Edward Navas-Nazario, MD
General Practice · Port Richey, FLNPI 1437104148
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 130 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 18 manufacturers, the largest accounting for just 21.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $753 and has fallen 72.6% since, to $206 in 2023. Among general practice clinicians in FL 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 130 payments — averaging $17.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$499
- Pfizer$330
- GSK$297
- Amarin Pharma, Inc.$233
- Novartis$179
- Boehringer Ingelheim$163
- plus $595 from 12 others
What the payments were for
- Food & beverage$2,296100%
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 |
|---|---|---|
| AstraZeneca | 32 | $499 |
| Pfizer | 19 | $330 |
| GSK | 15 | $297 |
| Amarin Pharma, Inc. | 11 | $233 |
| Novartis | 10 | $179 |
| Boehringer Ingelheim | 10 | $163 |
| Novo Nordisk | 7 | $139 |
| AbbVie | 6 | $119 |
| Lilly USA, LLC | 4 | $68 |
| Johnson & Johnson | 4 | $63 |
| Astellas Pharma US Inc | 3 | $59 |
| Bayer | 2 | $43 |
| Xeris Pharmaceuticals, Inc. | 2 | $31 |
| Mylan Specialty L.p. | 1 | $17 |
| Cardiovascular Systems Inc. | 1 | $15 |
| Merck | 1 | $15 |
| E.r. Squibb & Sons, L.L.C. | 1 | $14 |
| Amgen | 1 | $13 |
How this compares
$2,296 in reported general payments places this provider in the 90th percentile of 6,901 general practice providers in Florida.
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 |
|---|---|---|
| JulucaDolutegravir/Rilpivirine | 13 | $43,725 |
| EliquisApixaban | 42 | $35,606 |
| JardianceEmpagliflozin | 16 | $25,192 |
| JanuviaSitagliptin Phosphate | 24 | $17,781 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 18 | $14,801 |
| MyrbetriqMirabegron | 26 | $11,538 |
| Gabapentin | 381 | $6,687 |
| VascepaIcosapent Ethyl | 19 | $6,378 |
| Ondansetron Hcl | 19 | $5,822 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 20 | $4,406 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 166 | $4,180 |
| Levothyroxine Sodium | 328 | $4,051 |
| Atorvastatin Calcium | 467 | $3,969 |
| Midodrine Hcl | 21 | $3,637 |
| Buspirone Hcl | 82 | $3,109 |
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 |
|---|---|---|
| PfizerEliquis | $330 | $35,60642 claims |
| Boehringer IngelheimJardiance | $163 | $25,19216 claims |
| MerckJanuvia | $15 | $17,78124 claims |
| AstraZenecaBreztri Aerosphere | $499 | $14,80118 claims |
| Astellas Pharma US IncMyrbetriq | $59 | $11,53826 claims |
| AbbVieSynthroid | $119 | $1,60121 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 6,901 general practice providers in Florida.
Other general practice in Port Richey
- Amel HassanPort Richey$23K
- Robert VogelPalm Beach Gardens$1M
- Bruce OuelletteWest Palm Beach$724K
- Caley CasteleinMiami Beach$586K
- Sarah JockinTampa$308K
- Mario RomeroSarasota$275K
- Robert RitterJupiter$233K
- Robert AltharPensacola$231K
- Florencia ZiemkeWest Palm Beach$208K
- Ausberto HidalgoPembroke Pines$171K
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.