Total Payments
$3,273
2024 Payments
$1,307
Companies
13
Transactions
51
Medicare Patients
1,779
Medicare Billing
$186,642

Payment Breakdown by Category

Food & Beverage$2,613 (79.8%)
Travel$659.96 (20.2%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $2,613 48 79.8%
Travel and Lodging $659.96 3 20.2%

Top Paying Companies

Company Total Records Latest Year
MML US, Inc. $700.13 7 $0 (2024)
PAINTEQ LLC $501.99 8 $0 (2024)
SPR Therapeutics, Inc $452.06 4 $0 (2023)
Abbott Laboratories $427.28 6 $0 (2024)
Nevro Corp. $312.87 6 $0 (2024)
Saluda Medical Americas, Inc. $236.06 6 $0 (2024)
Medtronic, Inc. $221.89 3 $0 (2023)
Nalu Medical, Inc. $124.09 1 $0 (2023)
BIOTRONIK NRO, Inc. $90.54 2 $0 (2024)
Relievant Medsystems, Inc. $82.07 2 $0 (2023)

Payment History by Year

Year Amount Transactions Top Company
2024 $1,307 22 MML US, Inc. ($700.13)
2023 $1,578 23 SPR Therapeutics, Inc ($452.06)
2022 $387.58 6 PAINTEQ LLC ($326.73)

All Payment Transactions

51 individual payment records from CMS Open Payments — Page 1 of 3

Date Company Product Nature Form Amount Type
12/17/2024 Saluda Medical Americas, Inc. Evoke (Device) Food and Beverage In-kind items and services $82.89 General
Category: Spinal Cord Stimulator
12/10/2024 Saluda Medical Americas, Inc. Evoke (Device) Food and Beverage In-kind items and services $64.89 General
Category: Spinal Cord Stimulator
11/23/2024 MML US, Inc. ReActiv8 (Device) Food and Beverage Cash or cash equivalent $21.47 General
Category: Pain Management
11/19/2024 MML US, Inc. ReActiv8 (Device) Food and Beverage Cash or cash equivalent $5.30 General
Category: Pain Management
11/12/2024 MML US, Inc. ReActiv8 (Device) Travel and Lodging Cash or cash equivalent $379.96 General
Category: Pain Management
11/12/2024 MML US, Inc. ReActiv8 (Device) Food and Beverage Cash or cash equivalent $93.72 General
Category: Pain Management
11/12/2024 MML US, Inc. ReActiv8 (Device) Travel and Lodging Cash or cash equivalent $30.00 General
Category: Pain Management
10/18/2024 MML US, Inc. ReActiv8 (Device) Food and Beverage Cash or cash equivalent $123.02 General
Category: Pain Management
10/04/2024 Saluda Medical Americas, Inc. Evoke (Device) Food and Beverage In-kind items and services $28.05 General
Category: Spinal Cord Stimulator
09/27/2024 Abbott Laboratories ETERNA (Device) Food and Beverage In-kind items and services $22.24 General
Category: Neuromodulation
09/16/2024 MML US, Inc. ReActiv8 (Device) Food and Beverage Cash or cash equivalent $46.66 General
Category: Pain Management
08/30/2024 Saluda Medical Americas, Inc. Evoke (Device) Food and Beverage In-kind items and services $22.21 General
Category: Spinal Cord Stimulator
07/24/2024 BIOTRONIK NRO, Inc. Prospera (Device) Food and Beverage In-kind items and services $30.24 General
Category: Not Applicable
04/30/2024 Nevro Corp. Senza (Device) Food and Beverage In-kind items and services $34.48 General
Category: Spinal Cord Stimulator
03/25/2024 BIOTRONIK NRO, Inc. Prospera (Device) Food and Beverage In-kind items and services $60.30 General
Category: Not Applicable
03/20/2024 Abbott Laboratories PROCLAIM (Device) Food and Beverage In-kind items and services $60.30 General
Category: Neuromodulation
03/20/2024 Nevro Corp. Senza (Device) Food and Beverage In-kind items and services $21.67 General
Category: Spinal Cord Stimulator
03/13/2024 PAINTEQ LLC PAINTEQ (Device) Food and Beverage In-kind items and services $95.64 General
Category: PAIN MANAGEMENT
01/25/2024 Saluda Medical Americas, Inc. Evoke (Device) Food and Beverage In-kind items and services $16.44 General
Category: Spinal Cord Stimulator
01/24/2024 Nevro Corp. Senza (Device) Food and Beverage In-kind items and services $28.06 General
Category: Spinal Cord Stimulator
01/10/2024 Saluda Medical Americas, Inc. Evoke (Device) Food and Beverage In-kind items and services $21.58 General
Category: Spinal Cord Stimulator
01/08/2024 ABBVIE INC. BOTOX (Biological) Food and Beverage In-kind items and services $17.89 General
Category: BOTOX THERAPEUTIC
12/01/2023 Abbott Laboratories PROCLAIM (Device) Food and Beverage In-kind items and services $32.97 General
Category: Neuromodulation
10/24/2023 Nevro Corp. Senza (Device) Food and Beverage In-kind items and services $32.96 General
Category: Spinal Cord Stimulator
10/16/2023 Nevro Corp. Senza (Device) Food and Beverage In-kind items and services $142.05 General
Category: Spinal Cord Stimulator

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 24 1,554 1,848 $4.2M $159,080
2022 9 225 241 $314,000 $27,562
Total Patients
1,779
Total Services
2,089
Medicare Billing
$186,642
Procedure Codes
35

All Medicare Procedures & Services

35 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level Facility 2023 217 234 $618,000 $23,387 3.8%
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint Facility 2023 80 84 $306,000 $18,438 6.0%
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance Facility 2023 166 212 $592,000 $16,306 2.8%
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level Facility 2023 129 162 $594,000 $16,281 2.7%
64490 Injection of upper or middle spine facet joint using imaging guidance, single level Facility 2023 67 94 $300,000 $9,827 3.3%
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2023 55 67 $53,600 $9,394 17.5%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 76 76 $72,200 $9,098 12.6%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 81 92 $69,000 $8,598 12.5%
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level Facility 2023 120 150 $424,000 $8,551 2.0%
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint Facility 2023 38 42 $130,000 $8,216 6.3%
64636 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint Facility 2023 74 78 $220,000 $5,263 2.4%
62323 Injection of substance into lower spine canal using imaging guidance Facility 2023 63 65 $130,000 $5,182 4.0%
64491 Injection of upper or middle spine facet joint using imaging guidance, second level Facility 2023 56 81 $214,000 $4,860 2.3%
64634 Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint Facility 2023 38 42 $107,000 $2,823 2.6%
62321 Injection of substance into middle or upper spine canal using imaging guidance Facility 2023 28 30 $60,000 $2,206 3.7%
99214 Established patient office or other outpatient visit, 30-39 minutes Facility 2023 27 32 $24,000 $1,997 8.3%
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level Facility 2023 43 46 $92,000 $1,877 2.0%
01940 Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance Facility 2023 14 15 $15,900 $1,469 9.2%
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes Facility 2023 72 121 $36,300 $1,175 3.2%
99204 New patient office or other outpatient visit, 45-59 minutes Facility 2023 11 11 $10,450 $1,131 10.8%
77002 Fluoroscopic guidance for needle placement Facility 2023 34 45 $18,000 $909.84 5.1%
64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve Facility 2023 11 12 $30,000 $624.22 2.1%
64450 Injection of anesthetic agent and/or steroid into other nerve or branch Facility 2023 15 16 $40,000 $587.72 1.5%
20610 Aspiration and/or injection of fluid from large joint Facility 2023 16 17 $34,000 $512.97 1.5%
76942 Ultrasonic guidance for needle placement Facility 2023 11 12 $4,800 $298.80 6.2%

About Dr. Nathaniel Gamsky, MD

Dr. Nathaniel Gamsky, MD is a Student in an Organized Health Care Education/Training Program healthcare provider based in Pleasant Hill, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/06/2017. The National Provider Identifier (NPI) number assigned to this provider is 1164955043.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Nathaniel Gamsky, MD has received a total of $3,273 in payments from pharmaceutical and medical device companies, with $1,307 received in 2024. These payments were reported across 51 transactions from 13 companies. The most common payment nature is "Food and Beverage" ($2,613).

As a Medicare-enrolled provider, Gamsky has provided services to 1,779 Medicare beneficiaries, totaling 2,089 services with total Medicare billing of $186,642. Data is available for 2 years (2022–2023), covering 35 distinct procedure/service records.

Practice Information

Products in Payments

  • ReActiv8 (Device) $700.13
  • PAINTEQ (Device) $501.99
  • SPRINT PNS System (Device) $452.06
  • PROCLAIM (Device) $405.04
  • Senza (Device) $312.87
  • Evoke (Device) $236.06
  • INTELLIS ADAPTIVESTIM (Device) $198.88
  • Nalu Neurostimulation System (Device) $124.09
  • Prospera (Device) $90.54
  • Intracept (Device) $82.07
  • QUTENZA (Drug) $80.91
  • SYNCHROMEDII (Device) $23.01
  • ETERNA (Device) $22.24
  • BOTOX (Biological) $17.89

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Student in an Organized Health Care Education/Training Program Doctors in Pleasant Hill