Nikesh Patel
Physical Medicine & Rehabilitation · Dallas, TXNPI 1346771888
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (52.7%), food and beverage and education — rather than concentrated in one kind of arrangement. Boston Scientific accounts for 67.4% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $9,723 and has fallen 96.9% since, to $305 in 2025. Among physical medicine & rehabilitation clinicians in TX 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 86 payments — averaging $165.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$10K
- Nevro Corp.$2K
- Medtronic$2K
- Merz Pharmaceuticals, LLC$324
- Painteq LLC$303
- Ipsen Biopharmaceuticals, Inc$264
- plus $269 from 4 others
What the payments were for
- Grants$7,50053%
- Travel & lodging$7085%
- Food & beverage$5,28937%
- Education$7235%
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 | 28 | $9,579 |
| Nevro Corp. | 11 | $1,759 |
| Medtronic | 30 | $1,723 |
| Merz Pharmaceuticals, LLC | 3 | $324 |
| Painteq LLC | 6 | $303 |
| Ipsen Biopharmaceuticals, Inc | 2 | $264 |
| SPR Therapeutics, Inc | 2 | $123 |
| Stryker | 2 | $102 |
| Avanos Medical | 1 | $28 |
| AbbVie | 1 | $15 |
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.
- WaveWriter Alpha Prime 16$7,500
- Omnia$1,596
- INTELLIS ADAPTIVESTIM$1,049
- GENERAL PAIN MANAGEMENT$635
- DYSPORT$264
- XEOMIN$225
- WAVEWRITER ALPHA$161
- Superion Indirect Decompression System$155
- RESTORE$149
- SUPERION$122
How this compares
$14,220 in reported general payments places this provider in the 95th 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 | 61 | $837 |
| Methocarbamol | 70 | $459 |
| Cyclobenzaprine Hcl | 36 | $401 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Dallas
- Gireesh ShardaDallas$172K
- Fatma GulDallas$21K
- Priya ChittaDallas$15K
- Surendra BarshikarDallas$11K
- Rinoo ShahDallas$7K
- Gerard FranciscoHouston$364K
- Jose UrquidezAustin$332K
- Suzanne ManziHouston$143K
- Cindy IvanhoeHouston$111K
- Chad McNeilTyler$64K
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.