Nirav Shah, MD
Neurosurgery · Langhorne, PANPI 1477505329
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $11,643 of the $13,948 with a category attached, or 83.5%. 23 manufacturers reported payments, led by Si-bone, Inc. at 28.8% of the total. Reporting peaked in 2022 at $4,404 and has fallen 76.0% since, to $1,057 in 2025.
Across 152 payments — averaging $91.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$4K
- Nevro Corp.$2K
- Orthofix Medical, Inc.$1K
- Electronic Waveform Lab, Inc.$1K
- Boston Scientific$1K
- Globus Medical$846
- plus $3K from 17 others
Across 75 payments — averaging $2235.73 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Takeda Pharmaceuticals U.S.A., Inc.$110K
- Shire North American Group Inc$58K
What the payments were for
- Consulting fees$1,46310%
- Travel & lodging$8426%
- Food & beverage$11,64383%
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 |
|---|---|---|
| Si-bone, Inc. | 41 | $4,013 |
| Nevro Corp. | 24 | $2,379 |
| Orthofix Medical, Inc. | 2 | $1,468 |
| Electronic Waveform Lab, Inc. | 8 | $1,039 |
| Boston Scientific | 11 | $1,039 |
| Globus Medical(2 entities) | 7 | $846 |
| Stryker | 10 | $767 |
| GSK | 19 | $551 |
| Abbott | 7 | $510 |
| Medtronic(2 entities) | 5 | $412 |
| Intrinsic Therapeutics | 2 | $196 |
| Spinal Simplicity, LLC | 2 | $181 |
| Spacelabs Healthcare Inc | 1 | $138 |
| Sanofi | 1 | $105 |
| Baxter Healthcare | 1 | $69 |
| Zimmer Biomet | 1 | $56 |
| Dilon Technologies, Inc. | 1 | $50 |
| AbbVie | 3 | $40 |
| Sunovion Pharmaceuticals Inc. | 2 | $28 |
| AstraZeneca | 1 | $17 |
| Genentech USA, Inc. | 1 | $15 |
| Mylan Specialty L.p. | 1 | $15 |
| Johnson & Johnson | 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.
- iFuse Implant$2,029
- Senza$1,600
- Cervical-STIM$1,463
- Omnia$514
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$343
- GENERAL PAIN MANAGEMENT$320
- WaveWriter Alpha Prime 16$280
- Proclaim Family of SCS IPGs$260
- AREXVY$244
- XLIF$164
- ProLift$140
- INTELLIS$131
- HA MINUTEMAN G3-R$121
- EVEREST SPINAL SYSTEM$117
- YUKON OCT SPINAL SYSTEM$117
- PROCLAIM$111
- INTELLIS ADAPTIVESTIM$109
- VITOSS$105
- DUPIXENT$105
How this compares
Too few neurosurgery providers in Pennsylvaniato place this figure against a meaningful peer group, so we don't.
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.
Other neurosurgery in Langhorne
- Joseph ScognaLanghorne$322
- Peter GersztenPittsburgh$38K
- Ajay NiranjanPittsburgh$4K
- Michael RutiglianoGreensburg$2K
- Daniel WechtPittsburgh$877
- Lawrence LunsfordPittsburgh$472
- John MoossyPittsburgh$329
- Benjamin LeePittsburgh$0
- Daniel O'RourkeFountain Hill$0
- Robert MarcincinBethlehem$0
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.