Melissa Nebgen
Physician Assistant · San Diego, CANPI 1790250462
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.5% of the total across 233 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 23 manufacturers, the largest accounting for just 15.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,084, more than ten times the $176 reported in 2021. Among physician assistant clinicians in CA 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 233 payments — averaging $26.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$982
- Sanofi$971
- Johnson & Johnson$659
- Journey Medical Corporation$491
- Incyte Corporation$447
- Amgen$434
- plus $2K from 17 others
What the payments were for
- Food & beverage$5,94597%
- Education$2123%
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) | 60 | $982 |
| Sanofi | 34 | $971 |
| Johnson & Johnson | 28 | $659 |
| Journey Medical Corporation | 5 | $491 |
| Incyte Corporation | 19 | $447 |
| Amgen | 15 | $434 |
| Regeneron Healthcare Solutions, Inc. | 12 | $265 |
| LEO Pharma Inc. | 9 | $219 |
| E.r. Squibb & Sons, L.L.C. | 9 | $211 |
| Sun Pharmaceutical Industries Inc. | 3 | $192 |
| UCB, Inc. | 2 | $178 |
| Dermavant Sciences, Inc. | 5 | $163 |
| Novartis | 5 | $151 |
| Arcutis Biotherapeutics, Inc. | 3 | $150 |
| Janssen Scientific Affairs, LLC | 1 | $147 |
| Pfizer | 7 | $122 |
| Galderma Laboratories, L.p. | 4 | $113 |
| Lilly USA, LLC | 4 | $84 |
| Verrica Pharmaceuticals Inc. | 3 | $53 |
| VYNE Pharmaceuticals Inc. | 2 | $47 |
| Almirall LLC | 1 | $27 |
| Organon | 1 | $27 |
| Botanix SB Inc | 1 | $26 |
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
$6,158 in reported general payments places this provider in the 90th percentile of 10,423 physician assistant providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Dupixent SyringeDupilumab | 11 | $40,200 |
| Calcipotriene | 11 | $12,080 |
| Tacrolimus | 29 | $4,883 |
| Ketoconazole | 229 | $3,018 |
| Fluorouracil | 39 | $2,881 |
| Metronidazole | 40 | $2,221 |
| Clobetasol Propionate | 57 | $1,984 |
| Clindamycin Phosphate | 56 | $1,215 |
| Triamcinolone Acetonide | 132 | $1,127 |
| Ciclopirox | 29 | $562 |
| Econazole Nitrate | 21 | $391 |
| Hydrocortisone | 45 | $377 |
| Ammonium Lactate | 22 | $319 |
| Mupirocin | 58 | $277 |
| Nystatin | 22 | $225 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in San Diego
- Jeremy AdlerSan Diego$82K
- Anne DenslowSan Diego$43K
- Kathryn SmileySan Diego$33K
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.