Nicholas Rider
Allergy & Immunology · Roanoke, VANPI 1295952588
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (52.2%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Pharming Healthcare, Inc. at 34.0% of the total. Among allergy & immunology clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 204 payments — averaging $1114.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pharming Healthcare, Inc.$77K
- Takeda Pharmaceuticals U.S.A., Inc.$75K
- Amgen$34K
- CSL Behring$23K
- Grifols USA, LLC$10K
- Grifols Shared Services North America, Inc.$6K
- plus $2K from 5 others
Across 3 payments — averaging $51,400 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.
- Takeda Pharmaceuticals U.S.A., Inc.$154K
- Pharming Healthcare, Inc.$600
What the payments were for
- Consulting fees$88,90339%
- Speaking & faculty fees$118,69052%
- Travel & lodging$15,6437%
- Food & beverage$4,0262%
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 |
|---|---|---|
| Pharming Healthcare, Inc. | 80 | $77,327 |
| Takeda Pharmaceuticals U.S.A., Inc. | 47 | $75,362 |
| Amgen(2 entities) | 29 | $33,763 |
| CSL Behring | 20 | $22,977 |
| Grifols USA, LLC | 15 | $10,124 |
| Grifols Shared Services North America, Inc. | 7 | $6,197 |
| X4 Pharmaceuticals, Inc. | 1 | $1,300 |
| Incyte Corporation | 2 | $140 |
| Sobi, Inc | 1 | $35 |
| Sanofi Pasteur Inc. | 1 | $20 |
| AstraZeneca | 1 | $18 |
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.
How this compares
$227,262 in reported general payments places this provider in the 95th percentile of 133 allergy & immunology providers in Virginia.
Other allergy & immunology in Roanoke
- Saju EapenRoanoke$8K
- Neha SananRoanoke$6K
- Charles LaneLynchburg$1.4M
- Jacqueline Eghrari-SabetVienna$1M
- Eric KarlinWilliamsburg$522K
- Courtney BlairMc Lean$139K
- Andrew KimFredericksburg$104K
- Behnam DaghighLeesburg$99K
- Ananth ThyagarajanBurke$97K
- Larry BorishCharlottesville$92K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.