Nathaniel Fogel, MD
Hand Surgery · Kalispell, MTNPI 1417480542
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,682 of the $5,215 with a category attached, or 70.6%. Evolution Surgical, Inc accounts for 70.9% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2019 at $2,102 and has fallen 81.8% since, to $383 in 2024.
Across 17 payments — averaging $306.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Evolution Surgical, Inc$4K
- Stryker$586
- Integra Lifesciences Corporation$194
- Endo Pharmaceuticals Inc.$149
- Checkpoint Surgical, Inc$146
- Restor3d, Inc.$110
- plus $330 from 4 others
What the payments were for
- Food & beverage$1,53329%
- Education$3,68271%
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 |
|---|---|---|
| Evolution Surgical, Inc | 3 | $3,699 |
| Stryker | 6 | $586 |
| Integra Lifesciences Corporation | 1 | $194 |
| Endo Pharmaceuticals Inc. | 1 | $149 |
| Checkpoint Surgical, Inc | 1 | $146 |
| Restor3d, Inc. | 1 | $110 |
| Illuminoss Medical, Inc. | 1 | $104 |
| Encore Medical, LP | 1 | $94 |
| Acumed LLC | 1 | $74 |
| Alafair Biosciences, Inc. | 1 | $58 |
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.
- GAMMA$277
- TENOGLIDE$194
- XIAFLEX$149
- Checkpoint Stimulators$146
- AXSOS$110
- Photodynamic Bone Stabilization Procedure Pack$104
How this compares
Too few hand surgery providers in Montanato 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 |
|---|---|---|
| Oxycodone Hcl | 61 | $176 |
| Tramadol Hcl | 15 | $18 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Kalispell
- Heidi ShorsKalispell$108K
- Julie AdamsKalispell$100K
- Parley ThordersonKalispell$95
- Thomas OwenBillings$3K
- Alexander ChungGreat Falls$3K
- Kiley ZieglerBillings$450
- Charles SullivanMissoula$226
- Taylor BuckleyMissoula$125
- Nicholas BeckBillings$90
- Paul PuckettMissoula$83
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.