John Nigriny, MD
Plastic Surgery · Lebanon, NHNPI 1598848699
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $16,125 of the $16,520 with a category attached, or 97.6%. Vascular Technology, Inc. accounts for 97.6% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2021 at $6,875 and has fallen 84.1% since, to $1,093 in 2025.
Across 12 payments — averaging $1376.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vascular Technology, Inc.$16K
- TELA Bio, Inc.$178
- Axogen$93
- Mentor Worldwide LLC$89
- Davol Inc.$19
- Mesh Suture Inc$16
What the payments were for
- Consulting fees$16,12598%
- Food & beverage$3752%
- Education$190%
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 |
|---|---|---|
| Vascular Technology, Inc. | 6 | $16,125 |
| TELA Bio, Inc. | 2 | $178 |
| Axogen | 1 | $93 |
| Mentor Worldwide LLC | 1 | $89 |
| Davol Inc. | 1 | $19 |
| Mesh Suture 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.
How this compares
Too few plastic surgery providers in New Hampshireto place this figure against a meaningful peer group, so we don't.
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.
Other plastic surgery in Lebanon
- Joseph RosenLebanon$2K
- Dale VidalLebanon$40
- Anthony WilsonStratham$39K
- Bruce TopolManchester$8K
- Alexander SlocumPortsmouth$2K
- Lawrence GrayPortsmouth$1K
- Emese Kalnoki-KisManchester$488
- Patrick MannalConcord$237
- Jeremy WaldmanNashua$160
- John MallenSalem$150
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.