Nayan Patel, MD
Physical Medicine & Rehabilitation · Plano, TXNPI 1114957768
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,100 of the $2,407 with a category attached, or 87.2%. Medtronic accounts for 87.2% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2021 at $1,416 and has fallen 50.6% since, to $700 in 2022.
Across 9 payments — averaging $267.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Globus Medical$122
- 4web, Inc.$110
- Mallinckrodt Hospital Products Inc.$41
- Lundbeck LLC$18
- Abbott$16
What the payments were for
- Consulting fees$2,10087%
- Food & beverage$30713%
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 |
|---|---|---|
| Medtronic | 3 | $2,100 |
| Globus Medical | 1 | $122 |
| 4web, Inc. | 1 | $110 |
| Mallinckrodt Hospital Products Inc. | 2 | $41 |
| Lundbeck LLC | 1 | $18 |
| Abbott | 1 | $16 |
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.
- LessRay$122
- SPINE TRUSS SYSTEM$110
How this compares
$2,407 in reported general payments places this provider in the 85th percentile of 651 physical medicine & rehabilitation providers in Texas.
See all physical medicine & rehabilitation providers in Texas →
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 |
|---|---|---|
| Gabapentin | 119 | $1,869 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 47 | $842 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $549 |
| Oxycodone Hcl | 13 | $331 |
| Baclofen | 21 | $329 |
| Tramadol Hcl | 49 | $223 |
| Methocarbamol | 23 | $216 |
| Meloxicam | 27 | $71 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Plano
- Seth ProbertPlano$13K
- Daniel KimPlano$9K
- Frederick ComriePlano$5K
- Gerard FranciscoHouston$364K
- Jose UrquidezAustin$332K
- Gireesh ShardaDallas$172K
- Suzanne ManziHouston$143K
- Cindy IvanhoeHouston$111K
- Chad McNeilTyler$64K
- Sheng LiHouston$44K
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.