Thomas del Guercio, MD
Pain Medicine · Brooklyn, NYNPI 1699193060
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $14,747 of the $21,838 with a category attached, or 67.5%. 32 manufacturers reported payments, led by Abbott at 29.0% of the total. Reporting peaked in 2024 at $10,769 and has fallen 69.4% since, to $3,295 in 2025. Among pain medicine clinicians in NY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 367 payments — averaging $59.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$6K
- Biotronik NRO, Inc.$3K
- SPR Therapeutics, Inc$2K
- Spinal Simplicity, LLC$2K
- Boston Scientific$2K
- Medtronic$1K
- plus $7K from 26 others
What the payments were for
- Grants$940%
- Travel & lodging$6,99732%
- Food & beverage$14,74768%
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 |
|---|---|---|
| Abbott | 68 | $6,328 |
| Biotronik NRO, Inc. | 55 | $2,572 |
| SPR Therapeutics, Inc | 34 | $1,794 |
| Spinal Simplicity, LLC | 13 | $1,551 |
| Boston Scientific | 60 | $1,540 |
| Medtronic | 31 | $1,477 |
| Nalu Medical, Inc. | 26 | $1,337 |
| MML US, Inc. | 8 | $1,013 |
| Nevro Corp. | 13 | $878 |
| Relievant Medsystems, Inc. | 6 | $601 |
| Saluda Medical Americas, Inc. | 4 | $510 |
| Vertos Medical, Inc. | 5 | $380 |
| Stryker | 3 | $315 |
| Globus Medical(2 entities) | 3 | $269 |
| Foundation Fusion Solutions, LLC | 2 | $221 |
| Collegium Pharmaceutical, Inc. | 10 | $170 |
| Averitas Pharma Inc. | 6 | $153 |
| Radius Health, Inc. | 1 | $125 |
| Curonix LLC | 1 | $109 |
| Merz North America, Inc. | 2 | $90 |
| Stimwave Technologies Incorporated | 2 | $89 |
| Zimmer Biomet | 2 | $85 |
| Johnson & Johnson | 2 | $39 |
| Avanos Medical | 2 | $30 |
| Painteq LLC | 1 | $29 |
| Bioventus LLC | 1 | $25 |
| Acera Surgical, Inc. | 1 | $23 |
| Epimed International, Inc | 1 | $19 |
| Vertex | 1 | $19 |
| IBSA Pharma Inc. | 1 | $17 |
| Merit Medical Systems Inc | 1 | $15 |
| Scilex Pharmaceuticals Inc. | 1 | $13 |
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.
- PROCLAIM$4,941
- Prospera$1,774
- Intracept$1,557
- HA MINUTEMAN G3-R$1,272
- ReActiv8$958
- Nalu Neurostimulation System$763
- SPRINT PNS System$659
- Senza$562
- Evoke SCS$491
- mild Device Kit$428
- INTELLIS ADAPTIVESTIM$414
- Omnia$236
- Axium$158
- SYNCHROMEDII$147
- WaveWriter Alpha Prime 16$142
- KYPHON EXPRESS II KYPHOPAK TRAY$138
- Tymlos$125
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$109
- OCTRODE$101
How this compares
$21,838 in reported general payments places this provider in the 90th percentile of 503 pain medicine providers in New York.
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 | 43 | $1,563 |
| Gabapentin | 184 | $1,489 |
| Celecoxib | 81 | $845 |
| Morphine Sulfate | 18 | $562 |
| Pregabalin | 55 | $499 |
| Hydromorphone Hcl | 20 | $461 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 36 | $354 |
| Tramadol Hcl | 58 | $281 |
| Duloxetine Hcl | 14 | $203 |
| Diclofenac Sodium | 15 | $188 |
| Meloxicam | 36 | $157 |
| Methylprednisolone | 28 | $156 |
| Amitriptyline Hcl | 12 | $136 |
| Tizanidine Hcl | 14 | $132 |
| Diazepam | 13 | $9 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Brooklyn
- Gary SchwartzBrooklyn$756K
- David RosenblumBrooklyn$105K
- Jacob RauchwergerBrooklyn$41K
- Jason KreinerBrooklyn$18K
- Roman ShulkinBrooklyn$15K
- Amitabh GulatiNew York$614K
- William CaldwellStony Brook$530K
- Brian DurkinPort Jefferson$455K
- David SpinnerNew York$391K
- Grace FordeNew Hyde Park$355K
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.