Has David Nichols, MD received payments from drug or device companies?

Yes. Drug and device makers reported $1,583 in general payments to David Nichols, MD across 70 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean David Nichols, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about David Nichols, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

David Nichols, MD

Undersea and Hyperbaric Medicine · San Angelo, TXNPI 1003951245

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 70 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Smith+Nephew at 33.6% of the total. Reporting peaked in 2021 at $370 and has fallen 63.7% since, to $134 in 2025.

$1,583in general payments, 2019–2025

Across 70 payments — averaging $22.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Smith+Nephew$532
Solventum Corporation$197
AbbVie$191
KCI USA, Inc.$156
Acera Surgical, Inc.$132
Organogenesis Inc.$113
plus $262 from 7 others

What the payments were for

Food & beverage$1,583100%

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.

Company	Payments	Total
Smith+Nephew	31	$532
Solventum Corporation	4	$197
AbbVie(2 entities)	8	$191
KCI USA, Inc.	4	$156
Acera Surgical, Inc.	1	$132
Organogenesis Inc.	6	$113
Tactile Systems Technology Inc	8	$111
Melinta Therapeutics, LLC	2	$37
Urgo Medical North America, LLC	2	$31
Integra Lifesciences Corporation	1	$29
Cashflow Solutions, LLC	1	$23
Reapplix Inc.	1	$18
Hydrofera LLC	1	$13

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

$1,583 in reported general payments places this provider in the 55th percentile of 59 undersea and hyperbaric medicine providers in Texas.

See all undersea and hyperbaric medicine providers in Texas →

Medicare billing

Part B allowed, 2024

$251,332

Medicare patients

428

Services billed

3,005

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
Gentamicin Sulfate	52	$2,573
Piperacillin-TazobactamPiperacillin Sodium/Tazobactam	12	$2,280
Doxycycline Hyclate	155	$1,547
Nystatin	86	$1,275
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	98	$807
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	38	$374
Doxycycline Monohydrate	30	$370
Triamcinolone Acetonide	55	$355
Ampicillin Trihydrate	16	$220
Cefdinir	18	$195
Ciprofloxacin Hcl	15	$137
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide	11	$123
Alprazolam	13	$100
Clindamycin Hcl	11	$82
Metformin Hcl	11	$76

Paid to pharmacies, not to this prescriber.

Other undersea and hyperbaric medicine in San Angelo

Kyle MillsSan Angelo$2K
Samuel KasbergSan Angelo$633
Wade FarrowCollege Station$2.2M
Timothy BumannAbilene$154K
Heather AguirreSan Antonio$98K
Ronald ScottFrisco$76K
Andrew ApplewhiteDallas$46K
Joseph WolcottLubbock$38K
Noel OliveiraEdinburg$33K
Maria AguinagaMission$18K

See the full list for Texas →

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.

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