Derek Nickerson, MD
MOHS-Micrographic Surgery · San Diego, CANPI 1265895619
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 187 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 23 manufacturers, the largest accounting for just 16.2% — the pattern of someone who eats at a lot of different presentations.
Across 187 payments — averaging $26.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$791
- Pfizer$575
- Sanofi$495
- Lilly USA, LLC$444
- Regeneron Healthcare Solutions, Inc.$347
- Johnson & Johnson$313
- plus $2K from 17 others
What the payments were for
- Food & beverage$4,866100%
- Education$130%
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 |
|---|---|---|
| AbbVie | 31 | $791 |
| Pfizer | 32 | $575 |
| Sanofi | 13 | $495 |
| Lilly USA, LLC | 26 | $444 |
| Regeneron Healthcare Solutions, Inc. | 9 | $347 |
| Johnson & Johnson | 11 | $313 |
| Galderma Laboratories, L.p. | 7 | $236 |
| Arcutis Biotherapeutics, Inc. | 11 | $232 |
| LEO Pharma Inc. | 9 | $232 |
| Incyte Corporation | 11 | $224 |
| E.r. Squibb & Sons, L.L.C. | 4 | $211 |
| Sun Pharmaceutical Industries Inc. | 5 | $175 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $123 |
| Bristol Myers Squibb | 1 | $105 |
| Boehringer Ingelheim | 3 | $85 |
| UCB, Inc. | 3 | $64 |
| Amgen | 2 | $63 |
| Revance Therapeutics, Inc. | 2 | $48 |
| Dermavant Sciences, Inc. | 2 | $33 |
| Krystal Biotech Inc | 1 | $25 |
| VYNE Pharmaceuticals Inc. | 1 | $22 |
| Acera Surgical, Inc. | 1 | $21 |
| Novartis | 1 | $14 |
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
$4,878 in reported general payments places this provider in the 65th percentile of 144 mohs-micrographic 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 |
|---|---|---|
| Dupixent PenDupilumab | 29 | $111,906 |
| Isotretinoin | 20 | $3,741 |
| Clobetasol Propionate | 45 | $2,824 |
| Fluorouracil | 36 | $2,635 |
| Ketoconazole | 82 | $1,534 |
| Tacrolimus | 12 | $1,316 |
| Triamcinolone Acetonide | 66 | $1,313 |
| Tretinoin | 27 | $890 |
| Desonide | 21 | $728 |
| Minoxidil | 48 | $724 |
| Gentamicin Sulfate | 19 | $636 |
| Dutasteride | 15 | $522 |
| Doxycycline Hyclate | 42 | $497 |
| Mometasone Furoate | 27 | $491 |
| Mupirocin | 57 | $421 |
Paid to pharmacies, not to this prescriber.
Other mohs-micrographic surgery in San Diego
- Joseph del PrioreSan Diego$7K
- Jeffrey EatonSan Diego$7K
- Michael HammanSan Diego$4K
- Mark SornsonSan Diego$3K
- Sarah ArronBurlingame$98K
- Daniel Zelacla Jolla$43K
- Ralph MasseySanta Monica$38K
- Michael MortazieOrange$29K
- Sumaira AasiStanford$27K
- Andrea WilleySacramento$21K
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.