Michael Pelster, MD
MOHS-Micrographic Surgery · Nashville, TNNPI 1699017145
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.7% of the total across 428 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 36 manufacturers, the largest accounting for just 18.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,490, 2.2 times the $1,127 reported in 2019.
Across 428 payments — averaging $22.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Johnson & Johnson$1K
- Regeneron Healthcare Solutions, Inc.$1K
- Incyte Corporation$669
- Sun Pharmaceutical Industries Inc.$505
- Lilly USA, LLC$436
- plus $4K from 30 others
What the payments were for
- Food & beverage$9,15395%
- Education$5115%
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) | 94 | $1,771 |
| Johnson & Johnson | 49 | $1,380 |
| Regeneron Healthcare Solutions, Inc. | 34 | $1,006 |
| Incyte Corporation | 17 | $669 |
| Sun Pharmaceutical Industries Inc. | 27 | $505 |
| Lilly USA, LLC | 19 | $436 |
| Amgen | 22 | $430 |
| E.r. Squibb & Sons, L.L.C. | 27 | $400 |
| Galderma Laboratories, L.p. | 11 | $380 |
| Novartis | 17 | $378 |
| UCB, Inc. | 21 | $374 |
| Pfizer | 14 | $263 |
| Almirall LLC | 6 | $234 |
| Sanofi | 11 | $223 |
| Organogenesis Inc. | 5 | $135 |
| Merz North America, Inc. | 5 | $121 |
| LEO Pharma Inc. | 6 | $108 |
| Janssen Scientific Affairs, LLC | 1 | $103 |
| Mayne Pharma Commercial LLC | 4 | $90 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 5 | $78 |
| Progenacare Global, LLC | 1 | $70 |
| Arcutis Biotherapeutics, Inc. | 3 | $65 |
| Organon | 7 | $62 |
| EPI Health, LLC | 4 | $61 |
| Genentech USA, Inc. | 3 | $52 |
| Botanix SB Inc | 3 | $51 |
| Mallinckrodt Hospital Products Inc. | 1 | $39 |
| Convatec Inc. | 1 | $35 |
| Dermavant Sciences, Inc. | 2 | $30 |
| VYNE Pharmaceuticals Inc. | 2 | $27 |
| Boehringer Ingelheim | 1 | $21 |
| Journey Medical Corporation | 1 | $17 |
| Mindera Corp | 1 | $14 |
| Mimedx Group, Inc. | 1 | $14 |
| Bioventus LLC | 1 | $13 |
| Biofrontera Inc. | 1 | $8 |
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
$9,663 in reported general payments places this provider in the 80th percentile of 40 mohs-micrographic surgery providers in Tennessee.
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 |
|---|---|---|
| Dupixent PenDupilumab | 13 | $47,683 |
| Clobetasol Propionate | 100 | $3,835 |
| Tacrolimus | 14 | $2,364 |
| Doxycycline Hyclate | 167 | $2,316 |
| Ketoconazole | 115 | $2,066 |
| Triamcinolone Acetonide | 104 | $1,280 |
| Desonide | 13 | $782 |
| Clindamycin Phosphate | 25 | $746 |
| Gentamicin Sulfate | 14 | $538 |
| ValacyclovirValacyclovir Hcl | 12 | $251 |
| Pregabalin | 12 | $248 |
| Mupirocin | 27 | $169 |
| Prednisone | 14 | $136 |
| Hydroxyzine Hcl | 13 | $75 |
| Cephalexin | 37 | $67 |
Paid to pharmacies, not to this prescriber.
Other mohs-micrographic surgery in Nashville
- Brent MoodyNashville$1M
- Vineet MishraNashville$44K
- Brent PenningtonNashville$7K
- Jerry SmithNashville$4K
- Emily MerkelNashville$2K
- Rachel HowaldNashville$2K
- Natalie CurcioNashville$2K
- Allison HanlonNashville$203
- Anna ClaytonNashville$99
- Eric MillicanNashville$33
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.