Nathan Fowler
Family · Las Vegas, NVNPI 1639602683
Payments from drug & device makers
Across 18 payments — averaging $24.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merz North America, Inc.$132
- Dexcom, Inc.$78
- Novo Nordisk$63
- AstraZeneca$45
- Biohaven Pharmaceutical Holding Company Ltd.$42
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$22
- plus $67 from 4 others
What the payments were for
- Food & beverage$448100%
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 |
|---|---|---|
| Merz North America, Inc. | 1 | $132 |
| Dexcom, Inc. | 4 | $78 |
| Novo Nordisk | 3 | $63 |
| AstraZeneca | 3 | $45 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $42 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $22 |
| Pfizer | 1 | $20 |
| Biohaven Pharmaceuticals, Inc. | 1 | $17 |
| Exact Sciences | 1 | $16 |
| GSK | 1 | $15 |
How this compares
$448 in reported general payments places this provider in the 50th percentile of 1,501 family providers in Nevada.
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 |
|---|---|---|
| Atorvastatin Calcium | 26 | $95 |
| Nifedipine ErNifedipine | 12 | $84 |
| Levothyroxine Sodium | 35 | $70 |
| Tramadol Hcl | 12 | $54 |
| Fosinopril Sodium | 12 | $35 |
| Omeprazole | 12 | $30 |
| Naproxen | 12 | $26 |
| Tamsulosin Hcl | 15 | $22 |
| Lisinopril | 15 | $15 |
| Losartan Potassium | 14 | $11 |
| Lorazepam | 15 | $11 |
| Metformin Hcl ErMetformin Hcl | 20 | $9 |
| Amlodipine Besylate | 11 | $6 |
Paid to pharmacies, not to this prescriber.
Other family in Las Vegas
- John PhoenixLas Vegas$281K
- Hollie TylerLas Vegas$118K
- Jon FaillaLas Vegas$74K
- Alex LapasaranLas Vegas$50K
- Kelly PapeshLas Vegas$44K
- Erin WilkinsonLas Vegas$43K
- Anna Melisa Lopez-SanglayLas Vegas$42K
- Bernard BlanksLas Vegas$26K
- Hillary DursteinLas Vegas$21K
- Victoria HughesLas Vegas$19K
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.