Medicare Enrolled

Dr. Nestor Punay, M.D.

Neurology · Beaumont, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
2194 EASTEX FREEWAY, Beaumont, TX 77703
4093471600
In practice since 2005 (20 years)
NPI: 1801870522 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Punay from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Punay? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Punay

Dr. Nestor Punay is a neurology in Beaumont, TX, with 20 years in practice. Based on federal Medicare data, Dr. Punay performed 1,012 Medicare services across 592 unique beneficiaries.

Between the years covered by Open Payments, Dr. Punay received a total of $209,533 from 77 pharmaceutical and/or device companies across 1407 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Punay is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ Top 30% volume in TX$ $209,533 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,012
Medicare services
Top 30% in TX for neurology
592
Unique beneficiaries
$115
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~51 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)542$88$160
Needle measurement of electrical activity in arm or leg muscles, complete study136$71$200
Office visit, established patient (20-29 min)56$55$120
Nerve conduction, 5-6 studies53$101$300
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional46$159$800
New patient office visit (45-59 min)46$113$250
EEG, extended monitoring40$329$550
Measurement of brain wave activity (eeg), 61-119 minutes36$303$650
Measurement of brain wave activity (eeg), 41-60 minutes24$244$600
Measurement of brain wave activity (eeg), awake and drowsy18$285$500
Nerve conduction, 11-12 studies15$188$500
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$209,533
Total received (2018-2024)
Avg $29,933/year across 7 years
Top 3% in TX for neurology
77
Companies
1,407
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$188,002 (89.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$21,531 (10.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$32,858
2023
$31,879
2022
$50,977
2021
$62,223
2020
$25,970
2019
$2,883
2018
$2,742

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$103,120
AbbVie Inc.
$57,967
Allergan, Inc.
$24,984
ACADIA Pharmaceuticals Inc
$1,944
Biohaven Pharmaceutical Holding Company Ltd.
$1,677
Teva Pharmaceuticals USA, Inc.
$1,600
Boston Scientific Corporation
$1,288
NEUROPACE, INC.
$1,070
PFIZER INC.
$924
EMD Serono, Inc.
$914
Lundbeck LLC
$890
Sunovion Pharmaceuticals Inc.
$887
Amneal Pharmaceuticals LLC
$792
GENZYME CORPORATION
$784
Neurocrine Biosciences, Inc.
$684
Abbott Laboratories
$679
UCB, Inc.
$626
Supernus Pharmaceuticals, Inc.
$603
SK Life Science, Inc.
$600
US WorldMeds, LLC
$532
Lilly USA, LLC
$469
Novartis Pharmaceuticals Corporation
$420
Mallinckrodt Hospital Products Inc.
$398
Eisai Inc.
$373
Biogen, Inc.
$345
Avanir Pharmaceuticals, Inc.
$329
Acorda Therapeutics, Inc
$285
Sumitomo Pharma America, Inc.
$269
Otsuka America Pharmaceutical, Inc.
$255
Biohaven Pharmaceuticals, Inc.
$252
CSL Behring
$233
Amgen Inc.
$198
EISAI INC.
$187
Celgene Corporation
$187
Alexion Pharmaceuticals, Inc.
$177
Grifols USA, LLC
$172
LivaNova USA, Inc.
$169
ARGENX US, INC.
$166
Avion Pharmaceuticals
$156
IMPEL PHARMACEUTICALS INC.
$141
ARBOR PHARMACEUTICALS, INC.
$140
Takeda Pharmaceuticals U.S.A., Inc.
$140
Corium, LLC
$128
Kyowa Kirin, Inc.
$118
Genentech USA, Inc.
$95
Janssen Pharmaceuticals, Inc
$93
Allergan Inc.
$93
BOSTON SCIENTIFIC CORPORATION
$82
GE HealthCare
$67
Mallinckrodt LLC
$64
SANOFI-AVENTIS U.S. LLC
$62
AQUESTIVE THERAPEUTICS, INC.
$61
Upsher-Smith Laboratories LLC
$54
Akcea Therapeutics, Inc.
$49
AbbVie, Inc.
$45
Zyla Life Sciences
$36
CATALYST PHARMACEUTICALS, INC.
$35
Arbor Pharmaceuticals, Inc.
$32
Impax Laboratories, Inc.
$30
Medtronic, Inc.
$29
Greenwich Biosciences, Inc.
$28
Horizon Therapeutics plc
$27
Mallinckrodt Enterprises LLC
$26
Collegium Pharmaceutical, Inc.
$24
InSightec,Inc
$23
ASSERTIO THERAPEUTICS, Inc.
$22
Neurelis, Inc.
$20
AstraZeneca Pharmaceuticals LP
$20
GE HEALTHCARE
$20
Merck Sharp & Dohme Corporation
$19
Almatica Pharma LLC
$18
GE Healthcare
$17
Neuronetics, Inc.
$15
Purdue Pharma L.P.
$15
Currax Pharmaceuticals LLC
$14
Iroko Pharmaceuticals, LLC
$14
Assertio Therapeutics, Inc.
$14
Top 3 companies account for 88.8% of total payments
Associated products mentioned in payments ›
ACTHAR · ACTIVA · ADUHELM · AIMOVIG · AJOVY · AMPYRA · APOKYN · APTIOM · AUBAGIO · AUSTEDO · Adlarity · Aimovig · Austedo XR · BELSOMRA · BOTOX · BOTOX THERAPEUTIC · BRILINTA · Banzel · Briviact · CONTRAVE · COPAXONE · CREXONT · Cambia · DUOPA · Dhivy · Duopa · ELYXYB - celecoxib · EMGALITY · EUCRISA · Epidiolex · Exablate · FIRDAPSE · Fintepla · Fycompa · GENERAL - DBS · GILENYA · Gamunex-C · HYQVIA · Hizentra · Horizant · INBRIJA · INGREZZA · Infinity DBS Pulse Generators · KESIMPTA · KYNMOBI · LEMTRADA · LYRICA · Leqembi · MAVENCLAD · MS DISEASE STATE · Mavenclad · NAPRELAN · NEUROSTAR TMS THERAPY · NEXVIAZYME · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nourianz · Nuedexta · OCREVUS · ONFI · ONGENTYS · ONGENTYS 50MG CAPSULES 30 · OXTELLAR XR · Ongentys · QULIPTA · REXULTI · RNS Neurostimulator Kit · RYTARY · Rebif · SOLIRIS · SPINRAZA · SYMPAZAN · SYMPROIC · TEGSEDI · TIVORBEX · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · TYSABRI · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VERCISE · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VNS Therapy · VNS Therapy SenTiva Model 1000 Generator · VRAYLAR · VYEPTI · VYVGART · VYVGART HYTRULO · Vercise · Vimpat · XARELTO · XCOPRI · Xadago · ZEPOSIA · ZORVOLEX · Zembrace SymTouch Sumatriptan Injection
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (90%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neurology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for neurology in TX.

Equivalent to $20,705 per 100 Medicare services performed
Looking for a neurology in Beaumont?
Compare neurologys in the Beaumont area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurologys within 10 mi
10
Per 100K population
3.9
County median income
$59,934
Nearest hospital
CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH
2.2 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Punay is a clinical cardiology specialist, with above-average Medicare volume (top 30% in TX), and high industry engagement (speaking/promotional, top 3%), with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Punay experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Punay performed 542 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Punay receive payments from pharmaceutical companies?
Yes. Dr. Punay received a total of $209,533 from 77 companies across 1,407 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Punay's costs compare to other neurologys in Beaumont?
Dr. Punay's average Medicare payment per service is $115. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Punay) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →