Joshua Nathan, MD
Obstetrics & Gynecology · Manchester, NHNPI 1972605962
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 18 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by AbbVie at 35.1% of the total. Reporting peaked in 2024 at $102 and has fallen 83.7% since, to $17 in 2025.
Across 18 payments — averaging $21.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$134
- Exeltis, USA Inc.$50
- Gynesonics, Inc.$49
- Evofem Biosciences, Inc.$39
- Organon$32
- Myovant Sciences Inc.$30
- plus $47 from 3 others
Across 1 payment — averaging $100.00 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.
- AbbVie$100
What the payments were for
- Food & beverage$380100%
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 |
|---|---|---|
| AbbVie(2 entities) | 6 | $134 |
| Exeltis, USA Inc. | 2 | $50 |
| Gynesonics, Inc. | 1 | $49 |
| Evofem Biosciences, Inc. | 2 | $39 |
| Organon | 3 | $32 |
| Myovant Sciences Inc. | 1 | $30 |
| Astellas Pharma US Inc | 1 | $18 |
| Boston Scientific | 1 | $16 |
| Therapeuticsmd, Inc. | 1 | $14 |
How this compares
$380 in reported general payments places this provider in the 75th percentile of 186 obstetrics & gynecology providers in New Hampshire.
See all obstetrics & gynecology providers in New Hampshire →
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 |
|---|---|---|
| Estradiol | 18 | $1,357 |
| Clobetasol Propionate | 18 | $558 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Manchester
- Marc DuhaimeManchester$32K
- Erron KinslerManchester$13K
- Mary Jo MontanarellaManchester$3K
- Jennifer DonofrioManchester$706
- Brenna StappManchester$548
- Melissa CulverwellManchester$435
- Heidi MeinzManchester$409
- Jillian DulacManchester$395
- Melissa Martinez AdornoNashua$251K
- Jeffrey SegilDover$70K
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.