Nathan Marcinkowski, MD
Emergency Medicine · Lafayette, INNPI 1760913891
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 63 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Inari Medical, Inc. accounts for 67.4% of it on its own, with 5 other manufacturers making up the rest. Among emergency medicine clinicians in IN 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 63 payments — averaging $20.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inari Medical, Inc.$863
- Stryker$241
- Teleflex LLC$86
- Pfizer$51
- Johnson & Johnson$22
- Gilead$17
What the payments were for
- Food & beverage$1,280100%
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 |
|---|---|---|
| Inari Medical, Inc. | 52 | $863 |
| Stryker | 7 | $241 |
| Teleflex LLC | 1 | $86 |
| Pfizer | 1 | $51 |
| Johnson & Johnson | 1 | $22 |
| Gilead | 1 | $17 |
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
$1,280 in reported general payments places this provider in the 95th percentile of 1,073 emergency medicine providers in Indiana.
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 |
|---|---|---|
| Cefadroxil | 34 | $498 |
| Doxycycline Hyclate | 23 | $224 |
| Ondansetron OdtOndansetron | 32 | $207 |
| Diclofenac Sodium | 22 | $123 |
| Cephalexin | 14 | $122 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $115 |
| Methocarbamol | 28 | $88 |
| Azithromycin | 26 | $84 |
| Methylprednisolone | 13 | $75 |
| Prednisone | 31 | $55 |
| Furosemide | 14 | $23 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Lafayette
- Rickin ShahLafayette$8K
- Elizabeth RiggsLafayette$3K
- Michael KuponLafayette$924
- Roy AbrahamPortland$80K
- Michael MartinoBedford$67K
- Andrew OfferleFort Wayne$40K
- Dustin HollandIndianapolis$39K
- Peter PangIndianapolis$23K
- Robinson FerreIndianapolis$16K
- Daren BeamIndianapolis$13K
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.