Thomas Kayal, MD
Surgery · Lumberton, NJNPI 1316081268
Payments from drug & device makers
What this record shows
This record is dominated by education: $24,000 of the $27,296 with a category attached, or 87.9%. Intuitive Surgical accounts for 91.0% of it on its own, with 26 other manufacturers making up the rest. Reporting peaked in 2019 at $25,223 and has fallen 98.9% since, to $268 in 2025. Among surgery clinicians in NJ 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 99 payments — averaging $275.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$25K
- THD America, Inc.$565
- Johnson & Johnson$341
- AbbVie$236
- Baxter Healthcare$221
- Acera Surgical, Inc.$193
- plus $894 from 21 others
What the payments were for
- Travel & lodging$3851%
- Food & beverage$2,91111%
- Education$24,00088%
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 |
|---|---|---|
| Intuitive Surgical | 15 | $24,846 |
| THD America, Inc. | 5 | $565 |
| Johnson & Johnson | 9 | $341 |
| AbbVie(2 entities) | 13 | $236 |
| Baxter Healthcare | 6 | $221 |
| Acera Surgical, Inc. | 7 | $193 |
| Stryker | 1 | $115 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $99 |
| Integra Lifesciences Corporation | 4 | $84 |
| Pacira Pharmaceuticals Incorporated | 5 | $75 |
| Davol Inc. | 3 | $69 |
| Vertex | 4 | $67 |
| Endologix LLC | 1 | $56 |
| Smith+Nephew | 2 | $51 |
| Covidien LP | 2 | $30 |
| Shire North American Group Inc | 2 | $29 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $28 |
| Medtronic | 2 | $28 |
| Misonix Inc | 1 | $25 |
| Baudax Bio Inc. | 1 | $24 |
| Organogenesis Inc. | 1 | $23 |
| Acell, Inc. | 1 | $19 |
| KCI USA, Inc. | 1 | $19 |
| TELA Bio, Inc. | 1 | $15 |
| Kerecis Limited | 1 | $14 |
| Terumo Medical Corporation | 1 | $13 |
| Cook Medical LLC | 1 | $12 |
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.
- Da Vinci Surgical System$24,750
- Harmonic$128
- ECHELON ENDOPATH$128
- VISTASEAL$128
- ETHICON$128
- 1788$115
How this compares
$27,296 in reported general payments places this provider in the 90th percentile of 593 surgery providers in New Jersey.
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 |
|---|---|---|
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 37 | $553 |
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 30 | $409 |
| Ibuprofen | 23 | $117 |
| Neomycin Sulfate | 14 | $71 |
| Metronidazole | 19 | $40 |
Paid to pharmacies, not to this prescriber.
Other surgery in Lumberton
- Robert PerezHainesport$2M
- Eric WhitmanMorristown$848K
- Jarrod KaufmanBrick$474K
- Amit TrivediParamus$242K
- Young HongCamden$203K
- Harvey RainvilleGlen Ridge$159K
- Harrison CotlerOakhurst$149K
- Francis PrevitiNorth Field$131K
- David DupreeTinton Falls$124K
- Patricia MartzCape May Court House$98K
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.