Talal Ghazal, MD
Interventional Pain Medicine · Arlington, VANPI 1700080520
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,905 of the $4,772 with a category attached, or 81.8%. 18 manufacturers reported payments, led by Medtronic at 41.0% of the total.
Across 154 payments — averaging $30.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Pacira Pharmaceuticals Incorporated$729
- Relievant Medsystems, Inc.$494
- Nevro Corp.$321
- Boston Scientific$294
- Abbott$206
- plus $772 from 12 others
Across 84 payments — averaging $2900.95 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.
- Medtronic$244K
What the payments were for
- Travel & lodging$86718%
- Food & beverage$3,90582%
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 |
|---|---|---|
| Medtronic(2 entities) | 84 | $1,957 |
| Pacira Pharmaceuticals Incorporated | 5 | $729 |
| Relievant Medsystems, Inc. | 4 | $494 |
| Nevro Corp. | 6 | $321 |
| Boston Scientific | 9 | $294 |
| Abbott | 11 | $206 |
| Globus Medical | 7 | $195 |
| Stimwave Technologies Incorporated | 2 | $126 |
| Tersera Therapeutics LLC | 8 | $122 |
| Collegium Pharmaceutical, Inc. | 4 | $83 |
| Vertos Medical, Inc. | 2 | $59 |
| Biodelivery Sciences International, Inc. | 4 | $52 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $38 |
| Averitas Pharma Inc. | 1 | $26 |
| Nalu Medical, Inc. | 1 | $22 |
| Vertex | 1 | $18 |
| Kaleo, Inc. | 1 | $17 |
| Scilex Pharmaceuticals 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.
- Intracept$825
- Iovera$600
- MYSTIM$200
- ASCENDA$176
- SYNCHROMEDII$169
- Senza$155
- KYPHON Balloon Kyphoplasty$133
- INTELLIS ADAPTIVESTIM$130
How this compares
$4,772 in reported general payments places this provider in the 55th percentile of 52 interventional pain medicine providers in Virginia.
See all interventional pain medicine providers in Virginia →
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 |
|---|---|---|
| Fentanyl | 20 | $2,399 |
| Duloxetine Hcl | 18 | $1,263 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 55 | $887 |
| Gabapentin | 68 | $854 |
| Oxycodone Hcl | 52 | $725 |
| Pregabalin | 14 | $555 |
| Diclofenac Sodium | 15 | $378 |
| Tramadol Hcl | 72 | $367 |
| Cyclobenzaprine Hcl | 17 | $288 |
| Hydromorphone Hcl | 18 | $145 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Arlington
- Suneetha BudampatiArlington$10K
- Assaf GordonArlington$9K
- Ketan PatelHaymarket$133K
- Che TorryNewport News$48K
- Niteesh BhararaReston$25K
- Sassan HassassianManassas$24K
- Raj SurejaNewport News$23K
- Benjamin SeemanRichmond$21K
- Alok GopalWinchester$16K
- Jacob LeeWinchester$14K
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.