Munier Nazzal, MD
Vascular Surgery · Toledo, OHNPI 1386648251
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,696 of the $5,391 with a category attached, or 68.5%. It is spread thinly across 30 manufacturers, the largest accounting for just 16.7%.
Across 86 payments — averaging $62.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$898
- Silk Road Medical, Inc.$792
- Medtronic$768
- Bard Peripheral Vascular, Inc.$363
- Inari Medical, Inc.$358
- Cook Medical LLC$317
- plus $2K from 24 others
Across 7 payments — averaging $2574.69 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.
- Bayer$18K
What the payments were for
- Speaking & faculty fees$1012%
- Travel & lodging$79215%
- Food & beverage$3,69669%
- Education$381%
- Other$76514%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 8 | $898 |
| Silk Road Medical, Inc. | 4 | $792 |
| Medtronic(2 entities) | 17 | $768 |
| Bard Peripheral Vascular, Inc. | 7 | $363 |
| Inari Medical, Inc. | 6 | $358 |
| Cook Medical LLC | 6 | $317 |
| Bolton Medical Inc | 3 | $263 |
| Boston Scientific | 2 | $227 |
| Organogenesis Inc. | 3 | $199 |
| Penumbra, Inc. | 1 | $191 |
| Kerecis Limited | 2 | $132 |
| Johnson & Johnson(2 entities) | 4 | $108 |
| Cardiovascular Systems Inc. | 2 | $102 |
| Philips North America LLC | 1 | $77 |
| Smith+Nephew | 2 | $65 |
| Novo Nordisk | 1 | $62 |
| Reapplix Inc. | 1 | $61 |
| Shockwave Medical, Inc | 1 | $61 |
| W. L. Gore & Associates, Inc. | 2 | $60 |
| Angiodynamics, Inc. | 2 | $49 |
| Surmodics, Inc. | 1 | $36 |
| Baxter Healthcare | 1 | $35 |
| Argon Medical Devices, Inc. | 2 | $25 |
| Imperative Care, Inc | 1 | $24 |
| OVIK Health, LLC | 1 | $24 |
| Inspire Medical Systems, Inc. | 1 | $22 |
| E.r. Squibb & Sons, L.L.C. | 1 | $19 |
| Amgen | 1 | $19 |
| Medline Industries LP | 1 | $18 |
| Tactile Systems Technology Inc | 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.
- ACell$765
- ENROUTE Transcarotid Neuroprotection System$760
- ENROUTE Transcarotid Stent System$760
- ENHANCE Transcarotid Peripheral Access Kit$760
- ENROUTE 0.014 Guidewire$760
- Kerecis Omega3 SurgiClose$328
- FLOWTRIEVER CATHETER, S$243
- CT THROMBECTOMY SYSTEM KIT$243
- Indigo System$191
- Zenith Alpha$174
- GENERAL - THERAPIES$158
- TREO ABDOMINAL STENT-GRAFT SYSTEM$144
- RotarexS 6 F x 135 cm$131
- Endurant$111
- Kerecis Omega3 GraftGuide$109
- Kerecis Omega3 Marigen$109
- RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM$104
- Apligraf$101
- Dermagraft$101
- Puraply/Affinity/NuTech$101
How this compares
$5,391 in reported general payments places this provider in the 55th percentile of 213 vascular surgery providers in Ohio.
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 | 26 | $20,317 |
| Warfarin Sodium | 35 | $513 |
| Cilostazol | 19 | $359 |
| ClopidogrelClopidogrel Bisulfate | 36 | $212 |
| Atorvastatin Calcium | 29 | $107 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Toledo
- John PigottToledo$65K
- John FishToledo$58K
- Mohamed OsmanToledo$25K
- Franklin FaridToledo$13K
- Brett AplinToledo$12K
- David VicenteToledo$10K
- Gregory WalkerToledo$10K
- Patrick MuckCincinnati$650K
- Sean LydenCleveland$561K
- Brian KuhnCincinnati$184K
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.