Nicholas Boston, MD
Surgery · Cape Girardeau, MONPI 1275820862
Payments from drug & device makers
What this record shows
This record is dominated by education: $16,000 of the $24,168 with a category attached, or 66.2%. Intuitive Surgical accounts for 87.3% of it on its own, with 31 other manufacturers making up the rest. Reporting peaked in 2022 at $9,727 and has fallen 95.7% since, to $417 in 2025. Among surgery clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 145 payments — averaging $166.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$21K
- Stryker$631
- Davol Inc.$614
- Johnson & Johnson$352
- W. L. Gore & Associates, Inc.$233
- Medtronic$200
- plus $1K from 26 others
What the payments were for
- Travel & lodging$2,2719%
- Food & beverage$5,89524%
- Education$16,00066%
- Gifts$30%
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 |
|---|---|---|
| Intuitive Surgical | 69 | $21,111 |
| Stryker | 4 | $631 |
| Davol Inc. | 6 | $614 |
| Johnson & Johnson(3 entities) | 11 | $352 |
| W. L. Gore & Associates, Inc. | 4 | $233 |
| Medtronic | 10 | $200 |
| Conmed Corporation | 1 | $131 |
| Convatec Inc. | 4 | $91 |
| Solventum Corporation | 3 | $86 |
| Aroa Biosurgery Incorporated | 2 | $79 |
| Smith+Nephew | 4 | $75 |
| Endologix LLC | 1 | $70 |
| Baxter Healthcare | 2 | $55 |
| Kerecis Limited | 2 | $48 |
| Mallinckrodt Hospital Products Inc. | 2 | $48 |
| Polynovo North America LLC | 1 | $44 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $34 |
| Fresenius Kabi USA, LLC | 2 | $31 |
| Acera Surgical, Inc. | 1 | $27 |
| Cumberland Pharmaceuticals, Inc. | 2 | $23 |
| Hologic Sales And Service, LLC | 1 | $20 |
| OVIK Health, LLC | 1 | $19 |
| Lemaitre Vascular, Inc. | 1 | $18 |
| Shire North American Group Inc | 1 | $16 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Cook Medical LLC | 1 | $15 |
| Dilon Technologies, Inc. | 1 | $15 |
| TELA Bio, Inc. | 1 | $14 |
| Zimmer Biomet | 1 | $13 |
| KCI USA, Inc. | 1 | $13 |
| Abbott | 1 | $12 |
| Merck | 1 | $11 |
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.
- Da Vinci Surgical System$19,521
- SPY-PHI SYSTEM$384
- Phasix Mesh$382
- GORE SYNECOR Biomaterial$161
- PHASIX$139
- AIRSEAL$131
- 1688$110
- 1788$101
How this compares
$24,168 in reported general payments places this provider in the 90th percentile of 612 surgery providers in Missouri.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 62 | $264 |
Paid to pharmacies, not to this prescriber.
Other surgery in Cape Girardeau
- James ScottSaint Louis$307K
- Omar GuerraSaint Louis$249K
- John TannColumbia$216K
- Mark DrakeSaint Louis$212K
- Adeel KhanSaint Louis$204K
- Michael AwadSaint Louis$176K
- Patricia HodginsFenton$145K
- Laurie PunchSaint Louis$141K
- Jeffrey BlatnikSaint Louis$134K
- Bradley MooreKansas City$110K
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.