Shahram Yari
Hand Surgery · McKinney, TXNPI 1063807352
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (42.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Arthrex at 35.1% of the total. Reporting peaked in 2022 at $6,918 and has fallen 91.6% since, to $580 in 2025.
Across 83 payments — averaging $143.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$4K
- Pylant Medical$2K
- Axogen$2K
- Acumed LLC$1K
- Great Lakes Orthopedics$1K
- Johnson & Johnson$144
- plus $589 from 13 others
What the payments were for
- Travel & lodging$3,66131%
- Food & beverage$3,16327%
- Education$5,05043%
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 |
|---|---|---|
| Arthrex | 27 | $4,166 |
| Pylant Medical | 16 | $2,428 |
| Axogen | 10 | $2,115 |
| Acumed LLC | 7 | $1,232 |
| Great Lakes Orthopedics | 1 | $1,200 |
| Johnson & Johnson | 3 | $144 |
| Stryker | 2 | $95 |
| Trimed, Inc. | 2 | $94 |
| Zimmer Biomet | 1 | $68 |
| Endo Pharmaceuticals Inc. | 3 | $68 |
| Endo USA, Inc. | 2 | $47 |
| Access Pro Medical, LLC | 2 | $38 |
| Smith+Nephew | 1 | $34 |
| Globus Medical | 1 | $33 |
| Avanos Medical | 1 | $31 |
| Mimedx Group, Inc. | 1 | $23 |
| Integra Lifesciences Corporation | 1 | $21 |
| Pacira Pharmaceuticals Incorporated | 1 | $20 |
| Sonex Health, Inc. | 1 | $18 |
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.
- ACUMED$3,367
- AVANCE NERVE GRAFT$1,916
How this compares
$11,873 in reported general payments places this provider in the 75th percentile of 170 hand surgery 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 88 | $478 |
| Gabapentin | 57 | $345 |
| Naproxen | 49 | $195 |
| Methylprednisolone | 29 | $186 |
| Nabumetone | 15 | $152 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 17 | $97 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in McKinney
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
- William PientkaFort Worth$113K
- Ann GoldenDallas$107K
- Cameron AtkinsonArlington$103K
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.