Natalie Winter, MD
Pain Medicine · Salt Lake City, UTNPI 1285888214
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 14 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Boston Scientific at 41.2% of the total. Reporting peaked in 2023 at $215 and has fallen 75.8% since, to $52 in 2025. That places this record below the midpoint for pain medicine clinicians in UT, where the typical reported total is $3,451.
Across 14 payments — averaging $41.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$242
- Avanos Medical$143
- SPR Therapeutics, Inc$93
- Si-bone, Inc.$52
- Medtronic$23
- Vertos Medical, Inc.$20
- plus $14 from 1 others
What the payments were for
- Food & beverage$586100%
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 |
|---|---|---|
| Boston Scientific | 6 | $242 |
| Avanos Medical | 2 | $143 |
| SPR Therapeutics, Inc | 2 | $93 |
| Si-bone, Inc. | 1 | $52 |
| Medtronic | 1 | $23 |
| Vertos Medical, Inc. | 1 | $20 |
| Abbott | 1 | $14 |
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
$586 in reported general payments places this provider in the 20th percentile of 61 pain medicine providers in Utah.
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 |
|---|---|---|
| Nucynta ErTapentadol Hcl | 23 | $27,336 |
| OxycontinOxycodone Hcl | 15 | $10,325 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 141 | $5,352 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 175 | $4,530 |
| Fentanyl | 25 | $3,773 |
| Gabapentin | 245 | $3,661 |
| Lidocaine | 25 | $3,079 |
| Buprenorphine | 19 | $2,612 |
| Pregabalin | 85 | $2,027 |
| Morphine Sulfate ErMorphine Sulfate | 49 | $1,411 |
| Tramadol Hcl ErTramadol Hcl | 12 | $1,205 |
| Diclofenac Sodium | 38 | $1,051 |
| Tramadol Hcl | 120 | $944 |
| Duloxetine Hcl | 57 | $887 |
| Oxycodone Hcl | 38 | $875 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Salt Lake City
- Maria SchwartzSalt Lake City$813K
- Lynn WebsterSalt Lake City$160K
- Austin AlbrightSalt Lake City$14K
- Kristina ReedSalt Lake City$4K
- Shonte McKenzieSalt Lake City$3K
- Perry FineSalt Lake City$3K
- Mathew RomankowskiSalt Lake City$2K
- Adam EddingtonSalt Lake City$780
- Michael JaffeSalt Lake City$555
- Nicholas DaleySalt Lake City$362
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.