Robert Aranibar, MD
Pain Medicine · Merritt Island, FLNPI 1992742225
Payments from drug & device makers
Across 12 payments — averaging $16.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$50
- Scilex Pharmaceuticals Inc.$39
- Pfizer$34
- Biodelivery Sciences International, Inc.$20
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$20
- Almatica Pharma LLC$17
- plus $25 from 2 others
What the payments were for
- Food & beverage$204100%
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 |
|---|---|---|
| Boston Scientific | 3 | $50 |
| Scilex Pharmaceuticals Inc. | 2 | $39 |
| Pfizer | 2 | $34 |
| Biodelivery Sciences International, Inc. | 1 | $20 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $20 |
| Almatica Pharma LLC | 1 | $17 |
| Avanos Medical | 1 | $13 |
| Bioventus LLC | 1 | $12 |
How this compares
$204 in reported general payments places this provider in the 15th percentile of 596 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 |
|---|---|---|
| PercocetOxycodone Hcl/Acetaminophen | 13 | $49,066 |
| Xtampza ErOxycodone Myristate | 36 | $21,787 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 546 | $20,418 |
| NucyntaTapentadol Hcl | 11 | $16,051 |
| OxycontinOxycodone Hcl | 11 | $16,038 |
| Fentanyl | 108 | $14,104 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 449 | $14,000 |
| Morphine Sulfate ErMorphine Sulfate | 143 | $4,622 |
| Gabapentin | 332 | $3,981 |
| Naloxone Hcl | 58 | $3,422 |
| Hydromorphone Hcl | 126 | $3,331 |
| Lidocaine | 27 | $2,430 |
| Tramadol Hcl | 220 | $2,154 |
| Methadone Hcl | 41 | $2,075 |
| Morphine Sulfate | 46 | $1,824 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Merritt Island
- Sherin FetouhMerritt Island$27K
- Anand PatelOrmond Beach$20.4M
- Julio PaezClermont$2.3M
- Joseph PergolizziNaples$2.1M
- Abel MurilloMiami$1.6M
- George MonluxPalm Coast$1.3M
- Ferdinand FormosoJacksonville$1M
- Cesar LassalleOrlando$1M
- Robert GuirguisTampa$895K
- Ashraf HannaClearwater$608K
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.