Nirmala Tummalapenta, MD
Geriatric Medicine · Bronx, NYNPI 1346381183
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.4% of the total across 825 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 45 manufacturers, the largest accounting for just 17.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,957, 2.7 times the $1,097 reported in 2019. Among geriatric medicine clinicians in NY 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 825 payments — averaging $19.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$3K
- AstraZeneca$2K
- AbbVie$1K
- GSK$1K
- Amgen$1K
- Lilly USA, LLC$1K
- plus $6K from 39 others
What the payments were for
- Food & beverage$15,77398%
- Education$2642%
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.
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.
How this compares
$16,037 in reported general payments places this provider in the 95th percentile of 400 geriatric medicine providers in New York.
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 |
|---|---|---|
| OzempicSemaglutide | 401 | $620,006 |
| TrulicityDulaglutide | 129 | $225,628 |
| FarxigaDapagliflozin Propanediol | 169 | $208,456 |
| JanuviaSitagliptin Phosphate | 125 | $138,655 |
| JardianceEmpagliflozin | 95 | $134,469 |
| EliquisApixaban | 106 | $115,918 |
| RybelsusSemaglutide | 25 | $63,227 |
| ProliaDenosumab | 34 | $56,414 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 75 | $55,248 |
| UbrelvyUbrogepant | 44 | $53,804 |
| LinzessLinaclotide | 58 | $48,923 |
| Tresiba Flextouch U-100Insulin Degludec | 70 | $48,629 |
| MounjaroTirzepatide | 28 | $40,693 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 40 | $38,679 |
| EntrestoSacubitril/Valsartan | 14 | $27,620 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $2,724 | $683,233426 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $1,199 | $266,321157 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $2,243 | $224,253184 claims |
| MerckJanuvia, Janumet, Janumet Xr, Steglatro | $224 | $181,857171 claims |
| Boehringer IngelheimJardiance, Tradjenta | $156 | $160,457125 claims |
| PfizerEliquis | $279 | $115,918106 claims |
| AbbVieUbrelvy, Linzess | $1,362 | $102,727102 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Arexvy, Shingrix | $1,314 | $82,492158 claims |
| AmgenProlia | $1,270 | $56,41434 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $261 | $38,67940 claims |
| NovartisEntresto | $502 | $27,62014 claims |
| Johnson & JohnsonXarelto | $69 | $27,09928 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 95th percentile of 400 geriatric medicine providers in New York.
Other geriatric medicine in Bronx
- Amit SaxenaBronx$16K
- Srinivasa AdapaBronx$9K
- Alicia WilliamsBronx$5K
- Sindhu MittadoddiBronx$2K
- Florence PuaBronx$2K
- Jonathan ChangBronx$2K
- Zachary PalaceBronx$2K
- Wen DombrowskiBrooklyn$45K
- Sharon BrangmanSyracuse$45K
- Howard FillitNew York$42K
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.