Nirav Parekh, MD
Pain Medicine · Gallipolis, OHNPI 1053687053
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (50.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Boston Scientific accounts for 89.2% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2019 at $11,215 and has fallen 93.5% since, to $729 in 2025. Among pain medicine clinicians in OH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 661 payments — averaging $41.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$25K
- Nevro Corp.$1K
- Medtronic$782
- Pfizer$203
- Amgen$199
- Abbott$101
- plus $557 from 17 others
What the payments were for
- Consulting fees$1,6006%
- Speaking & faculty fees$13,76950%
- Travel & lodging$2,1098%
- Food & beverage$10,04536%
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 | 530 | $24,541 |
| Nevro Corp. | 63 | $1,138 |
| Medtronic | 9 | $782 |
| Pfizer | 16 | $203 |
| Amgen | 12 | $199 |
| Abbott | 4 | $101 |
| Avanos Medical | 6 | $101 |
| Si-bone, Inc. | 4 | $83 |
| Globus Medical | 1 | $61 |
| Vertos Medical, Inc. | 2 | $57 |
| Fresenius Kabi USA, LLC | 2 | $35 |
| Stryker | 1 | $27 |
| Novartis | 1 | $24 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $20 |
| SPR Therapeutics, Inc | 1 | $19 |
| Johnson & Johnson | 1 | $19 |
| Boehringer Ingelheim | 1 | $18 |
| ANI Pharmaceuticals, Inc. | 1 | $17 |
| Bioventus LLC | 1 | $17 |
| Vertex | 1 | $16 |
| UCB, Inc. | 1 | $16 |
| Fidia Pharma USA Inc. | 1 | $14 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, 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.
- SPECTRA WAVEWRITER$13,069
- GENERAL - THERAPIES$2,223
- GENERAL PAIN MANAGEMENT$2,200
- KYPHON Balloon Kyphoplasty$625
How this compares
$27,522 in reported general payments places this provider in the 90th percentile of 245 pain medicine providers in Ohio.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 267 | $5,552 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 214 | $5,179 |
| Gabapentin | 248 | $3,051 |
| Pregabalin | 93 | $2,481 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 41 | $931 |
| Lidocaine | 15 | $772 |
| Oxycodone Hcl | 38 | $597 |
| Tizanidine Hcl | 87 | $552 |
| Cyclobenzaprine Hcl | 21 | $398 |
| Tramadol Hcl | 82 | $365 |
| Diclofenac Sodium | 21 | $183 |
| Methocarbamol | 25 | $167 |
| Ropinirole Hcl | 14 | $134 |
| Meloxicam | 53 | $116 |
| Methylprednisolone | 20 | $109 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Gallipolis
- Alexander EscobarToledo$638K
- Nagy MekhailCleveland$511K
- Henry VuceticWilloughby$509K
- Tammy DannDayton$431K
- Michael DankoLoveland$381K
- Jonathan SilvermanDayton$234K
- Tristan WeaverColumbus$202K
- Robert BolashCleveland$154K
- Dmitri SouzaCuyahoga Falls$61K
- Aman UpadhyayCleveland$40K
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.