Douglas Lynch, PA
Physician Assistant · Las Vegas, NVNPI 1154745586
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 722 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 25 manufacturers reported payments, led by Collegium Pharmaceutical, Inc. at 24.2% of the total. Among physician assistant clinicians in NV 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 722 payments — averaging $18.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Collegium Pharmaceutical, Inc.$3K
- Scilex Pharmaceuticals Inc.$2K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$2K
- Forte Bio-pharma LLC$2K
- AbbVie$849
- IBSA Pharma Inc.$622
- plus $3K from 19 others
What the payments were for
- Food & beverage$13,156100%
- Gifts$00%
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc. | 191 | $3,190 |
| Scilex Pharmaceuticals Inc. | 137 | $2,157 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 114 | $2,130 |
| Forte Bio-pharma LLC | 49 | $1,699 |
| AbbVie | 49 | $849 |
| IBSA Pharma Inc. | 30 | $622 |
| Arbor Pharmaceuticals, Inc. | 42 | $468 |
| Protega Pharmaceutials Inc | 19 | $375 |
| Amgen(2 entities) | 24 | $374 |
| Redhill Biopharma Inc. | 17 | $337 |
| Azurity Pharmaceuticals, Inc. | 12 | $217 |
| Merck | 6 | $112 |
| Idorsia Pharmaceuticals US Inc | 5 | $102 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $81 |
| Kowa Pharmaceuticals America, Inc. | 4 | $74 |
| Almatica Pharma LLC | 3 | $69 |
| Pfizer | 3 | $64 |
| Radius Health, Inc. | 3 | $54 |
| Si-bone, Inc. | 2 | $51 |
| Biohaven Pharmaceuticals, Inc. | 3 | $41 |
| Zimmer Biomet | 1 | $26 |
| Eisai Inc. | 1 | $19 |
| Medtronic | 1 | $18 |
| Boston Scientific | 1 | $14 |
| Biodelivery Sciences International, Inc. | 1 | $12 |
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
$13,156 in reported general payments places this provider in the 95th percentile of 881 physician assistant providers in Nevada.
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 |
|---|---|---|
| RelistorMethylnaltrexone Bromide | 53 | $140,135 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 505 | $132,588 |
| ZtlidoLidocaine | 68 | $71,822 |
| BelbucaBuprenorphine Hcl | 62 | $52,087 |
| Diclofenac Sodium | 112 | $44,384 |
| HorizantGabapentin Enacarbil | 30 | $27,025 |
| UbrelvyUbrogepant | 14 | $24,072 |
| Xtampza ErOxycodone Myristate | 45 | $24,066 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 755 | $22,579 |
| Diclofenac Potassium | 26 | $19,460 |
| Lidocaine | 111 | $18,819 |
| MovantikNaloxegol Oxalate | 40 | $15,784 |
| Oxycodone Hcl | 631 | $15,676 |
| Nucynta ErTapentadol Hcl | 11 | $10,263 |
| Morphine Sulfate ErMorphine Sulfate | 175 | $4,730 |
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCRelistor | $2,130 | $140,13553 claims |
| Collegium Pharmaceutical, Inc.Belbuca, Xtampza Er, Nucynta Er | $3,190 | $86,416118 claims |
| Scilex Pharmaceuticals Inc.Ztlido | $2,157 | $71,82268 claims |
| Arbor Pharmaceuticals, Inc.Horizant | $468 | $27,02530 claims |
| AbbVieUbrelvy | $849 | $24,07214 claims |
| Redhill Biopharma Inc.Movantik | $337 | $15,78440 claims |
| Eisai Inc.Dayvigo | $19 | $3,97212 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 95th percentile of 881 physician assistant providers in Nevada.
Other physician assistant in Las Vegas
- Steven HawkesLas Vegas$70K
- Nathan MorganLas Vegas$44K
- Stephanie DastrupLas Vegas$23K
- Sandra OviedoLas Vegas$21K
- Patrick JamesonLas Vegas$20K
- Jordan ChristensenLas Vegas$19K
- Jacquelyn DaneshforouzLas Vegas$18K
- Violet AmirjalaliLas Vegas$15K
- Joseph GuruleLas Vegas$15K
- Rebecca Markin-NewsomeLas Vegas$14K
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.