Natalie Marciales, PA
Physician Assistant · Tucson, AZNPI 1720569502
Payments from drug & device makers
Across 268 payments — averaging $20.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$1K
- AbbVie$1K
- AstraZeneca$547
- UCB, Inc.$298
- Pfizer$232
- Johnson & Johnson$217
- plus $2K from 25 others
What the payments were for
- Consulting fees$1753%
- Food & beverage$5,43397%
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 |
|---|---|---|
| Amgen(2 entities) | 73 | $1,400 |
| AbbVie | 61 | $1,068 |
| AstraZeneca(2 entities) | 18 | $547 |
| UCB, Inc. | 18 | $298 |
| Pfizer | 19 | $232 |
| Johnson & Johnson(2 entities) | 19 | $217 |
| Lilly USA, LLC | 10 | $217 |
| Edwards Lifesciences | 1 | $192 |
| Novo Nordisk | 6 | $180 |
| GSK | 11 | $179 |
| Biotronik Inc. | 1 | $153 |
| Actelion Pharmaceuticals US, Inc. | 2 | $137 |
| Biosense Webster, Inc. | 1 | $114 |
| Progenics Pharmaceuticals, Inc. | 1 | $81 |
| Janssen Scientific Affairs, LLC | 1 | $80 |
| Ferring Pharmaceuticals Inc. | 4 | $78 |
| Radius Health, Inc. | 4 | $72 |
| Abbott | 2 | $44 |
| E.r. Squibb & Sons, L.L.C. | 2 | $43 |
| Novartis | 2 | $39 |
| Sobi, Inc | 1 | $29 |
| Aurinia Pharma U.S., Inc. | 2 | $29 |
| Genentech USA, Inc. | 1 | $25 |
| Sanofi | 1 | $21 |
| Ultragenyx Pharmaceutical Inc. | 1 | $21 |
| Boehringer Ingelheim | 1 | $21 |
| Astellas Pharma US Inc | 1 | $20 |
| ANI Pharmaceuticals, Inc. | 1 | $18 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $18 |
| Exact Sciences | 1 | $17 |
| Hikma Pharmaceuticals USA | 1 | $17 |
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.
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$192
- Prolia$175
- BioMonitor$153
- Solia$153
- AIRSUPRA$125
- UPTRAVI$125
- OPSUMIT$125
- SAPHNELO$121
- QDOT MICRO Catheter$114
- Carto 3$114
How this compares
$5,608 in reported general payments places this provider in the 90th percentile of 2,888 physician assistant providers in Arizona.
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 |
|---|---|---|
| MounjaroTirzepatide | 14 | $14,443 |
| EliquisApixaban | 19 | $13,215 |
| Levothyroxine Sodium | 54 | $580 |
| Gabapentin | 29 | $531 |
| Losartan Potassium | 51 | $502 |
| Metformin Hcl | 31 | $435 |
| Potassium Chloride | 17 | $319 |
| Fluoxetine Hcl | 22 | $295 |
| Pravastatin Sodium | 15 | $276 |
| Amlodipine Besylate | 31 | $256 |
| Simvastatin | 28 | $243 |
| Tamsulosin Hcl | 12 | $218 |
| Bupropion XlBupropion Hcl | 11 | $202 |
| Atorvastatin Calcium | 32 | $196 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 26 | $180 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $217 | $14,44314 claims |
| PfizerEliquis | $232 | $13,21519 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 90th percentile of 2,888 physician assistant providers in Arizona.
Other physician assistant in Tucson
- Nicole StokerTucson$61K
- Robert HoyTucson$41K
- Luis LozanoTucson$31K
- Christy HallTucson$30K
- Monica MettilleTucson$27K
- Jenna HiltonGilbert$637K
- Kara GoodingScottsdale$625K
- Ginna GranrothScottsdale$211K
- Nicole MaderaGlendale$128K
- Candace RyanGlendale$113K
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.