RxDoctor Payments Data

Jeffrey Nelson, MD

Otolaryngology · Bismarck, NDNPI 1649433608

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 43 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 17 manufacturers, the largest accounting for just 13.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $276 and has fallen 50.9% since, to $135 in 2025. That places this record below the midpoint for otolaryngology clinicians in ND, where the typical reported total is $1,316.

$907in general payments, 2019–2025

Across 43 payments — averaging $21.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sanofi$118
  • Regeneron Healthcare Solutions, Inc.$114
  • Intersect ENT, Inc.$109
  • Acclarent, Inc$92
  • CSL Behring$77
  • Takeda Pharmaceuticals U.S.A., Inc.$68
  • plus $330 from 11 others

What the payments were for

  • Food & beverage$907100%

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

19
20
21
22
23
24
25

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.

How this compares

$907 in reported general payments places this provider in the 45th percentile of 26 otolaryngology providers in North Dakota.

See all otolaryngology providers in North Dakota

Medicare billing

Part B allowed, 2024
$23,998
Medicare patients
149
Services billed
284

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

DrugClaimsCost to plans & patients
Ofloxacin17$225

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Bismarck

See the full list for North Dakota

Where these figures come from

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