Doctor of Osteopathy Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Carl Shapiro

Pain Medicine Cincinnati, OH Doctor of Osteopathy

NPI 1144296708 CMS profile 1249581

440 Ray Norrish Dr, Cincinnati, OH 45246

Open in the dashboard

General payments

$4,571

203 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Carl Shapiro of Cincinnati, OH is reported in the CMS Open Payments database as having received $4,571 across 203 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 71st percentile of Pain Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $193 9
2024 General $1,105 56
2023 General $1,171 38
2022 General $650 35
2021 General $713 22
2020 General $334 10
2019 General $406 33

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Carl Shapiro
  • Pain Medicine median
  • Middle half of Pain Medicine
  • National median

In program year 2025, general payments to Carl Shapiro were reported at $193. Among 1,144 Pain Medicine profiles paid that year, the median was $402 and the middle half received between $130 and $1,173.

Show as a table
Year Carl Shapiro Pain Medicine median Middle half National median
2019 $406 $409 $115–$1,311 $163
2020 $334 $214 $66–$666 $114
2021 $713 $299 $84–$899 $132
2022 $650 $335 $103–$1,149 $149
2023 $1,171 $376 $114–$1,228 $160
2024 $1,105 $387 $115–$1,173 $164
2025 $193 $402 $130–$1,173 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AbbVie, Inc. $937 26 payments
  2. SPR Therapeutics, Inc $813 5 payments
  3. Collegium Pharmaceutical, Inc. $662 56 payments
  4. Painteq LLC $611 9 payments
  5. Salix Pharmaceuticals, a division of Bausch Health US, LLC $349 36 payments
  6. Biodelivery Sciences International, Inc. $165 14 payments
  7. Pfizer Inc. $162 16 payments
  8. Nevro Corp. $141 2 payments
  9. US WorldMeds, LLC $106 4 payments
  10. Protega Pharmaceutials LLC $101 4 payments
  11. Other $524 31 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $3,914 201 payments
  2. Education $397 1 payment
  3. Travel and Lodging $261 1 payment
Products named General payments · program years 2019–2025
  1. SPRINT PNS System $813 5 payments
  2. UBRELVY $756 20 payments
  3. PAINTEQ $611 9 payments
  4. QULIPTA $592 15 payments
  5. XTAMPZA $448 36 payments
  6. RELISTOR $349 36 payments
  7. BELBUCA Opioid Analgesic $214 20 payments
  8. Omnia $141 2 payments
  9. LYRICA $129 14 payments
  10. BELBUCA Chronic Pain $115 10 payments
  11. Other $1,202 80 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 33 drugs

Part D claims

3,224

Median for Physical Medicine and Rehabilitation: 276

Drug cost

$306,357

Median for Physical Medicine and Rehabilitation: $5,921

Branded share of claims

25.4%

Median for Physical Medicine and Rehabilitation: 11.1%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Xtampza Er Oxycodone Myristate Brand 118 $114,791
Belbuca Buprenorphine Hcl Brand 83 $54,003
Relistor Methylnaltrexone Bromide Brand 16 $39,882
Oxycodone Hcl Generic 866 $23,471
Diclofenac Sodium Generic 74 $12,386
Hydromorphone Er Hydromorphone Hcl Brand 12 $12,280
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 302 $9,913
Movantik Naloxegol Oxalate Brand 19 $7,557
Linzess Linaclotide Brand 13 $7,156
Gabapentin Generic 353 $4,189

The 10 drugs with the highest cost, of 33 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 7,591 Part D prescribers listed as Physical Medicine and Rehabilitation; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 23 billing codes

Paid by Medicare

$56,299

Medicare's payments for the services billed

Medicare patients

88

Average age 70

Services billed

951

61 women, 27 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 75%
Depression 39%
Ischemic heart disease 38%
Diabetes 32%
COPD 27%
Chronic kidney disease 25%
Heart failure 20%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

5 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
RELISTOR
  • Salix Pharmaceuticals, a division of Bausch Health US, LLC $215
$215 16 —
BELBUCA
  • Collegium Pharmaceutical, Inc. $85
$85 83 —
XTAMPZA
  • Collegium Pharmaceutical, Inc. $49
$49 118 —
QULIPTA
  • AbbVie, Inc. $27
$27 — —
UBRELVY
  • AbbVie, Inc. $27
$27 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

203 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Pain Medicine in Ohio

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

How to dispute or correct a record