T-Pal
Payments companies reported to CMS as associated with T-Pal. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with T-Pal, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with T-Pal
These are the largest totals companies reported as associated with T-Pal. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Andrew Sama | Ny, NY | Orthopaedic Surgery of The Spine | $47,635.37 |
| Daryn Cass | Maywood, IL | Neurological Surgery | $187.71 |
| Gary Flangas | Las Vegas, NV | Neurological Surgery | $59.06 |
| Debra Nelson | Las Vegas, NV | Neurological Surgery | $38.25 |
| Vadim Fuchs | Columbus, OH | Neurological Surgery | $38.07 |
| Sanjit Shah | Cincinnati, OH | $38.07 | |
| Efrem Cox | Las Vegas, NV | Neurological Surgery | $29.47 |
| Amber Gaulden | Detroit, MI | $22.82 | |
| Christiana Cornea | Cincinnati, OH | $22.82 | |
| Jaime Mcgrath | Cincinnati, OH | Anesthesiology | $22.82 |
Prescribed T-Pal?
See what its makers reported for your doctor. Two steps, private, no account.
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.