Neil Patel, MD
Pain Medicine · Lake Mary, FLNPI 1093101123
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (45.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Boston Scientific at 28.2% of the total. 2025 is the largest year on record at $18,219, 7.3 times the $2,496 reported in 2019. Among pain medicine clinicians in FL 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 238 payments — averaging $148.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$10K
- Medtronic$8K
- Globus Medical$8K
- MML US, Inc.$4K
- Abbott$2K
- Nevro Corp.$1K
- plus $2K from 13 others
What the payments were for
- Consulting fees$2,0706%
- Speaking & faculty fees$16,04545%
- Travel & lodging$8,35324%
- Food & beverage$8,83325%
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 |
|---|---|---|
| Boston Scientific | 66 | $9,938 |
| Medtronic(2 entities) | 55 | $8,471 |
| Globus Medical | 23 | $8,007 |
| MML US, Inc. | 13 | $3,521 |
| Abbott | 13 | $2,381 |
| Nevro Corp. | 27 | $1,238 |
| Relievant Medsystems, Inc. | 8 | $638 |
| Stimwave Technologies Incorporated | 12 | $234 |
| Curonix LLC | 3 | $165 |
| SPR Therapeutics, Inc | 3 | $155 |
| Stryker | 1 | $131 |
| Avanos Medical | 1 | $114 |
| AbbVie | 3 | $86 |
| Tersera Therapeutics LLC | 3 | $69 |
| GRT US Holding, Inc. | 2 | $45 |
| Vertex | 2 | $42 |
| Sanofi | 1 | $36 |
| Convatec Inc. | 1 | $17 |
| Painteq LLC | 1 | $14 |
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.
- Senza$8,324
- Intracept$7,659
- INTELLIS ADAPTIVESTIM$4,595
- ReActiv8$3,302
- KYPHON EXPRESS II KYPHOPAK TRAY$2,340
- Proclaim Family of SCS IPGs$2,222
- WaveWriter Alpha Prime 16$504
- GENERAL PAIN MANAGEMENT$281
- Accurian$142
- Omnia$137
- OMNICURVE$131
- OPTABLATE$131
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$123
- SPRINT PNS System$122
- COOLIEF* COOLED RADIOFREQUENCY$114
- WAVEWRITER ALPHA$109
- SPECTRA WAVEWRITER$108
- INTELLIS$100
How this compares
$35,301 in reported general payments places this provider in the 95th percentile of 596 pain medicine providers in Florida.
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 |
|---|---|---|
| Calcipotriene | 23 | $6,971 |
| Lidocaine | 43 | $4,023 |
| Gabapentin | 260 | $3,069 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 187 | $1,681 |
| Tizanidine Hcl | 102 | $1,288 |
| Pregabalin | 95 | $1,279 |
| Duloxetine Hcl | 69 | $1,056 |
| Methocarbamol | 80 | $1,051 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 54 | $936 |
| Tramadol Hcl | 143 | $857 |
| Diclofenac Sodium | 92 | $856 |
| Methylprednisolone | 60 | $340 |
| Baclofen | 29 | $335 |
| Meloxicam | 63 | $256 |
| Ibuprofen | 24 | $230 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Lake Mary
- Jeffrey GudinMiami$356K
- Joseph PergolizziNaples$333K
- Ramon Cuevas-TrisanRiviera Beach$220K
- Navdeep JassalLakeland$163K
- Mark-Friedrich HurdleJacksonville$140K
- Rodolfo GariTampa$120K
- Stephen PylesOcala$115K
- Orlando FloreteJacksonville$86K
- Michael GreeneMiddleburg$73K
- Nicholas BremerFernandina Beach$66K
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.