David Nelson
Pediatrics · Washington, DCNPI 1063400331
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $58,417 of the $71,434 with a category attached, or 81.8%. Sanofi Pasteur Inc. accounts for 89.6% of it on its own, with 3 other manufacturers making up the rest. 2025 is the largest year on record at $48,463, 3.6 times the $13,636 reported in 2023. Among pediatrics clinicians in DC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 56 payments — averaging $1275.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi Pasteur Inc.$64K
- HRA Pharma$4K
- Novavax Inc$2K
- AstraZeneca$1K
Across 80 payments — averaging $6255.57 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AstraZeneca$232K
- Merck$168K
- Astrazeneca UK Limited$63K
- GSK$33K
- Sanofi Pasteur Inc.$5K
What the payments were for
- Consulting fees$7,46010%
- Speaking & faculty fees$58,41782%
- Travel & lodging$4,3326%
- Food & beverage$1,2252%
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 |
|---|---|---|
| Sanofi Pasteur Inc. | 53 | $63,974 |
| HRA Pharma | 1 | $3,850 |
| Novavax Inc | 1 | $2,250 |
| AstraZeneca | 1 | $1,360 |
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.
- BEYFORTUS$57,110
- NOVAVAX COVID-19 VACCINE, ADJUVANTED$2,250
- FLUMIST QUADRIVALENT$1,360
How this compares
$71,434 in reported general payments places this provider in the 95th percentile of 288 pediatrics providers in District of Columbia.
Other pediatrics in Washington
- Helen ThackrayWashington$4.6M
- Brenda MartinWashington$156K
- Christina GrantWashington$56K
- Ariel LevyWashington$49K
- Maia McCuistonWashington$23K
- Craig SableWashington$22K
- Caroline van VleckWashington$18K
- Barbara Speller BrownWashington$16K
- Hemant SharmaWashington$13K
- Andrey OstrovskyWashington$10K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.