Nabil Akkad, MD
Surgery · Fort Smith, ARNPI 1477548485
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (37.9%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 61.1% of it on its own, with 24 other manufacturers making up the rest. Reporting peaked in 2019 at $4,948 and has fallen 78.1% since, to $1,084 in 2025.
Across 69 payments — averaging $114.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- Biotissue Holdings Inc.$872
- Johnson & Johnson$514
- Medtronic$505
- Stryker$471
- Rochester Medical Corporation$157
- plus $557 from 19 others
What the payments were for
- Travel & lodging$2,47531%
- Food & beverage$2,43731%
- Education$3,00038%
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 |
|---|---|---|
| Intuitive Surgical | 6 | $4,835 |
| Biotissue Holdings Inc. | 6 | $872 |
| Johnson & Johnson | 14 | $514 |
| Medtronic | 12 | $505 |
| Stryker | 2 | $471 |
| Rochester Medical Corporation | 7 | $157 |
| Lexington Medical, Inc. | 1 | $71 |
| Getinge USA Sales, LLC | 2 | $67 |
| Polynovo North America LLC | 2 | $55 |
| Myriad Genetic Laboratories, Inc. | 2 | $50 |
| Hologic Inc | 1 | $40 |
| GE HealthCare | 1 | $26 |
| Pacira Pharmaceuticals Incorporated | 1 | $25 |
| Innovation Technologies Inc | 1 | $25 |
| KCI USA, Inc. | 1 | $24 |
| AbbVie | 1 | $24 |
| Kowa Pharmaceuticals America, Inc. | 1 | $20 |
| Acell, Inc. | 1 | $20 |
| Innocoll Pharmaceuticals Limited | 1 | $20 |
| Solventum Corporation | 1 | $19 |
| Elucent Medical | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Covidien LP | 1 | $14 |
| Cashflow Solutions, LLC | 1 | $12 |
| Angiodynamics, Inc. | 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.
- Da Vinci Surgical System$4,783
- SPY-PHI SYSTEM$429
- Signia$168
How this compares
$7,911 in reported general payments places this provider in the 75th percentile of 227 surgery providers in Arkansas.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 251 | $1,016 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 33 | $528 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 13 | $213 |
| Ketorolac Tromethamine | 11 | $180 |
| Cephalexin | 11 | $67 |
Paid to pharmacies, not to this prescriber.
Other surgery in Fort Smith
- Christopher ColemanFort Smith$26K
- Jonathan FerrariFort Smith$20K
- Sarahrose WebsterFort Smith$11K
- Ryan BanningFort Smith$10K
- Camille RichardsFort Smith$9K
- Darryl EckesFort Smith$8K
- Joshua RollerFayetteville$248K
- Alice CherquiJonesboro$71K
- Brian PottorfFayetteville$64K
- Samuel BledsoeLittle Rock$53K
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.