Nasin David Rivera
Adolescent Medicine · Orlando, FLNPI 1366401796
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.9% of the total across 181 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 29 manufacturers, the largest accounting for just 15.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $891 and has fallen 62.9% since, to $331 in 2025. Among adolescent medicine clinicians in FL 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 181 payments — averaging $23.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sunovion Pharmaceuticals Inc.$661
- Vanda Pharmaceuticals Inc.$366
- Ironshore Pharmaceuticals Inc.$365
- Otsuka America Pharmaceutical, Inc.$360
- Supernus Pharmaceuticals, Inc.$356
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$338
- plus $2K from 23 others
What the payments were for
- Food & beverage$4,25099%
- Education$491%
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.
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.
- ARISTADA$500
- LATUDA$355
- QELBREE$126
- ARISTADA INITIO$125
- CAPLYTA$123
- ABILIFY MAINTENA$122
- AUSTEDO$121
- Dyanavel XR$120
- VRAYLAR$109
How this compares
$4,299 in reported general payments places this provider in the 95th percentile of 113 adolescent medicine providers in Florida.
Other adolescent medicine in Orlando
- Lonna GordonOrlando$6K
- Laritssa CobianOrlando$3K
- Raza AliOrlando$686
- Pedro NamLoxaharchee$9K
- Rajeev RajaniNaples$6K
- Meera BeharryFort Pierce$5K
- Heather Elizondo VegaWinter Garden$3K
- Adriana CastroMiami$3K
- Richard MillerNew Port Richey$3K
- Quy VinhMiami$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.