Nirav Patel, MD
Family Medicine · Dallas, TXNPI 1265783815
Payments from drug & device makers
Across 129 payments — averaging $57.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dexcom, Inc.$4K
- AstraZeneca$602
- Novo Nordisk$602
- Smith+Nephew$294
- Lilly USA, LLC$254
- Bayer$230
- plus $2K from 22 others
What the payments were for
- Speaking & faculty fees$3,25244%
- Travel & lodging$3254%
- Food & beverage$3,72551%
- Education$651%
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 |
|---|---|---|
| Dexcom, Inc. | 13 | $3,826 |
| AstraZeneca | 20 | $602 |
| Novo Nordisk | 29 | $602 |
| Smith+Nephew | 3 | $294 |
| Lilly USA, LLC | 11 | $254 |
| Bayer | 9 | $230 |
| Saluda Medical Americas, Inc. | 1 | $153 |
| Novartis | 3 | $152 |
| Boehringer Ingelheim | 8 | $151 |
| Amarin Pharma, Inc. | 2 | $138 |
| GSK | 2 | $130 |
| Biotronik NRO, Inc. | 1 | $129 |
| KCI USA, Inc. | 1 | $111 |
| Vertex | 3 | $82 |
| Abbott | 2 | $77 |
| Cleerly, Inc. | 1 | $76 |
| Exact Sciences | 3 | $51 |
| Cequr Corporation | 2 | $50 |
| Otsuka America Pharmaceutical, Inc. | 2 | $46 |
| Merck | 2 | $45 |
| Pfizer | 2 | $31 |
| Kowa Pharmaceuticals America, Inc. | 2 | $31 |
| Sanofi-aventis U.S. LLC | 2 | $27 |
| Astellas Pharma US Inc | 1 | $22 |
| Intuitive Surgical | 1 | $19 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $17 |
| Si-bone, Inc. | 1 | $15 |
| Phathom Pharmaceuticals, Inc. | 1 | $7 |
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.
- DEXCOM G7 GSS (161)$3,677
- DEXCOM STELO GLUCOSE BIOSENSOR$3,558
- GRAFIX PL$272
- FARXIGA$241
- Evoke$153
- Prospera$129
- ENTRESTO$122
- Vascepa$122
- Kerendia$122
- BREZTRI$119
- AIRSUPRA$119
- AREXVY$118
- SNAP$111
- ACTIVAC$111
- VAC VERAFLO CLEANSE CHOICE$111
- PREVENA$111
- VAC VERAFLO$111
- Wegovy$108
- JARDIANCE$103
How this compares
$7,367 in reported general payments places this provider in the 90th percentile of 8,760 family medicine 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 |
|---|---|---|
| MounjaroTirzepatide | 200 | $219,671 |
| OzempicSemaglutide | 82 | $119,201 |
| FarxigaDapagliflozin Propanediol | 83 | $99,035 |
| EliquisApixaban | 78 | $94,751 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 59 | $71,266 |
| SynjardyEmpagliflozin/Metformin Hcl | 44 | $62,840 |
| Tresiba Flextouch U-200Insulin Degludec | 52 | $43,831 |
| JanumetSitagliptin Phos/Metformin Hcl | 31 | $33,853 |
| MyrbetriqMirabegron | 35 | $33,225 |
| JardianceEmpagliflozin | 25 | $33,054 |
| Humalog Kwikpen U-200Insulin Lispro | 20 | $24,361 |
| TradjentaLinagliptin | 19 | $23,280 |
| GlyxambiEmpagliflozin/Linagliptin | 20 | $23,108 |
| EntrestoSacubitril/Valsartan | 14 | $20,206 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 21 | $19,923 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCMounjaro | $254 | $219,671200 claims |
| Boehringer IngelheimSynjardy, Jardiance, Tradjenta, Glyxambi, Synjardy Xr | $151 | $165,392146 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $602 | $123,873119 claims |
| Novo NordiskOzempic | $602 | $119,20182 claims |
| PfizerEliquis | $31 | $94,75178 claims |
| GSKTrelegy Ellipta | $130 | $71,26659 claims |
| MerckJanumet | $45 | $33,85331 claims |
| Astellas Pharma US IncMyrbetriq | $22 | $33,22535 claims |
| NovartisEntresto | $152 | $20,20614 claims |
| BayerKerendia | $230 | $18,51311 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $27 | $8,14213 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Dallas
- Thomas KingDallas$12M
- Jennifer ZonDallas$5.9M
- Chrisette DharmagunaratneDallas$5.6M
- Michele ReynoldsDallas$3.8M
- Shiwali RaiDallas$2.8M
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
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.