Nicholas Manguso, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (57.3%), travel and lodging and education — rather than concentrated in one kind of arrangement. Histosonics, Inc. accounts for 86.4% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $6,357, 6.4 times the $1,000 reported in 2019.
Across 12 payments — averaging $815.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Histosonics, Inc.$8K
- Intuitive Surgical$1K
- Springworks Therapeutics, Inc.$109
- Medtronic$105
- TELA Bio, Inc.$48
- Sobi, Inc$31
- plus $17 from 1 others
Across 1 payment — averaging $85,807 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.
- Histosonics, Inc.$86K
What the payments were for
- Consulting fees$5,60057%
- Travel & lodging$2,57626%
- Food & beverage$6056%
- Education$1,00010%
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 |
|---|---|---|
| Histosonics, Inc. | 4 | $8,446 |
| Intuitive Surgical | 3 | $1,026 |
| Springworks Therapeutics, Inc. | 1 | $109 |
| Medtronic | 1 | $105 |
| TELA Bio, Inc. | 1 | $48 |
| Sobi, Inc | 1 | $31 |
| Smith+Nephew | 1 | $17 |
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$1,000
- OGSIVEO$109
- Sonicision$105
How this compares
$9,780 in reported general payments places this provider in the 70th percentile of 209 surgery providers in Nevada.
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 |
|---|---|---|
| Tramadol Hcl | 19 | $40 |
Paid to pharmacies, not to this prescriber.
Other surgery in Reno
- Alexander AyzengartReno$74K
- Jahanara GrafReno$29K
- James NunleyReno$28K
- Mitzi MillerReno$27K
- Alyson CrawfordReno$10K
- Yogesh PatelHenderson$788K
- Patrick KenneySparks$420K
- William ScottHenderson$266K
- Arthur FuscoLas Vegas$155K
- Ashlee JusticeHenderson$130K
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.