Nicholas Elwert, DO
Physical Medicine & Rehabilitation · Lexington, KYNPI 1780115568
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 130 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. AbbVie accounts for 70.3% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $882, 4.1 times the $215 reported in 2019. Among physical medicine & rehabilitation clinicians in KY 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 130 payments — averaging $20.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Microtransponder, Inc.$242
- Medtronic$148
- Pacira Pharmaceuticals Incorporated$143
- Dynasplint Systems Inc.$83
- Ipsen Biopharmaceuticals, Inc$78
- plus $100 from 3 others
What the payments were for
- Food & beverage$2,675100%
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 |
|---|---|---|
| AbbVie(2 entities) | 117 | $1,881 |
| Microtransponder, Inc. | 1 | $242 |
| Medtronic | 1 | $148 |
| Pacira Pharmaceuticals Incorporated | 2 | $143 |
| Dynasplint Systems Inc. | 1 | $83 |
| Ipsen Biopharmaceuticals, Inc | 4 | $78 |
| Amneal Pharmaceuticals LLC | 2 | $42 |
| Merz North America, Inc. | 1 | $38 |
| Piramal Critical Care | 1 | $20 |
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.
- SYNCHROMED$148
- Iovera$118
How this compares
$2,675 in reported general payments places this provider in the 90th percentile of 104 physical medicine & rehabilitation providers in Kentucky.
See all physical medicine & rehabilitation providers in Kentucky →
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 |
|---|---|---|
| Dantrolene Sodium | 46 | $2,226 |
| Baclofen | 81 | $1,053 |
| Gabapentin | 16 | $174 |
| Atorvastatin Calcium | 22 | $102 |
| Pantoprazole Sodium | 16 | $75 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Lexington
- Clay GuynnLexington$193K
- Raechel PercyLexington$8K
- Melanie LedfordLexington$6K
- Cecil HollenLexington$4K
- Stephen PorterLexington$4K
- Jamie KeyLexington$3K
- Michael ParrottLexington$2K
- Christopher JamesLexington$2K
- Derek DixonLexington$2K
- Jessica KavanaughLexington$2K
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.