Nathaniel Meier
Pulmonary Disease · Greensboro, NCNPI 1508228255
Payments from drug & device makers
Across 65 payments — averaging $20.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$245
- Boehringer Ingelheim$173
- Mylan Specialty L.p.$148
- GSK$105
- Grifols USA, LLC$90
- Johnson & Johnson$88
- plus $499 from 13 others
Across 1 payment — averaging $3000.00 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.
- Optellum Ltd$3K
What the payments were for
- Food & beverage$1,349100%
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 |
|---|---|---|
| AstraZeneca | 10 | $245 |
| Boehringer Ingelheim | 9 | $173 |
| Mylan Specialty L.p. | 10 | $148 |
| GSK | 6 | $105 |
| Grifols USA, LLC | 4 | $90 |
| Johnson & Johnson | 1 | $88 |
| United Therapeutics Corporation | 4 | $80 |
| Sanofi | 3 | $80 |
| Merck | 4 | $60 |
| Intuitive Surgical | 2 | $60 |
| Shionogi Inc | 2 | $38 |
| Insmed, Inc. | 2 | $37 |
| AbbVie | 2 | $31 |
| Mallinckrodt Hospital Products Inc. | 1 | $28 |
| Baxter Healthcare | 1 | $26 |
| ANI Pharmaceuticals, Inc. | 1 | $16 |
| Amgen | 1 | $16 |
| Lilly USA, LLC | 1 | $14 |
| Ambu Inc. | 1 | $13 |
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.
- TAGRISSO$125
How this compares
$1,349 in reported general payments places this provider in the 45th percentile of 393 pulmonary disease providers in North Carolina.
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 |
|---|---|---|
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 151 | $102,412 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 114 | $87,626 |
| NucalaMepolizumab | 15 | $52,978 |
| Spiriva RespimatTiotropium Bromide | 46 | $29,901 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 46 | $21,423 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 36 | $19,938 |
| Breo ElliptaFluticasone/Vilanterol | 30 | $11,859 |
| SymbicortBudesonide/Formoterol Fumarate | 22 | $9,202 |
| Bevespi AerosphereGlycopyrrolate/Formoterol Fum | 16 | $6,384 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 31 | $6,085 |
| Advair HfaFluticasone Propion/Salmeterol | 18 | $5,498 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 168 | $4,353 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 37 | $3,496 |
| Varenicline Tartrate | 16 | $3,003 |
| Wixela InhubFluticasone Propion/Salmeterol | 23 | $2,208 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GSKTrelegy Ellipta, Nucala, Anoro Ellipta, Breo Ellipta | $105 | $173,887205 claims |
| AstraZenecaBreztri Aerosphere, Symbicort, Bevespi Aerosphere | $245 | $117,998189 claims |
| Boehringer IngelheimSpiriva Respimat, Stiolto Respimat | $173 | $49,83882 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 45th percentile of 393 pulmonary disease providers in North Carolina.
Other pulmonary disease in Greensboro
- Murali RamaswamyGreensboro$2M
- Michael WertGreensboro$412K
- Selwyn SpangenthalCharlotte$7M
- Thomas SternHuntersville$5.2M
- Laurie SnyderDurham$3.8M
- Scott PalmerDurham$3.8M
- Michael PritchettPinehurst$2.2M
- Anup BanerjeeGastonia$2.1M
- Hubert FordChapel Hill$2M
- Mikell JarrattGastonia$1.7M
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.