Nisha Parambil, MD
Endocrinology, Diabetes & Metabolism · Hanover, MDNPI 1255589594
Payments from drug & device makers
Across 122 payments — averaging $22.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$354
- Abbott$273
- Amgen$177
- Lilly USA, LLC$166
- Sanofi-aventis U.S. LLC$159
- Radius Health, Inc.$139
- plus $1K from 26 others
What the payments were for
- Food & beverage$2,63598%
- Education$562%
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 |
|---|---|---|
| Novo Nordisk | 18 | $354 |
| Abbott | 11 | $273 |
| Amgen | 9 | $177 |
| Lilly USA, LLC | 8 | $166 |
| Sanofi-aventis U.S. LLC | 9 | $159 |
| Radius Health, Inc. | 6 | $139 |
| Boehringer Ingelheim | 6 | $136 |
| Cequr Corporation | 2 | $111 |
| Madrigal Pharmaceuticals | 3 | $104 |
| Dexcom, Inc. | 4 | $99 |
| AbbVie | 4 | $87 |
| Novartis | 3 | $72 |
| AstraZeneca(2 entities) | 4 | $71 |
| Tandem Diabetes Care, Inc. | 3 | $71 |
| Bayer | 3 | $59 |
| Amneal Pharmaceuticals LLC | 3 | $57 |
| BD | 3 | $57 |
| Xeris Pharmaceuticals, Inc. | 3 | $55 |
| Esperion Therapeutics, Inc. | 2 | $53 |
| Sequel Med Tech, LLC | 2 | $50 |
| BETA Bionics, Inc. | 2 | $49 |
| Neurocrine Biosciences, Inc. | 2 | $48 |
| Amarin Pharma, Inc. | 2 | $33 |
| Lifescan, Inc. | 1 | $30 |
| GRT US Holding, Inc. | 1 | $29 |
| Insulet Corporation | 2 | $28 |
| Valeritas, Inc. | 1 | $26 |
| Antares Pharma, Inc. | 1 | $23 |
| Mannkind Corporation | 1 | $23 |
| Corcept Therapeutics | 1 | $22 |
| Recordati_rare_diseases_inc. | 1 | $18 |
| Johnson & Johnson | 1 | $12 |
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.
- FreeStyle Libre$122
How this compares
$2,691 in reported general payments places this provider in the 55th percentile of 235 endocrinology, diabetes & metabolism providers in Maryland.
See all endocrinology, diabetes & metabolism providers in Maryland →
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 | 39 | $56,352 |
| MounjaroTirzepatide | 30 | $38,293 |
| ProliaDenosumab | 17 | $29,296 |
| JardianceEmpagliflozin | 17 | $21,159 |
| FarxigaDapagliflozin Propanediol | 12 | $17,190 |
| Tresiba Flextouch U-100Insulin Degludec | 20 | $15,321 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 23 | $13,327 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 25 | $3,174 |
| Novolog FlexpenInsulin Aspart | 11 | $2,703 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 31 | $2,494 |
| Cinacalcet Hcl | 14 | $2,370 |
| Ultra-Fine Mini Pen NeedlePen Needle, Diabetic | 11 | $1,538 |
| Levothyroxine Sodium | 85 | $1,097 |
| Glimepiride | 28 | $479 |
| Metformin Hcl ErMetformin Hcl | 19 | $297 |
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 | $354 | $56,35239 claims |
| Lilly USA, LLCMounjaro | $166 | $38,29330 claims |
| AmgenProlia | $177 | $29,29617 claims |
| Boehringer IngelheimJardiance | $136 | $21,15917 claims |
| AstraZenecaFarxiga | $71 | $17,19012 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $57 | $1,09785 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 55th percentile of 235 endocrinology, diabetes & metabolism providers in Maryland.
Other endocrinology, diabetes & metabolism in Hanover
- David LevittHanover$8K
- Jean ParkBaltimore$3.7M
- Michael DempseyRockville$2.7M
- Ilias SpanakisBaltimore$2.6M
- Helena RodbardRockville$2.4M
- Daniel GozziSuitland$1.2M
- Martin SarkarFrederick$1.1M
- Romeu AzevedoCamp Springs$1.1M
- Nicholas ArgentoLaurel$1.1M
- Philip LevinBaltimore$702K
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.