Arbi Nazarian, MD
Adult Reconstructive Orthopaedic Surgery · Clovis, CANPI 1528402179
Payments from drug & device makers
What this record shows
This record is dominated by other: $144,441 of the $155,057 with a category attached, or 93.2%. Central California Surgical Distributors, LLC accounts for 93.2% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $77,429, more than ten times the $751 reported in 2019.
Across 38 payments — averaging $4080.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Central California Surgical Distributors, LLC$144K
- Think Surgical, Inc.$9K
- Zimmer Biomet$2K
- Johnson & Johnson$67
- Kowa Pharmaceuticals America, Inc.$49
- Heraeus Medical, LLC.$49
- plus $160 from 6 others
Across 3 payments — averaging $20,869 each. An ownership or investment interest held by the physician or an immediate family member.
- Central California Surgical Distributors, LLC$63K
What the payments were for
- Consulting fees$8,2005%
- Travel & lodging$1,0321%
- Food & beverage$5520%
- Education$8321%
- Other$144,44193%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Central California Surgical Distributors, LLC | 3 | $144,441 |
| Think Surgical, Inc. | 6 | $8,692 |
| Zimmer Biomet | 12 | $1,599 |
| Johnson & Johnson(2 entities) | 2 | $67 |
| Kowa Pharmaceuticals America, Inc. | 3 | $49 |
| Heraeus Medical, LLC. | 3 | $49 |
| Vertex | 3 | $48 |
| Pacira Therapeutics, Inc. | 2 | $45 |
| Davol Inc. | 1 | $19 |
| Integra Lifesciences Corporation | 1 | $19 |
| Endo Pharmaceuticals Inc. | 1 | $18 |
| Smith+Nephew | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$155,057 in reported general payments places this provider in the 80th percentile of 136 adult reconstructive orthopaedic surgery providers in California.
See all adult reconstructive orthopaedic surgery providers in California →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Diclofenac Sodium | 70 | $11,282 |
| Doxycycline Monohydrate | 84 | $2,360 |
| Oxycodone Hcl | 277 | $1,968 |
| Ondansetron Hcl | 148 | $741 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 56 | $484 |
| Meloxicam | 106 | $278 |
| Methylprednisolone | 47 | $254 |
| Tramadol Hcl | 48 | $116 |
| Ibuprofen | 14 | $39 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Clovis
- Raj AminClovis$53K
- William MaloneyStanford$11.1M
- James CaillouetteNewport Beach$4.8M
- William LongLos Angeles$2.8M
- John DearbornMenlo Park$2.5M
- William Bugbeela Jolla$2.1M
- James HuddlestonStanford$1.5M
- Alexander SahFremont$1.2M
- John DianaNapa$981K
- Thomas DonaldsonColton$893K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.