Natalie Oswald, PA
Physician Assistant · Dedham, MANPI 1346656360
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $11,866 of the $17,992 with a category attached, or 66.0%. Arthrex accounts for 93.5% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $9,021, more than ten times the $435 reported in 2023. Among physician assistant clinicians in MA 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 73 payments — averaging $246.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$17K
- Vertex$200
- Pacira Pharmaceuticals Incorporated$198
- Kairos Surgical Inc$145
- Bioventus LLC$145
- Smith+Nephew$144
- plus $334 from 6 others
What the payments were for
- Speaking & faculty fees$11,86666%
- Travel & lodging$4,45825%
- Food & beverage$1,6689%
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 |
|---|---|---|
| Arthrex | 46 | $16,826 |
| Vertex | 7 | $200 |
| Pacira Pharmaceuticals Incorporated | 5 | $198 |
| Kairos Surgical Inc | 2 | $145 |
| Bioventus LLC | 1 | $145 |
| Smith+Nephew | 1 | $144 |
| Vericel Corporation | 1 | $122 |
| Orthofix Medical, Inc. | 5 | $80 |
| Endo USA, Inc. | 2 | $50 |
| Johnson & Johnson | 1 | $43 |
| Siemens Medical Solutions USA, Inc. | 1 | $20 |
| Axogen | 1 | $19 |
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.
- Exogen Ultrasound Bone Healing System$145
- PICO$144
- MACI$122
- Zilretta$110
How this compares
$17,992 in reported general payments places this provider in the 95th percentile of 3,507 physician assistant providers in Massachusetts.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 76 | $212 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $41 |
| Oxycodone Hcl | 14 | $39 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $32 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Dedham
- Christopher MasseyWilbraham$190K
- Lizabeth O ConnorEverett$182K
- Kimberly ComeauSwampscott$120K
- Stacey PanasciSpringfield$113K
- Jason RandWaltham$99K
- Karen ChunEast Boston$70K
- David PeckhamQuincy$61K
- Leslie SmithSpringfield$49K
- Andrea MilliganBoston$46K
- Lauren RousseauBoston$42K
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.