Nastassja Bedford-Lyon, MD
Dermatology · Toledo, OHNPI 1235627225
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.3% of the total across 102 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 27.5% of the total. 2025 is the largest year on record at $986, 9.8 times the $100 reported in 2020. That places this record below the midpoint for dermatology clinicians in OH, where the typical reported total is $2,374.
Across 102 payments — averaging $25.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$730
- AbbVie$470
- Sanofi$206
- UCB, Inc.$206
- E.r. Squibb & Sons, L.L.C.$205
- Johnson & Johnson$144
- plus $689 from 15 others
What the payments were for
- Food & beverage$2,57797%
- Education$733%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 17 | $730 |
| AbbVie(2 entities) | 30 | $470 |
| Sanofi | 6 | $206 |
| UCB, Inc. | 5 | $206 |
| E.r. Squibb & Sons, L.L.C. | 5 | $205 |
| Johnson & Johnson | 7 | $144 |
| Sun Pharmaceutical Industries Inc. | 5 | $100 |
| Novartis | 4 | $95 |
| Helsinn Therapeutics (U.S.), Inc. | 5 | $84 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $79 |
| LEO Pharma Inc. | 3 | $61 |
| Boehringer Ingelheim | 2 | $43 |
| Solta Medical, A Division Of Bausch Health US, LLC | 2 | $37 |
| Tactile Systems Technology Inc | 2 | $35 |
| Galderma Laboratories, L.p. | 2 | $32 |
| Chiesi USA, Inc. | 1 | $25 |
| Organon | 1 | $23 |
| Lilly USA, LLC | 1 | $22 |
| Organogenesis Inc. | 1 | $20 |
| Kyowa Kirin, Inc. | 1 | $16 |
| Incyte Corporation | 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.
How this compares
$2,650 in reported general payments places this provider in the 50th percentile of 460 dermatology 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 12 | $168,793 |
| Dupixent PenDupilumab | 22 | $79,037 |
| Ivermectin | 14 | $5,341 |
| Clobetasol Propionate | 117 | $4,997 |
| Ketoconazole | 140 | $2,119 |
| Triamcinolone Acetonide | 108 | $1,472 |
| Betamethasone Dipropionate | 24 | $1,315 |
| Clindamycin Phosphate | 37 | $1,082 |
| Ammonium Lactate | 40 | $499 |
| Doxycycline Hyclate | 16 | $496 |
| Doxycycline Monohydrate | 15 | $421 |
| Minoxidil | 18 | $180 |
| Hydrocortisone | 31 | $128 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Toledo
- Lorie GottwaldToledo$460K
- Krishna MutgiToledo$108K
- Matthew ZirwasBexley$3.3M
- George DrewMarion$1.9M
- Rocco SerraoDayton$1.7M
- James LibeccoFairlawn$1.1M
- Pranav ShethWest Chester$978K
- Dawn MerrittAthens$844K
- Neil KormanCleveland$824K
- Joshua GrosshandlerWesterville$479K
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.