Has William Smith, MD received payments from drug or device companies?

Yes. Drug and device makers reported $11,493 in general payments to William Smith, MD across 146 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean William Smith, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about William Smith, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

William Smith, MD

Interventional Pain Medicine · San Antonio, TXNPI 1609281138

Payments from drug & device makers

$11,493in general payments, 2019–2025

Across 146 payments — averaging $78.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Medtronic$7K
Boston Scientific$2K
Spinal Simplicity, LLC$1K
Si-bone, Inc.$458
Relievant Medsystems, Inc.$301
Painteq LLC$191
plus $399 from 6 others

What the payments were for

Grants$3,33330%
Travel & lodging$9689%
Food & beverage$5,56850%
Education$1,27911%

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)	83	$6,669
Boston Scientific	33	$2,178
Spinal Simplicity, LLC	2	$1,298
Si-bone, Inc.	8	$458
Relievant Medsystems, Inc.	6	$301
Painteq LLC	4	$191
SPR Therapeutics, Inc	2	$167
Nevro Corp.	3	$92
Bioventus LLC	1	$60
GRT US Holding, Inc.	2	$33
AbbVie	1	$28
Fidia Pharma USA Inc.	1	$18

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.

How this compares

$11,493 in reported general payments places this provider in the 60th percentile of 287 interventional pain medicine providers in Texas.

See all interventional pain medicine providers in Texas →

Medicare billing

Part B allowed, 2024

$447,077

Medicare patients

212

Services billed

12,359

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
Pregabalin	60	$541
Cyclobenzaprine Hcl	18	$197
Gabapentin	11	$184
Tramadol Hcl	12	$133
Meloxicam	24	$51
Alprazolam	22	$6

Paid to pharmacies, not to this prescriber.

Other interventional pain medicine in San Antonio

Sarah TrampotaSan Antonio$37K
William TisdallSan Antonio$30K
Gabor RaczLubbock$3M
Pankaj MehtaKilleen$2.2M
Genaro GutierrezAustin$1.3M
Chad StephensSouthlake$1.1M
Ioannis SkaribasHouston$979K
Duane GriffithTyler$730K
Brannon FrankAustin$698K
Robert WillsRound Rock$692K

See the full list for Texas →

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.

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