Richard Gayles, MD
Interventional Pain Medicine · Orlando, FLNPI 1861400459
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $11,202 of the $13,670 with a category attached, or 81.9%. 54 manufacturers reported payments, led by Abbott at 24.3% of the total. Reporting peaked in 2019 at $2,743 and has fallen 74.0% since, to $713 in 2025.
Across 521 payments — averaging $26.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$3K
- Reel Surgical, Inc.$990
- AbbVie$928
- Nevro Corp.$900
- Medtronic$773
- Boston Scientific$719
- plus $6K from 48 others
Across 3 payments — averaging $1216.75 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.
- SPR Therapeutics, Inc$3K
- Vertiflex, Inc.$200
What the payments were for
- Travel & lodging$1,40710%
- Food & beverage$11,20282%
- Education$9907%
- Entertainment$711%
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.
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
$13,670 in reported general payments places this provider in the 75th percentile of 278 interventional pain medicine providers in Florida.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 668 | $17,843 |
| BelbucaBuprenorphine Hcl | 34 | $15,885 |
| QuliptaAtogepant | 12 | $13,390 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 461 | $9,805 |
| Pregabalin | 255 | $5,692 |
| Buprenorphine | 22 | $5,224 |
| Xtampza ErOxycodone Myristate | 11 | $4,879 |
| Oxycodone Hcl | 144 | $2,709 |
| Diclofenac Sodium | 44 | $2,242 |
| Gabapentin | 205 | $2,219 |
| Duloxetine Hcl | 154 | $1,813 |
| Tizanidine Hcl | 78 | $1,276 |
| Celecoxib | 57 | $699 |
| Baclofen | 51 | $634 |
| Tramadol Hcl ErTramadol Hcl | 12 | $609 |
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc.Belbuca, Xtampza Er | $464 | $20,76445 claims |
| AbbVieQulipta | $928 | $13,39012 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 75th percentile of 278 interventional pain medicine providers in Florida.
Other interventional pain medicine in Orlando
- Louis RasoJupiter$1.3M
- Ajay AntonyGainesville$1.1M
- Michael EspositoVero Beach$777K
- Nomen AzeemRiverview$650K
- Stanley GolovacMerritt Island$367K
- Sunil PanchalLutz$363K
- Robert BallPort Charlotte$246K
- Justin MannJacksonville$243K
- Giuseppe PaeseBoca Raton$180K
- Miguel de la GarzaNew Port Richey$138K
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.