%. Scilex Pharmaceuticals Inc. accounts for 99.1% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2023 at $19,418 and has fallen 60.5% since, to $7,664 in 2024. Among physical medicine and rehabilitation clinicians in NV 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 16 payments — averaging $1696.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Scilex Pharmaceuticals Inc.$27K
- Organogenesis Inc.$104
- Pacira Pharmaceuticals Incorporated$54
- Amgen$29
- Tersera Therapeutics LLC$27
- Johnson & Johnson$16
- plus $12 from 1 others
What the payments were for
- Consulting fees$26,90899%
- Food & beverage$2421%
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 |
|---|---|---|
| Scilex Pharmaceuticals Inc. | 5 | $26,908 |
| Organogenesis Inc. | 4 | $104 |
| Pacira Pharmaceuticals Incorporated | 2 | $54 |
| Amgen | 2 | $29 |
| Tersera Therapeutics LLC | 1 | $27 |
| Johnson & Johnson | 1 | $16 |
| Nevro Corp. | 1 | $12 |
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.
- ZTLido$7,625
How this compares
$27,149 in reported general payments places this provider in the 95th percentile of 98 physical medicine and rehabilitation providers in Nevada.
See all physical medicine and rehabilitation providers in Nevada →
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 |
|---|---|---|
| Meloxicam | 79 | $168 |
| Gabapentin | 23 | $108 |
| Methylprednisolone | 14 | $67 |
Paid to pharmacies, not to this prescriber.
Other physical medicine and rehabilitation in Carson City
- Bruce MullenCarson City$22K
- Peter CostaCarson City$113
- Alexander ImasHenderson$34K
- Sharlene SuReno$15K
- Casey KeatingReno$13K
- Kyle WentzLas Vegas$8K
- Andrew HsuReno$7K
- Edmund PasimioLas Vegas$6K
- Daniel KrauchukLas Vegas$6K
- Jesson BaumgartnerReno$3K
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.