Lauren Nigro, MD
Plastic and Reconstructive Surgery · Richmond, VANPI 1710324462
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (47.8%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by RTI Surgical, Inc at 47.8% of the total. 2025 is the largest year on record at $12,409, more than ten times the $95 reported in 2019. Among plastic and reconstructive surgery clinicians in VA 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 125 payments — averaging $220.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- RTI Surgical, Inc$13K
- Integra Lifesciences Corporation$6K
- Sientra, Inc.$2K
- Axogen$2K
- Musculoskeletal Transplant Foundation Inc.$1K
- AbbVie$787
- plus $2K from 13 others
What the payments were for
- Consulting fees$5,33819%
- Speaking & faculty fees$13,20048%
- Travel & lodging$1,3155%
- Food & beverage$7,41027%
- Other$3261%
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 |
|---|---|---|
| RTI Surgical, Inc | 11 | $13,200 |
| Integra Lifesciences Corporation | 13 | $6,494 |
| Sientra, Inc. | 25 | $2,026 |
| Axogen | 6 | $1,841 |
| Musculoskeletal Transplant Foundation Inc. | 11 | $1,133 |
| AbbVie(2 entities) | 19 | $787 |
| Motiva USA, LLC | 7 | $412 |
| Mentor Worldwide LLC | 9 | $373 |
| TELA Bio, Inc. | 3 | $338 |
| Johnson & Johnson | 7 | $326 |
| Kerecis Limited | 2 | $202 |
| Pacira Pharmaceuticals Incorporated | 1 | $116 |
| Galderma Laboratories, L.p. | 1 | $95 |
| Baxter Healthcare | 3 | $94 |
| Smith+Nephew | 3 | $53 |
| Stryker | 1 | $39 |
| Medtronic | 1 | $23 |
| Avanos Medical | 1 | $19 |
| Solventum Corporation | 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.
- CORTIVA ALLOGRAFT DERMIS$13,200
- SURGIMEND$5,511
- CODMAN CERTAS$5,338
- AVANCE NERVE GRAFT$1,841
- AxoGuard Nerve Connector$1,730
- AxoGuard Nerve Protector$1,730
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$1,366
- INTEGRA$673
- Kerecis Omega3 Marigen$600
- DuraSorb Monofilament Mesh$482
- NATRELLE SALINE-FILLED BREAST IMPLANTS$395
- Motiva Implant Matrix$300
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$300
- OMNIGRAFT$174
- INTEGRA DERMAL REGENERATION TEMPLATE$174
- Kerecis Omega3 SurgiClose$150
- MENTOR MemoryGel Resterilizable Gel Sizer$125
- EXPAREL$116
How this compares
$27,588 in reported general payments places this provider in the 95th percentile of 77 plastic and reconstructive surgery providers in Virginia.
See all plastic and reconstructive surgery providers in Virginia →
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 and reconstructive surgery in Richmond
- Neil ZemmelRichmond$38K
- Burton SundinRichmond$23K
- Karishma ReddyRichmond$7K
- Robert DecontiRichmond$5K
- Lewis LadocsiRichmond$5K
- Isaac WornomRichmond$4K
- Annabel BaekRichmond$4K
- Nadia BlanchetRichmond$4K
- Leslie CohenRichmond$3K
- Santosh KaleRichmond$2K
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.