Nathan Joos, MD
Plastic Surgery within the Head & Neck · Salt Lake City, UTNPI 1417096090
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.0% of the total across 26 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Inspire Medical Systems, Inc. accounts for 79.3% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2021 at $791 and has fallen 64.0% since, to $285 in 2025.
Across 26 payments — averaging $116.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$2K
- Intersect ENT, Inc.$231
- Medtronic$150
- Johnson & Johnson$109
- Acclarent, Inc$92
- Aerin Medical Inc.$43
What the payments were for
- Consulting fees$1505%
- Food & beverage$2,87195%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 15 | $2,396 |
| Intersect ENT, Inc. | 3 | $231 |
| Medtronic | 1 | $150 |
| Johnson & Johnson | 3 | $109 |
| Acclarent, Inc | 1 | $92 |
| Aerin Medical Inc. | 3 | $43 |
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.
- Inspire Upper Airway Stimulation System$1,389
- Inspire$840
- SINUVA$117
How this compares
Too few plastic surgery within the head & neck providers in Utahto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Azelastine Hcl | 42 | $1,040 |
| Methylprednisolone | 23 | $140 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 17 | $116 |
| Prednisone | 14 | $47 |
| Tramadol Hcl | 18 | $41 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery within the head & neck in Salt Lake City
- Jason PetersenSalt Lake City$3K
- Mana EspahbodiSalt Lake City$3K
- Gretchen OakleySalt Lake City$879
- Bethany PowersSalt Lake City$452
- Richard BavierSalt Lake City$328
- Quinn OrbSalt Lake City$326
- Sarah DrejetSalt Lake City$315
- Jason HuntSalt Lake City$0
- James BlotterNorth Logan$2K
- Jeffrey BennionNorth Logan$2K
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.