Nathan Carr, PA
Physician Assistant · Binghamton, NYNPI 1215160460
Payments from drug & device makers
Across 58 payments — averaging $29.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Avadel CNS Pharmaceuticals, LLC$553
- Jazz Pharmaceuticals Inc.$402
- Inspire Medical Systems, Inc.$196
- Harmony Biosciences LLC$100
- Fisher & Paykel Healthcare Inc$79
- Lilly USA, LLC$71
- plus $309 from 13 others
What the payments were for
- Consulting fees$35020%
- Food & beverage$1,19370%
- Education$16710%
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 |
|---|---|---|
| Avadel CNS Pharmaceuticals, LLC | 21 | $553 |
| Jazz Pharmaceuticals Inc. | 6 | $402 |
| Inspire Medical Systems, Inc. | 8 | $196 |
| Harmony Biosciences LLC | 1 | $100 |
| Fisher & Paykel Healthcare Inc | 3 | $79 |
| Lilly USA, LLC | 4 | $71 |
| Tandem Diabetes Care, Inc. | 2 | $48 |
| Bayer | 2 | $34 |
| Insulet Corporation | 1 | $33 |
| Nevro Corp. | 1 | $30 |
| Recordati_rare_diseases_inc. | 1 | $23 |
| Abbott | 1 | $23 |
| Dexcom, Inc. | 1 | $20 |
| Antares Pharma, Inc. | 1 | $20 |
| Novo Nordisk | 1 | $20 |
| Amgen | 1 | $18 |
| IBSA Pharma Inc. | 1 | $16 |
| Cequr Corporation | 1 | $14 |
| Johnson & Johnson | 1 | $12 |
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
$1,710 in reported general payments places this provider in the 80th percentile of 11,358 physician assistant providers in New York.
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 |
|---|---|---|
| SunosiSolriamfetol Hcl | 18 | $15,918 |
| Modafinil | 53 | $5,139 |
| Ropinirole Hcl | 68 | $980 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 16 | $947 |
| Gabapentin | 112 | $845 |
| Armodafinil | 24 | $547 |
| Doxepin Hcl | 11 | $524 |
| Temazepam | 20 | $483 |
| Trazodone Hcl | 31 | $355 |
| Hydroxyzine Hcl | 11 | $192 |
| Montelukast Sodium | 11 | $153 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 18 | $147 |
| Zolpidem Tartrate | 34 | $126 |
| Zolpidem Tartrate ErZolpidem Tartrate | 14 | $109 |
| Alprazolam | 15 | $50 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Binghamton
- Henry YuBronx$1M
- Michael AsbachAmherst$962K
- Janelle BunceJamestown$565K
- Kristyl Cuenca-SiskoNew York$478K
- Melissa WhiteGarden City$320K
- Lawrence HermanHolbrook$315K
- Kaitlyn NelsonBrooklyn$289K
- Sari KatzGarden City$271K
- Julius NwosuBronx$256K
- Cameron KiserNew York$225K
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.