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

Nirav Gupta

Hand Surgery Ocala, FL Doctor of Osteopathy

NPI 1134146855 CMS profile 323268

2640 Sw 32Nd Pl, Ocala, FL 34471

Open in the dashboard

General payments

$491,465

1,059 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, Nirav Gupta of Ocala, FL is reported in the CMS Open Payments database as having received $491,465 across 1,059 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 99th percentile of Hand Surgery 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 $24,646 107
2024 General $40,742 105
2023 General $70,738 162
2022 General $72,806 166
2021 General $99,657 187
2020 General $77,587 131
2019 General $105,288 201

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Nirav Gupta
  • Hand Surgery median
  • Middle half of Hand Surgery
  • National median

In program year 2025, general payments to Nirav Gupta were reported at $24,646. Among 1,842 Hand Surgery profiles paid that year, the median was $270 and the middle half received between $102 and $1,118.

Show as a table
Year Nirav Gupta Hand Surgery median Middle half National median
2019 $105,288 $383 $106–$1,905 $163
2020 $77,587 $172 $51–$1,268 $114
2021 $99,657 $263 $71–$1,591 $132
2022 $72,806 $336 $87–$1,938 $149
2023 $70,738 $233 $81–$1,114 $160
2024 $40,742 $258 $88–$1,203 $164
2025 $24,646 $270 $102–$1,118 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Integra LifeSciences Corporation $129,576 275 payments
  2. AcelRx Pharmaceuticals, Inc. $89,946 152 payments
  3. Endo Pharmaceuticals Inc. $84,876 144 payments
  4. Flexion Therapeutics, Inc. $58,370 58 payments
  5. Baudax Bio Inc. $43,669 58 payments
  6. Endo USA, Inc. $26,303 33 payments
  7. Smith+Nephew, Inc. $22,152 26 payments
  8. Stryker Corporation $10,785 91 payments
  9. Zimmer Biomet Holdings, Inc. $4,090 40 payments
  10. AxoGen $3,569 21 payments
  11. Other $18,128 161 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $139,985 45 payments
  2. Honoraria $123,905 53 payments
  3. Consulting Fee $110,451 55 payments
  4. Travel and Lodging $77,529 315 payments
  5. Food and Beverage $38,224 589 payments
  6. Education $1,200 1 payment
  7. Long term medical supply or device loan $171 1 payment
Products named General payments · program years 2019–2025
  1. XIAFLEX $111,179 177 payments
  2. DSUVIA $89,946 152 payments
  3. Zilretta $58,370 58 payments
  4. Integra Recon-Skin And Wound $50,129 98 payments
  5. Integra Recon-Skin And Wound $49,653 95 payments
  6. ANJESO $43,669 58 payments
  7. FREEDOM WRIST $35,860 38 payments
  8. EXTERNAL FIXATION SYSTEM $35,860 38 payments
  9. TITAN-SHOULDER $35,836 37 payments
  10. REVERSE SHOULDER $31,488 22 payments
  11. Other $195,733 789 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 · 7 drugs

Part D claims

398

Median for Orthopedic Surgery: 203

Drug cost

$4,866

Median for Orthopedic Surgery: $1,433

Branded share of claims

64.3%

Median for Orthopedic Surgery: 11.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Diclofenac Sodium Generic 42 $1,888
Celecoxib Generic 20 $1,650
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 105 $582
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 151 $420
Tramadol Hcl Generic 37 $161
Gabapentin Generic 14 $96
Meloxicam Generic 29 $68

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 18,934 Part D prescribers listed as Orthopedic Surgery; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 165 billing codes

Paid by Medicare

$474,979

Of which drugs: $181,423

Medicare patients

683

Average age 76

Services billed

18,829

414 women, 269 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 70%
Ischemic heart disease 43%
Diabetes 36%
Depression 30%
Chronic kidney disease 26%
COPD 23%
Atrial fibrillation 22%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, collagenase, clostridium histolyticum, 0.01 mg J0775 Office 26 3,150 $173,647
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318 Office 12 900 $4,468
Injection, methylprednisolone acetate, 1 mg J1010 Office 247 11,709 $1,160
Injection, methylprednisolone acetate, 40 mg J1030 Office 122 174 $630

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

2 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
XIAFLEX
  • Endo USA, Inc. $11,771
  • Endo Pharmaceuticals Inc. $380
$12,151 — 3,150
APONVIE
  • Heron Therapeutics, Inc. $34
$34 — —

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

1,059 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 Hand Surgery in Florida

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.

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