Jacob Nysather, DO
Nephrology · Montgomery, OHNPI 1407376312
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $8,990 of the $14,586 with a category attached, or 61.6%. AstraZeneca accounts for 67.9% of it on its own, with 22 other manufacturers making up the rest. 2025 is the largest year on record at $11,709, more than ten times the $64 reported in 2019. Among nephrology clinicians in OH 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 59 payments — averaging $247.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$10K
- Baxter Healthcare$1K
- Vifor Pharma, Inc.$529
- Amgen$510
- Apellis Pharmaceuticals, Inc.$425
- Nxstage Medical, Inc.$382
- plus $2K from 17 others
What the payments were for
- Consulting fees$8,99062%
- Travel & lodging$6554%
- Food & beverage$4,94134%
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.
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.
- ULTOMIRIS$9,340
- Renal - Acute$872
- Tavneos$409
- PUREFLOW SL$321
- NXSTAGE SYSTEM ONE$321
- ACTHAR$250
- Veltassa$235
- AMVUTTRA$147
- FABRAZYME$136
- Filspari$125
- Korsuva$121
- Empaveli$108
- Vafseo$105
- LIBERTY SELECT CYCLER$101
How this compares
$14,586 in reported general payments places this provider in the 90th percentile of 450 nephrology providers in Ohio.
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 |
|---|---|---|
| XphozahTenapanor Hcl | 15 | $60,099 |
| JardianceEmpagliflozin | 21 | $16,975 |
| Sevelamer Carbonate | 22 | $3,862 |
| Calcium Acetate | 14 | $938 |
| Torsemide | 14 | $651 |
| Nifedipine ErNifedipine | 49 | $461 |
| Potassium Chloride | 23 | $317 |
| Metoprolol Succinate | 11 | $175 |
| Lisinopril | 27 | $153 |
| Spironolactone | 67 | $133 |
| Losartan Potassium | 29 | $124 |
| Carvedilol | 37 | $100 |
| Amlodipine Besylate | 12 | $95 |
| Furosemide | 38 | $89 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Montgomery
- Brad RovinColumbus$379K
- Nissreen ElfadawyChardon$327K
- Andrew LazarBeachwood$315K
- Amit GovilCincinnati$298K
- Georges NakhoulCleveland$255K
- Sankar NavaneethanCleveland$253K
- Ibrahim AhmadKettering$232K
- Prabir Roy ChaudhuryCincinnati$205K
- Rupesh RainaAkron$163K
- Sevag DemirjianCleveland$158K
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.