Nedim Cakan
Pediatrics · Detroit, MINPI 1417995531
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $42,661 of the $54,645 with a category attached, or 78.1%. Sanofi-aventis U.S. LLC accounts for 71.0% of it on its own, with 32 other manufacturers making up the rest. Among pediatrics clinicians in MI 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 267 payments — averaging $204.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$39K
- AbbVie$7K
- Tandem Diabetes Care, Inc.$2K
- Novo Nordisk AS$2K
- Pfizer$1K
- Dexcom, Inc.$456
- plus $3K from 27 others
Across 81 payments — averaging $426.49 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.
- Novo Nordisk AS$34K
- Endo Pharmaceuticals Inc.$1K
What the payments were for
- Speaking & faculty fees$42,66178%
- Travel & lodging$5,0889%
- Food & beverage$6,65712%
- Education$2390%
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 39 | $38,798 |
| AbbVie | 51 | $7,072 |
| Tandem Diabetes Care, Inc. | 23 | $2,238 |
| Novo Nordisk AS | 4 | $1,836 |
| Pfizer | 15 | $1,451 |
| Dexcom, Inc. | 11 | $456 |
| Novo Nordisk | 16 | $348 |
| Abbott | 16 | $322 |
| Medtronic(2 entities) | 10 | $309 |
| Xeris Pharmaceuticals, Inc. | 10 | $179 |
| Ultragenyx Pharmaceutical Inc. | 5 | $179 |
| Ascendis Pharma Endocrinology Inc | 6 | $131 |
| Tolmar, Inc. | 5 | $130 |
| Insulet Corporation | 7 | $127 |
| Biomarin Pharmaceutical Inc. | 3 | $115 |
| Lilly USA, LLC | 7 | $109 |
| BETA Bionics, Inc. | 4 | $99 |
| Soleno Therapeutics, Inc. | 3 | $91 |
| Ipsen Biopharmaceuticals, Inc | 3 | $67 |
| Tolmar Pharmaceuticals, Inc. | 3 | $65 |
| Vistapharm, Inc. | 3 | $64 |
| Azurity Pharmaceuticals, Inc. | 3 | $58 |
| Endo Pharmaceuticals Inc. | 3 | $57 |
| Rhythm Pharmaceuticals, Inc. | 2 | $52 |
| Neurocrine Biosciences, Inc. | 2 | $41 |
| AstraZeneca | 2 | $40 |
| Kyowa Kirin, Inc. | 2 | $39 |
| Amphastar Pharmaceuticals, Inc. | 2 | $39 |
| Lifescan, Inc. | 2 | $36 |
| Arbor Pharmaceuticals, Inc. | 2 | $34 |
| Embecta Corp. | 1 | $26 |
| Catalyst Pharmaceuticals, Inc. | 1 | $21 |
| Ferring Pharmaceuticals Inc. | 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.
- TZIELD$27,960
- Lupron Depot$6,331
- GENOTROPIN$1,200
- t:slim X2 Insulin Pump with Control-IQ$939
- t-slim insulin pump$888
- DEXCOM G6 TRANSMITTER$296
- MINIMED 780G$125
- CRYSVITA$103
How this compares
$54,645 in reported general payments places this provider in the 95th percentile of 1,473 pediatrics providers in Michigan.
Other pediatrics in Detroit
- Meera ChitlurDetroit$236K
- Madhvi RajpurkarDetroit$162K
- Wanda Whitten-ShurneyDetroit$152K
- Marcus DegrawDetroit$62K
- Norris PolkDetroit$32K
- Lynn SmithermanDetroit$25K
- Yaddanapudi RavindranathDetroit$11K
- Esperanza Font-MontgomeryDetroit$5K
- Itemad BadrDetroit$5K
- Deepa Soundara RajanDetroit$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.