Chad Meshberger, DO
Neurology · Concord, NHNPI 1306167424
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.3% of the total across 572 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 60 manufacturers, the largest accounting for just 12.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,873 and has fallen 80.6% since, to $364 in 2025. Among neurology clinicians in NH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 572 payments — averaging $16.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- UCB, Inc.$755
- Teva Pharmaceuticals USA, Inc.$714
- Amgen$635
- Novartis$555
- Sanofi$327
- plus $5K from 54 others
What the payments were for
- Consulting fees$1502%
- Food & beverage$9,05895%
- Education$2953%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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.
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.
- TYSABRI$150
- AIMOVIG$125
- VNS Therapy$117
- Leqembi$109
How this compares
$9,503 in reported general payments places this provider in the 90th percentile of 92 neurology providers in New Hampshire.
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 |
|---|---|---|
| RebifInterferon Beta-1a/Albumin | 15 | $157,841 |
| NuplazidPimavanserin Tartrate | 20 | $126,442 |
| Aimovig AutoinjectorErenumab-Aooe | 108 | $112,078 |
| BriviactBrivaracetam | 65 | $99,597 |
| AptiomEslicarbazepine Acetate | 27 | $59,923 |
| UbrelvyUbrogepant | 41 | $49,214 |
| XcopriCenobamate | 38 | $43,431 |
| Emgality PenGalcanezumab-Gnlm | 36 | $24,828 |
| EliquisApixaban | 30 | $24,783 |
| RexultiBrexpiprazole | 14 | $13,973 |
| Ajovy AutoinjectorFremanezumab-Vfrm | 14 | $13,140 |
| ReyvowLasmiditan Succinate | 13 | $9,464 |
| Carbamazepine ErCarbamazepine | 37 | $8,349 |
| Lacosamide | 36 | $4,327 |
| Gabapentin | 106 | $2,498 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| EMD Serono, Inc.Rebif | $151 | $157,84115 claims |
| Acadia Pharmaceuticals IncNuplazid | $117 | $126,44220 claims |
| UCB, Inc.Briviact | $755 | $99,59765 claims |
| Sunovion Pharmaceuticals Inc.Aptiom | $133 | $59,92327 claims |
| AbbVieUbrelvy | $1,213 | $49,21441 claims |
| SK Life Science, Inc.Xcopri | $209 | $43,43138 claims |
| PfizerEliquis | $170 | $24,78330 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $19 | $13,97314 claims |
| Lilly USA, LLCReyvow | $131 | $9,46413 claims |
| Upsher-smith Laboratories LLCTopiramate | $90 | $35137 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 92 neurology providers in New Hampshire.
Other neurology in Concord
- Maureen HughesConcord$486
- Matthew JensenConcord$213
- Diana TanaseConcord$211
- Ann CabotManchester$622K
- Oliver PhillipsLebanon$50K
- Andrew PachnerLebanon$31K
- Jeffrey RindDerry$27K
- Uladzimir LuchanokDerry$21K
- John RescignoDerry$20K
- Jeffrey CohenLebanon$18K
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.