Nicholas Clark, MD
Pain Medicine · Roanoke, VANPI 1356760508
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,444 of the $6,364 with a category attached, or 69.8%. 8 manufacturers reported payments, led by Nevro Corp. at 37.8% of the total. Reporting peaked in 2019 at $4,360 and has fallen 97.0% since, to $131 in 2025.
Across 63 payments — averaging $101.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$2K
- Abbott$2K
- Medtronic$2K
- Stryker$151
- Tersera Therapeutics LLC$101
- Curonix LLC$91
- plus $152 from 2 others
What the payments were for
- Travel & lodging$1,92030%
- Food & beverage$4,44470%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Nevro Corp. | 23 | $2,407 |
| Abbott | 16 | $1,895 |
| Medtronic(2 entities) | 17 | $1,567 |
| Stryker | 2 | $151 |
| Tersera Therapeutics LLC | 1 | $101 |
| Curonix LLC | 1 | $91 |
| SPR Therapeutics, Inc | 1 | $79 |
| Boston Scientific | 2 | $73 |
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 Spinal Cord Stimulation System$1,471
- Proclaim Family of SCS IPGs$1,202
- INTELLIS$488
- ADAPTIVESTIM$249
- PROCLAIM$198
- Omnia$143
- Senza$140
- INCEPTIV$131
- RIALTO$120
- Axium INS DRG IPG$112
- VECTRIS$109
- AUTOFILL$108
- PRIALT$101
How this compares
$6,364 in reported general payments places this provider in the 75th percentile of 150 pain medicine providers in Virginia.
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 |
|---|---|---|
| Celecoxib | 15 | $213 |
| Latanoprost | 11 | $65 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Roanoke
- Chheany UngRoanoke$198K
- Osa EmohareRoanoke$4K
- Daniel KendallMc Lean$100K
- Steven GershonVirginia Beach$78K
- Jared DavisFishersville$45K
- Nameer HaiderWoodbridge$36K
- Lynn KohanCharlottesville$30K
- George BaylorSalem$24K
- Jasmit BrarLansdowne$18K
- Christina ShinCharlottesville$18K
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.