Shekar Narayanan, MD
Colon & Rectal Surgery · Indianapolis, INNPI 1881763977
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $53,446 of the $66,934 with a category attached, or 79.8%. Johnson & Johnson accounts for 61.9% of it on its own, with 32 other manufacturers making up the rest. Among colon & rectal surgery clinicians in IN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 285 payments — averaging $234.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$41K
- Medical Device Business Services, Inc.$13K
- Ethicon Endo-surgery Inc.$6K
- Intuitive Surgical$3K
- AbbVie$2K
- Bristol Myers Squibb$476
- plus $2K from 27 others
What the payments were for
- Consulting fees$53,44680%
- Travel & lodging$7,48911%
- Food & beverage$5,9419%
- Education$500%
- Gifts$90%
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 |
|---|---|---|
| Johnson & Johnson(3 entities) | 63 | $41,408 |
| Medical Device Business Services, Inc. | 25 | $13,063 |
| Ethicon Endo-surgery Inc. | 3 | $6,075 |
| Intuitive Surgical | 27 | $2,631 |
| AbbVie | 68 | $1,610 |
| Bristol Myers Squibb | 31 | $476 |
| Takeda Pharmaceuticals U.S.A., Inc. | 15 | $301 |
| Dilon Technologies, Inc. | 2 | $233 |
| TELA Bio, Inc. | 8 | $122 |
| Axonics, Inc. | 4 | $120 |
| Smith+Nephew | 3 | $104 |
| Medtronic(2 entities) | 5 | $100 |
| Innovation Technologies Inc | 2 | $83 |
| Braintree Laboratories, Inc. | 4 | $78 |
| Lumendi LLC | 1 | $69 |
| Davol Inc. | 2 | $49 |
| Vertex | 2 | $48 |
| Polynovo North America LLC | 2 | $47 |
| Baxter Healthcare | 1 | $45 |
| Kerecis Limited | 1 | $32 |
| Hologic Sales And Service, LLC | 1 | $28 |
| Merck | 2 | $26 |
| Ferring Pharmaceuticals Inc. | 2 | $26 |
| Micro-tech Endoscopy USA, Inc. | 1 | $24 |
| Shire North American Group Inc | 2 | $24 |
| Boston Scientific | 1 | $19 |
| Hospira, Inc. | 1 | $18 |
| Hologic Inc | 1 | $17 |
| Pfizer | 1 | $13 |
| Mallinckrodt Enterprises LLC | 1 | $13 |
| Integra Lifesciences Corporation | 1 | $13 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $12 |
| Biocomposites Inc | 1 | $8 |
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.
- STRATAFIX$24,847
- ETHICON$19,122
- Enseal X1$14,847
- DERMABOND PRINEO$14,847
- Echelon Circular$6,975
- Harmonic$6,750
- ENSEAL Product Family$5,400
- CONTOUR$5,199
- LIGACLIP$5,199
- PROXIMATE Family of Open Mechanical Staplers$4,399
- SURGICEL NU-KNIT$4,275
- Da Vinci Surgical System$1,952
- Proximate$800
- Echelon Flex$417
- Echelon Powered Circular$326
- DA VINCI SP$164
- HemoBlast Bellows$159
- Monarch Platform$107
How this compares
$66,934 in reported general payments places this provider in the 95th percentile of 54 colon & rectal surgery 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 |
|---|---|---|
| Mesalamine | 11 | $3,765 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 28 | $403 |
| Promethazine Hcl | 176 | $199 |
| Neomycin Sulfate | 24 | $133 |
| Tramadol Hcl | 20 | $57 |
| Metronidazole | 31 | $52 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Indianapolis
- Sanjay MohantyIndianapolis$11K
- Nikhil PatelIndianapolis$7K
- Frederick LaneIndianapolis$4K
- Arun GowdamarajanIndianapolis$4K
- Sarah JochumIndianapolis$4K
- Sanjay ThekkeurumbilIndianapolis$3K
- Patrick WhiteIndianapolis$3K
- Ateet ShahIndianapolis$2K
- Bruce RobbIndianapolis$2K
- Peter DavisIndianapolis$1K
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.