Bryant Nachtigall, DPM
Podiatrist · Bakersfield, CANPI 1811348808
Payments from drug & device makers
Across 113 payments — averaging $44.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Smith+Nephew$670
- Merck$185
- Urgo Medical North America, LLC$176
- Celularity Inc.$112
- Nevro Corp.$59
- plus $267 from 12 others
What the payments were for
- Travel & lodging$1,70034%
- Food & beverage$2,37447%
- Education$98820%
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 |
|---|---|---|
| Stryker(2 entities) | 35 | $3,593 |
| Smith+Nephew | 52 | $670 |
| Merck | 5 | $185 |
| Urgo Medical North America, LLC | 3 | $176 |
| Celularity Inc. | 1 | $112 |
| Nevro Corp. | 2 | $59 |
| Axogen | 1 | $37 |
| ERMI LLC | 1 | $30 |
| Organogenesis Inc. | 2 | $30 |
| AbbVie | 2 | $28 |
| Paratek Pharmaceuticals, Inc. | 1 | $26 |
| Tactile Systems Technology Inc | 2 | $25 |
| Acell, Inc. | 1 | $20 |
| Baxter Healthcare | 1 | $20 |
| Tenex Health Inc. | 1 | $17 |
| Vertex | 1 | $14 |
| Paragon 28, Inc. | 1 | $11 |
| Orthofix Medical, Inc. | 1 | $8 |
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
$5,062 in reported general payments places this provider in the 85th percentile of 721 podiatrist 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 |
|---|---|---|
| Ketoconazole | 23 | $481 |
| Fluconazole | 13 | $205 |
| Meloxicam | 16 | $19 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Bakersfield
- Casmir EzimBakersfield$21K
- Fardin HakakianTarzana$2.8M
- David GuzmanNapa$2.1M
- Shannon RushPleasanton$1.9M
- Babak BaravarianSanta Monica$1.6M
- David ArmstrongLos Angeles$1.4M
- Dean VayserCarlsbad$1.2M
- Robert KleimanCalexico$913K
- Bruce LawrenceOceanside$810K
- Shawn CazzellFresno$788K
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.