Rachael Harris Sprunger, DO
Physical Medicine & Rehabilitation · South Bend, INNPI 1457611865
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.1%), travel and lodging and education — rather than concentrated in one kind of arrangement. Nevro Corp. accounts for 66.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2019 at $2,351 and has fallen 79.9% since, to $472 in 2025.
Across 112 payments — averaging $41.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$3K
- Boston Scientific$485
- Medtronic$446
- Globus Medical$346
- AbbVie$188
- Stryker$44
- plus $65 from 4 others
Across 7 payments — averaging $15,622 each. An ownership or investment interest held by the physician or an immediate family member.
- Digital Diagnostics Inc.$109K
What the payments were for
- Travel & lodging$2,00343%
- Food & beverage$2,68557%
- Education$140%
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 |
|---|---|---|
| Nevro Corp. | 56 | $3,127 |
| Boston Scientific | 4 | $485 |
| Medtronic | 25 | $446 |
| Globus Medical | 13 | $346 |
| AbbVie(2 entities) | 8 | $188 |
| Stryker | 2 | $44 |
| Merz Pharmaceuticals, LLC | 1 | $19 |
| Saluda Medical Americas, Inc. | 1 | $18 |
| Relievant Medsystems, Inc. | 1 | $15 |
| Pfizer | 1 | $14 |
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
$4,701 in reported general payments places this provider in the 85th percentile of 140 physical medicine & rehabilitation providers in Indiana.
See all physical medicine & rehabilitation providers in Indiana →
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 |
|---|---|---|
| Duloxetine Hcl | 303 | $6,091 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 184 | $4,316 |
| Pregabalin | 84 | $4,065 |
| Gabapentin | 221 | $3,371 |
| Tizanidine Hcl | 116 | $1,689 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 63 | $1,464 |
| Oxycodone Hcl | 38 | $686 |
| Methylprednisolone | 107 | $680 |
| Amitriptyline Hcl | 17 | $609 |
| Morphine Sulfate ErMorphine Sulfate | 21 | $459 |
| Diclofenac Sodium | 25 | $389 |
| Meloxicam | 110 | $363 |
| Tramadol Hcl | 67 | $338 |
| Baclofen | 15 | $193 |
| Cyclobenzaprine Hcl | 18 | $103 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in South Bend
- Paul SmuckerSouth Bend$4K
- Samuel KimmellSouth Bend$2K
- Christopher KetchamSouth Bend$2K
- Amrita PatelSouth Bend$1K
- Paul DesmaraisSouth Bend$803
- Christina WalzFort Wayne$503K
- Shashank DaveIndianapolis$198K
- Sayed WaheziFort Wayne$161K
- Andrew DavissonNew Castle$74K
- Sachin MehtaIndianapolis$60K
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.