Girish Nair, MD
Pulmonary Disease · Lexington, KYNPI 1417141896
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $55,120 of the $85,610 with a category attached, or 64.4%. Boehringer Ingelheim accounts for 85.8% of it on its own, with 9 other manufacturers making up the rest. Among pulmonary disease clinicians in KY 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 80 payments — averaging $1070.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$73K
- United Therapeutics Corporation$9K
- AstraZeneca$1K
- Globus Medical$1K
- Partner Therapeutics, Inc.$350
- Genentech USA, Inc.$140
- plus $287 from 4 others
Across 165 payments — averaging $4647.31 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.
- Boehringer Ingelheim$622K
- United Therapeutics Corporation$81K
- Dompe Farmaceutici S.p.a.$25K
- Boehringer Ingelheim International GmbH$23K
- Cumberland Pharmaceuticals, Inc.$16K
- Merck$43
What the payments were for
- Consulting fees$23,01627%
- Speaking & faculty fees$55,12064%
- Travel & lodging$4,8586%
- Food & beverage$2,5953%
- Education$210%
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 |
|---|---|---|
| Boehringer Ingelheim | 56 | $73,435 |
| United Therapeutics Corporation | 14 | $8,902 |
| AstraZeneca | 1 | $1,350 |
| Globus Medical | 3 | $1,145 |
| Partner Therapeutics, Inc. | 1 | $350 |
| Genentech USA, Inc. | 1 | $140 |
| W. L. Gore & Associates, Inc. | 1 | $136 |
| GSK | 1 | $112 |
| Paratek Pharmaceuticals, Inc. | 1 | $23 |
| Sunovion Pharmaceuticals Inc. | 1 | $16 |
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.
- OFEV$2,062
- AIRSUPRA$1,350
- ExcelsiusGPS Robotic Navigation System$1,145
- Leukine$350
- GORE VIABAHN Endoprosthesis with Heparin$136
- ANORO ELLIPTA$112
How this compares
$85,610 in reported general payments places this provider in the 95th percentile of 226 pulmonary disease providers in Kentucky.
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 |
|---|---|---|
| OfevNintedanib Esylate | 238 | $3,118,762 |
| Pirfenidone | 141 | $689,076 |
| EsbrietPirfenidone | 13 | $133,855 |
| Breo ElliptaFluticasone/Vilanterol | 122 | $72,735 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 72 | $56,311 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 27 | $15,777 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 46 | $11,383 |
| Spiriva RespimatTiotropium Bromide | 11 | $9,068 |
| Incruse ElliptaUmeclidinium Bromide | 18 | $7,684 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 22 | $5,314 |
| SymbicortBudesonide/Formoterol Fumarate | 14 | $4,376 |
| Mycophenolate Mofetil | 37 | $4,090 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 75 | $3,250 |
| Prednisone | 110 | $615 |
| Fluticasone Propionate | 16 | $542 |
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 |
|---|---|---|
| Boehringer IngelheimOfev, Spiriva Respimat | $73,435 | $3,127,830249 claims |
| GSKBreo Ellipta, Trelegy Ellipta, Anoro Ellipta, Incruse Ellipta | $112 | $152,508239 claims |
| Genentech USA, Inc.Esbriet | $140 | $133,85513 claims |
| AstraZenecaSymbicort | $1,350 | $4,37614 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 226 pulmonary disease providers in Kentucky.
Other pulmonary disease in Lexington
- Dennis DohertyLexington$103K
- Ashish MaskeyLexington$94K
- John ThompsonLexington$77K
- Anthony GerberLexington$20K
- Eliseo Colon-CarrerasLexington$17K
- Christopher MeenachLexington$15K
- Theresa CaseLexington$14K
- John McConnellLouisville$864K
- Erica GregonisRichmond$390K
- Firas KouraGeorgetown$350K
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.