Michael Nestasie, DO
Cardiovascular Disease · Natrona Heights, PANPI 1952764375
Payments from drug & device makers
Across 193 payments — averaging $42.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$2K
- Edwards Lifesciences$1K
- Abbott$1K
- Medtronic$867
- Boston Scientific$612
- Amgen$336
- plus $2K from 23 others
What the payments were for
- Travel & lodging$1,58419%
- Food & beverage$5,94973%
- Education$6248%
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 |
|---|---|---|
| Abiomed | 10 | $1,526 |
| Edwards Lifesciences | 15 | $1,281 |
| Abbott | 57 | $1,189 |
| Medtronic | 12 | $867 |
| Boston Scientific | 12 | $612 |
| Amgen | 10 | $336 |
| Heartflow, Inc. | 11 | $273 |
| Terumo Medical Corporation | 3 | $215 |
| Pfizer | 8 | $179 |
| W. L. Gore & Associates, Inc. | 3 | $175 |
| Inari Medical, Inc. | 1 | $171 |
| Johnson & Johnson | 7 | $153 |
| Novartis | 7 | $125 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $119 |
| Boehringer Ingelheim | 5 | $114 |
| Astellas Pharma US Inc | 2 | $114 |
| E.r. Squibb & Sons, L.L.C. | 6 | $109 |
| Shockwave Medical, Inc | 1 | $97 |
| Chiesi USA, Inc. | 1 | $72 |
| Kiniksa Pharmaceuticals International, PLC | 3 | $68 |
| Merck | 3 | $64 |
| AstraZeneca | 4 | $64 |
| Kiniksa Pharmaceuticals, Ltd. | 2 | $49 |
| Penumbra, Inc. | 1 | $48 |
| Novo Nordisk | 2 | $38 |
| Cvrx, Inc. | 2 | $29 |
| Kestra Medical Technology Services, Inc. | 1 | $27 |
| Teleflex LLC | 1 | $24 |
| Scpharmaceuticals Inc. | 1 | $20 |
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.
- Impella$1,338
- COREVALVE EVOLUT R$457
- Edwards SAPIEN 3 Transcatheter Heart Valve$335
- ONYX FRONTIER$238
- NAVITOR$176
- FLOWTRIEVER CATHETER, S$171
- CT THROMBECTOMY SYSTEM KIT$171
- AVVIGO Guidance System$164
- ENSITE$151
- GORE CARDIOFORM Septal Occluder$150
- Watchman$138
- EnSite Precision Cardiac Mapping System$135
- ROTAPRO$121
- Repatha$116
How this compares
$8,157 in reported general payments places this provider in the 75th percentile of 1,250 cardiovascular disease providers in Pennsylvania.
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 |
|---|---|---|
| EliquisApixaban | 39 | $36,768 |
| JardianceEmpagliflozin | 19 | $16,075 |
| Ranolazine ErRanolazine | 16 | $824 |
| Metoprolol Succinate | 48 | $592 |
| Rosuvastatin Calcium | 39 | $500 |
| Valsartan | 15 | $404 |
| Bumetanide | 15 | $338 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 13 | $257 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 14 | $253 |
| Atorvastatin Calcium | 23 | $241 |
| Amlodipine Besylate | 51 | $221 |
| Pantoprazole Sodium | 12 | $122 |
| Spironolactone | 18 | $105 |
| Furosemide | 20 | $36 |
| Lisinopril | 12 | $24 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $179 | $36,76839 claims |
| Boehringer IngelheimJardiance | $114 | $16,07519 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 1,250 cardiovascular disease providers in Pennsylvania.
Other cardiovascular disease in Natrona Heights
- Danielle DuffyPhiladelphia$29.5M
- Venkatesh NadarCamp Hill$18.3M
- Hemal GadaWormleysburg$6.7M
- Brian DrachmanPhiladelphia$3.8M
- William BachinskyMechanicsburg$2.3M
- Bonnie KyPhiladelphia$1.9M
- Benjamin KalsmithPgh$1.7M
- Marielle Scherrer CrosbiePhiladelphia$1.6M
- Paul GrenaYardley$1.6M
- Peter KoweyWynnewood$1.6M
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.