Punam Patel, MD
Surgery · Las Vegas, NVNPI 1952690042
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (46.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 75.0% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2022 at $9,207 and has fallen 64.5% since, to $3,273 in 2025.
Across 130 payments — averaging $190.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$19K
- Medtronic$4K
- Medical Device Business Services, Inc.$644
- Novo Nordisk$298
- Intra-sana Laboratories$287
- Baxter Healthcare$268
- plus $858 from 13 others
What the payments were for
- Consulting fees$1,6807%
- Travel & lodging$4,80119%
- Food & beverage$6,68727%
- Education$11,50046%
- Gifts$1301%
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 |
|---|---|---|
| Intuitive Surgical | 55 | $18,609 |
| Medtronic | 20 | $3,834 |
| Medical Device Business Services, Inc. | 6 | $644 |
| Novo Nordisk | 8 | $298 |
| Intra-sana Laboratories | 3 | $287 |
| Baxter Healthcare | 5 | $268 |
| Johnson & Johnson | 8 | $215 |
| Covidien LP | 5 | $200 |
| Teleflex LLC | 1 | $114 |
| TELA Bio, Inc. | 1 | $70 |
| Boston Scientific | 4 | $57 |
| Endo Pharmaceuticals Inc. | 3 | $40 |
| Daiichi Sankyo Inc. | 2 | $38 |
| Pacira Pharmaceuticals Incorporated | 2 | $32 |
| Nalpropion Pharmaceuticals LLC | 2 | $25 |
| Cook Medical LLC | 2 | $24 |
| Redhill Biopharma Inc. | 1 | $22 |
| Eisai Inc. | 1 | $11 |
| Davol Inc. | 1 | $11 |
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.
- Da Vinci Surgical System$16,764
- Signia$1,335
- LINX Reflux Management System$489
- Reltone 200 Mg$232
- Reltone 400 Mg$232
- DA VINCI SP$146
- Emprint$141
- INTELLIS ADAPTIVESTIM$124
- PERI-STRIPS DRY$123
- TISSEEL$123
- Titan SGS$114
- Wegovy$112
How this compares
$24,798 in reported general payments places this provider in the 85th percentile of 209 surgery 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 |
|---|---|---|
| Ursodiol | 28 | $56,809 |
| Omeprazole | 99 | $616 |
| Enoxaparin Sodium | 14 | $484 |
| Ondansetron OdtOndansetron | 16 | $110 |
Paid to pharmacies, not to this prescriber.
Other surgery in Las Vegas
- Arthur FuscoLas Vegas$155K
- Ovunc BardakciogluLas Vegas$128K
- Jiashou XuLas Vegas$79K
- Charles ChesnutLas Vegas$76K
- Damon SchroerLas Vegas$74K
- Craig IwamotoLas Vegas$48K
- Arnold ChungLas Vegas$48K
- Stefan ChockLas Vegas$46K
- Matthew JohnsonLas Vegas$40K
- Clyde EllisLas Vegas$39K
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.