Parag Parekh, DO
Nephrology · Las Vegas, NVNPI 1013395979
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.1% of the total across 215 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 25 manufacturers, the largest accounting for just 18.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,479, 7.1 times the $209 reported in 2021.
Across 215 payments — averaging $23.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$922
- Otsuka America Pharmaceutical, Inc.$428
- Calliditas Therapeutics US Inc.$426
- Amgen$405
- Travere Therapeutics, Inc.$388
- Bayer$384
- plus $2K from 19 others
What the payments were for
- Food & beverage$4,95698%
- Education$952%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 38 | $922 |
| Otsuka America Pharmaceutical, Inc. | 26 | $428 |
| Calliditas Therapeutics US Inc. | 18 | $426 |
| Amgen(2 entities) | 16 | $405 |
| Travere Therapeutics, Inc. | 12 | $388 |
| Bayer | 18 | $384 |
| Boehringer Ingelheim | 14 | $334 |
| Novo Nordisk | 12 | $259 |
| Novartis | 10 | $222 |
| GSK | 8 | $147 |
| Shockwave Medical, Inc | 1 | $133 |
| Akebia Therapeutics Inc | 5 | $117 |
| Vifor Pharma, Inc. | 7 | $113 |
| Mallinckrodt Hospital Products Inc. | 4 | $109 |
| Nxstage Medical, Inc. | 1 | $104 |
| ANI Pharmaceuticals, Inc. | 4 | $96 |
| Aurinia Pharma U.S., Inc. | 4 | $90 |
| Ardelyx, Inc. | 4 | $68 |
| Apellis Pharmaceuticals, Inc. | 3 | $67 |
| OPKO Pharmaceuticals, LLC | 3 | $66 |
| Daiichi Sankyo Inc. | 2 | $49 |
| Lilly USA, LLC | 2 | $45 |
| Sanofi | 1 | $37 |
| Ultragenyx Pharmaceutical Inc. | 1 | $23 |
| Kyowa Kirin, Inc. | 1 | $18 |
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
$5,050 in reported general payments places this provider in the 80th percentile of 125 nephrology providers in Nevada.
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 |
|---|---|---|
| JardianceEmpagliflozin | 66 | $100,178 |
| FarxigaDapagliflozin Propanediol | 64 | $85,022 |
| OzempicSemaglutide | 49 | $81,471 |
| MounjaroTirzepatide | 15 | $21,116 |
| LokelmaSodium Zirconium Cyclosilicate | 13 | $10,496 |
| Sevelamer Carbonate | 23 | $4,068 |
| Cinacalcet Hcl | 16 | $933 |
| Tamsulosin Hcl | 45 | $744 |
| Midodrine Hcl | 13 | $724 |
| Furosemide | 123 | $585 |
| Nifedipine ErNifedipine | 25 | $501 |
| Calcitriol | 35 | $484 |
| Labetalol Hcl | 11 | $406 |
| Hydralazine Hcl | 25 | $398 |
| Carvedilol | 30 | $367 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $334 | $100,17866 claims |
| AstraZenecaFarxiga, Lokelma | $922 | $95,51977 claims |
| Novo NordiskOzempic | $259 | $81,47149 claims |
| Lilly USA, LLCMounjaro | $45 | $21,11615 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 80th percentile of 125 nephrology providers in Nevada.
Other nephrology in Las Vegas
- Samuel KantorLas Vegas$319K
- Richard CottieroLas Vegas$220K
- Mark VishnepolskyLas Vegas$68K
- Baishali NairLas Vegas$12K
- Gene OngLas Vegas$11K
- Jeffrey RyuLas Vegas$9K
- Luana PillonLas Vegas$9K
- Lawrence LehrnerLas Vegas$8K
- Hassan OsmanLas Vegas$8K
- Marwan TakieddineLas Vegas$8K
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.