Medicare Enrolled
Dr. Shawn Puri, M.D.
Interventional Pain Medicine Physician · Killeen, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Puri 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 →
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What this data tells you about Dr. Puri
Dr. Shawn Puri is an interventional pain medicine physician in Killeen, TX, with 14 years of NPI registration. Based on federal Medicare data, Dr. Puri performed 826 Medicare services across 510 unique beneficiaries.
Between the years covered by Open Payments, Dr. Puri received a total of $39,949 from 43 pharmaceutical and/or device companies across 848 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Puri 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.
✓ 14 years in practice
▲ 826 Medicare services
$39,949 industry payments
Medicare Practice Summary
Medicare Utilization ↗826
Medicare services
Bottom 36% in TX for interventional pain medicine physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
510
Unique beneficiaries
$104
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~59 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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
253 | $96 | $657 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
94 | $71 | $465 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
62 | $61 | $311 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
62 | $129 | $850 |
| Peripheral nerve neurostimulator electrode insertion A procedure to place an electrode through the skin into a peripheral nerve. This electrode is part of a neurostimulator system used to deliver electrical impulses. |
56 | $196 | $24,398 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
36 | $249 | $25,651 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
35 | $82 | $1,726 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
24 | $90 | $1,857 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
23 | $76 | $2,976 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
23 | $108 | $2,016 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
23 | $60 | $1,008 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
23 | $50 | $951 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
20 | $57 | $2,672 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
19 | $92 | $2,654 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
18 | $192 | $4,778 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
15 | $204 | $3,623 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
14 | $27 | $1,259 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 13 | $34 | $797 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
13 | $83 | $571 |
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 ↗$39,949
Total received (2018-2024)
Avg $5,707/year across 7 years
Top 10% in TX for interventional pain medicine physician
43
Companies
848
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$28,434 (71.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$9,467 (23.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,048 (5.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,836
2023
$11,146
2022
$10,026
2021
$2,951
2020
$2,160
2019
$5,437
2018
$5,393
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$13,530
Vertos Medical, Inc.
$5,831
Omnia Medical, LLC
$4,500
Nevro Corp.
$2,601
Egalet US Inc
$2,048
SPR Therapeutics, Inc
$1,541
Spinal Simplicity, LLC
$1,167
Vertiflex, Inc.
$1,167
Medtronic, Inc.
$1,110
Stryker Corporation
$911
Relievant Medsystems, Inc.
$750
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$554
Flexion Therapeutics, Inc.
$541
PFIZER INC.
$502
Nalu Medical, Inc.
$448
PAINTEQ LLC
$411
Boston Scientific Corporation
$400
BOSTON SCIENTIFIC CORPORATION
$274
Daiichi Sankyo Inc.
$208
Scilex Pharmaceuticals Inc.
$128
ARBOR PHARMACEUTICALS, INC.
$121
SI-BONE, Inc.
$120
Horizon Therapeutics plc
$118
Collegium Pharmaceutical, Inc.
$116
Genesys Orthopedics Systems, L.L.C.
$115
BioDelivery Sciences International, Inc.
$97
Nuvectra Corporation
$83
Medtronic USA, Inc.
$65
Kaleo, Inc.
$62
Pernix Therapeutics Holdings, Inc.
$55
Purdue Pharma L.P.
$54
Electronic Waveform Lab, Inc.
$52
Vertical Pharmaceuticals, LLC
$46
Zyla Life Sciences
$39
Sentynl Therapeutics, Inc.
$38
Forte Bio-Pharma LLC
$35
Takeda Pharmaceuticals U.S.A., Inc.
$21
Supernus Pharmaceuticals, Inc.
$19
Horizon Pharma plc
$16
Biohaven Pharmaceutical Holding Company Ltd.
$16
GRT US Holding, Inc.
$13
AstraZeneca Pharmaceuticals LP
$13
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$12
Top 3 companies account for 59.7% of total payments
Associated products mentioned in payments ›
ARYMO ER · Algovita · Amitiza · Axium INS DRG IPG · BELBUCA · BUNAVAIL 2.1 mg 30-count box · CD HORIZON SPINAL SYSTEM · ETERNA · Evzio · Exclaim SCS Leads · GENERAL PAIN MANAGEMENT · General - Pain Management · HA MINUTEMAN G3-R · Horizant · INFINITY · INTELLIS · INTELLIS ADAPTIVESTIM · IVS - MULTIGEN 2RF · IVS - NEW PRODUCT DEVELOPMENT · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Intracept · LAMITRODE · LORZONE · LYRICA · Lamitrode SCS Leads · Levorphanol Tartrate · MOVANTIK · Morphabond ER · NT1100 NT2000iX Simplicity · NURTEC ODT · Nalocet · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OCTRODE · OXAYDO · Octrode SCS Leads · Omnia · PAINTEQ · PENTA · PROCLAIM · PRODIGY · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · Proclaim XR IPG · Prodigy Family of SCS IPGs · Quattrode Leads SCS Leads · Qutenza · RAYOS · RELISTOR · RELISTOR ORAL · RESTORE · S-Series SCS Leads · SACROILIAC JOINT FUSION SYSTEM · SCS IPGs · SCS leads · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SYMPROIC · Senza · Senza Spinal Cord Stimulation System · Spinal Cord Stimulation Accessories · Superion ISS · Swift-Lock SCS · TROKENDI XR · VANTA ADAPTIVESTIM · Vanta · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · ZOHYDRO ER · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · iFuse Implant · mild Device Kit
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 →
Most payments (71%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for interventional pain medicine physician in TX.
Equivalent to $4,836 per 100 Medicare services performed
Geographic Context
Interventional pain medicine physicians within 10 mi
6
Per 100K population
1.6
County median income
$66,051
Nearest hospital
ADVENTHEALTH CENTRAL TEXAS
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/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. Puri is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 10% of TX peers.
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. Puri experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Puri performed 253 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. Puri receive payments from pharmaceutical companies?
Yes. Dr. Puri received a total of $39,949 from 43 companies across 848 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. Puri's costs compare to other interventional pain medicine physicians in Killeen?
Dr. Puri's average Medicare payment per service is $104. 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. Puri) 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 →
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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.
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