Nathaniel Drourr, MD
Pain Medicine · Jupiter, FLNPI 1336186915
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 8 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Vertex at 30.8% of the total. That places this record below the midpoint for pain medicine clinicians in FL, where the typical reported total is $2,085.
Across 8 payments — averaging $50.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vertex$125
- AbbVie$108
- Conmed Corporation$67
- KARL Storz Endoscopy-america$34
- Nevro Corp.$20
- Johnson & Johnson$19
- plus $32 from 2 others
Across 2 payments — averaging $10,500 each. An ownership or investment interest held by the physician or an immediate family member.
- Atlas Spine, Inc.$21K
What the payments were for
- Food & beverage$406100%
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 |
|---|---|---|
| Vertex | 1 | $125 |
| AbbVie | 1 | $108 |
| Conmed Corporation | 1 | $67 |
| KARL Storz Endoscopy-america | 1 | $34 |
| Nevro Corp. | 1 | $20 |
| Johnson & Johnson | 1 | $19 |
| Avanos Medical | 1 | $18 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
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
$406 in reported general payments places this provider in the 25th percentile of 596 pain medicine 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 |
|---|---|---|
| OxycontinOxycodone Hcl | 40 | $38,178 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 395 | $14,645 |
| Fentanyl | 95 | $14,495 |
| Xtampza ErOxycodone Myristate | 17 | $8,279 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 340 | $7,703 |
| Buprenorphine | 22 | $4,100 |
| Morphine Sulfate ErMorphine Sulfate | 87 | $4,007 |
| Oxycodone Hcl | 155 | $3,368 |
| Gabapentin | 280 | $3,074 |
| Pregabalin | 156 | $2,880 |
| Lidocaine | 24 | $1,630 |
| Methadone Hcl | 40 | $1,042 |
| Morphine Sulfate | 31 | $890 |
| Tramadol Hcl | 137 | $794 |
| Duloxetine Hcl | 40 | $738 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Jupiter
- David RoufaielJupiter$58K
- Khushboo BaldevJupiter$22K
- Jeffrey GudinMiami$356K
- Joseph PergolizziNaples$333K
- Ramon Cuevas-TrisanRiviera Beach$220K
- Navdeep JassalLakeland$163K
- Mark-Friedrich HurdleJacksonville$140K
- Rodolfo GariTampa$120K
- Stephen PylesOcala$115K
- Orlando FloreteJacksonville$86K
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.