Puneet Sayal, MD
Pain Medicine · Corpus Christi, TXNPI 1851655914
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $100,782 of the $152,699 with a category attached, or 66.0%. SPR Therapeutics, Inc accounts for 95.5% of it on its own, with 28 other manufacturers making up the rest. Reporting peaked in 2023 at $90,230 and has fallen 99.9% since, to $102 in 2025. Among pain medicine clinicians in TX 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 343 payments — averaging $445.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- SPR Therapeutics, Inc$146K
- Nalu Medical, Inc.$1K
- Boston Scientific$1K
- Nevro Corp.$1K
- Abbott$797
- Medtronic$707
- plus $2K from 23 others
Across 1 payment — averaging $106.33 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.
- Saluda Medical Americas, Inc.$106
What the payments were for
- Consulting fees$100,78266%
- Travel & lodging$38,89325%
- Food & beverage$13,0249%
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 |
|---|---|---|
| SPR Therapeutics, Inc | 128 | $145,823 |
| Nalu Medical, Inc. | 15 | $1,252 |
| Boston Scientific | 46 | $1,216 |
| Nevro Corp. | 26 | $1,178 |
| Abbott | 39 | $797 |
| Medtronic(2 entities) | 25 | $707 |
| Avanos Medical | 7 | $262 |
| Relievant Medsystems, Inc. | 4 | $210 |
| Saluda Medical Americas, Inc. | 3 | $189 |
| Vertiflex, Inc. | 2 | $132 |
| AbbVie(2 entities) | 7 | $114 |
| Stimwave Technologies Incorporated | 2 | $111 |
| Collegium Pharmaceutical, Inc. | 6 | $91 |
| Lilly USA, LLC | 5 | $85 |
| Tersera Therapeutics LLC | 4 | $77 |
| Biodelivery Sciences International, Inc. | 5 | $76 |
| Arbor Pharmaceuticals, Inc. | 4 | $61 |
| Upsher-smith Laboratories LLC | 2 | $43 |
| Vertical Pharmaceuticals, LLC | 2 | $39 |
| Merz Pharmaceuticals, LLC | 1 | $34 |
| Pfizer | 2 | $33 |
| Biohaven Pharmaceuticals, Inc. | 1 | $27 |
| Amgen | 1 | $23 |
| Pacira Pharmaceuticals Incorporated | 1 | $21 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $21 |
| Scilex Pharmaceuticals Inc. | 1 | $21 |
| Teva Pharmaceuticals USA, Inc. | 1 | $20 |
| Bioventus LLC | 1 | $19 |
| Kowa Pharmaceuticals America, Inc. | 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.
- SPRINT PNS System$143,549
- Nalu Neurostimulation System$1,027
- Intracept$435
- Omnia$354
- WaveWriter Alpha Prime 16$235
- MazorX - Renaissance$169
- Proclaim Family of SCS IPGs$119
- INTELLIS$110
- Evoke SCS$105
- Senza$102
How this compares
$152,699 in reported general payments places this provider in the 95th percentile of 583 pain medicine providers in Texas.
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 |
|---|---|---|
| Gabapentin | 92 | $1,253 |
| Tizanidine Hcl | 32 | $527 |
| Pregabalin | 27 | $521 |
| Cyclobenzaprine Hcl | 26 | $353 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Corpus Christi
- Melissa MurphyGrapevine$653K
- Shiraz YazdaniLubbock$514K
- Aaron CalodneyTyler$296K
- Candice BurnetteSugar Land$265K
- Ashley Bailey-ClassenFort Worth$244K
- Grant ChenHouston$175K
- Gunjan PatelHouston$166K
- Anthony BergRockwall$165K
- Eduardo GarciaWebster$147K
- Jaideep MehtaHouston$134K
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.