Shankar Narayanan, MD
Orthopaedic Surgery · West Chester, OHNPI 1659727121
Payments from drug & device makers
Across 50 payments — averaging $139.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$5K
- Stryker$1K
- Relievant Medsystems, Inc.$158
- Abbott$141
- Johnson & Johnson$112
- Curonix LLC$62
- plus $129 from 3 others
What the payments were for
- Travel & lodging$4,16160%
- Food & beverage$2,82240%
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 |
|---|---|---|
| Smith+Nephew | 29 | $5,272 |
| Stryker | 10 | $1,108 |
| Relievant Medsystems, Inc. | 1 | $158 |
| Abbott | 2 | $141 |
| Johnson & Johnson | 1 | $112 |
| Curonix LLC | 1 | $62 |
| Ferring Pharmaceuticals Inc. | 3 | $59 |
| Davol Inc. | 2 | $56 |
| Inari Medical, Inc. | 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.
- Journey II$5,658
- Journey II XR$1,680
- Legion Revision$1,151
- OR3O Dual Mobility$1,151
- RI.HIP NAVIGATION$1,151
- JOURNEY$1,151
- MAKO$883
- FAST-FIX$663
- Intracept$634
- TRIATHLON$277
- EVOS$262
- REAL INTELLIGENCE$212
- Taylor Spatial Frame$139
- TRIGEN InterTAN$139
- PRODIGY$120
- Tandem$108
How this compares
$6,983 in reported general payments places this provider in the 60th percentile of 794 orthopaedic surgery providers in Ohio.
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 Hcl | 111 | $557 |
| Meloxicam | 267 | $518 |
| Ondansetron Hcl | 79 | $424 |
| Cefadroxil | 63 | $408 |
| Methylprednisolone | 60 | $298 |
| Famotidine | 72 | $224 |
| Cephalexin | 34 | $212 |
| Diclofenac Sodium | 14 | $174 |
| Gabapentin | 22 | $138 |
| Methocarbamol | 30 | $118 |
| Tramadol Hcl | 20 | $74 |
| Amoxicillin | 66 | $50 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in West Chester
- Reuben GobezieCleveland$12.6M
- Brad PichaIndependence$12.3M
- Gregory BerletWorthington$9.9M
- Wael BarsoumCleveland$8.9M
- Brian CohenChillicothe$8.9M
- Joseph IannottiCleveland$7.1M
- John SontichYoungstown$3.6M
- Anthony MiniaciCleveland$3.1M
- Mark FroimsonCleveland$2.9M
- David WelkerMiamisburg$2.8M
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.