Nathan Nachlas, MD
Facial Plastic Surgery · Boca Raton, FLNPI 1497737647
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.1% of the total across 151 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 17.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,412 and has fallen 62.1% since, to $535 in 2025.
Across 151 payments — averaging $33.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$900
- Optinose US, Inc.$699
- Inspire Medical Systems, Inc.$479
- Aerin Medical Inc.$474
- Intersect ENT, Inc.$473
- Regeneron Healthcare Solutions, Inc.$341
- plus $2K from 16 others
Across 99 payments — averaging $5035.70 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Livanova USA, Inc.$118K
- Intersect ENT, Inc.$116K
- Medtronic$92K
- Smith+Nephew$82K
- Aerin Medical Inc.$74K
- AstraZeneca$6K
- plus $10K from 3 others
What the payments were for
- Food & beverage$5,02898%
- Education$481%
- Gifts$511%
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 |
|---|---|---|
| Acclarent, Inc | 26 | $900 |
| Optinose US, Inc. | 25 | $699 |
| Inspire Medical Systems, Inc. | 8 | $479 |
| Aerin Medical Inc. | 15 | $474 |
| Intersect ENT, Inc. | 10 | $473 |
| Regeneron Healthcare Solutions, Inc. | 13 | $341 |
| Sanofi | 10 | $294 |
| Stryker | 5 | $291 |
| GSK | 11 | $225 |
| AstraZeneca | 3 | $158 |
| Livanova USA, Inc. | 1 | $145 |
| Smith+Nephew | 4 | $114 |
| Alk-abello, Inc | 5 | $107 |
| Itamar Medical Inc | 2 | $85 |
| ARS Pharmaceuticals Operations, Inc. | 3 | $74 |
| Kaleo, Inc. | 4 | $70 |
| Xoran Technologies LLC | 1 | $51 |
| Genentech, Inc. | 1 | $48 |
| Integra Lifesciences Corporation | 1 | $37 |
| Intra-sana Laboratories | 1 | $25 |
| AbbVie | 1 | $20 |
| Photonicare Inc | 1 | $16 |
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
$5,127 in reported general payments places this provider in the 80th percentile of 49 facial plastic surgery providers in Florida.
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 |
|---|---|---|
| Ipratropium Bromide | 136 | $4,094 |
| Azelastine Hcl | 110 | $3,141 |
| Montelukast Sodium | 82 | $636 |
| Fluticasone Propionate | 37 | $526 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 23 | $253 |
| Doxycycline Monohydrate | 26 | $241 |
| Methylprednisolone | 25 | $220 |
| Mupirocin | 18 | $106 |
Paid to pharmacies, not to this prescriber.
Other facial plastic surgery in Boca Raton
- Salvatore GrimaldiWest Palm Beach$310K
- Ryan GreeneWeston$101K
- Curtis JohnsonPlantation$37K
- John HolcombSarasota$23K
- Vijay SharmaJupiter$16K
- Zeeshan AzizFernandina Beach$15K
- Wilson DumornayPlantation$9K
- Deidre LeakeSt Augustine$8K
- Nikolaus HjelmMiami$4K
- Kevin CaceresSouth Pasadena$4K
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.