Nichole Ingalls, MD
Surgery · Springfield, ORNPI 1235357104
Payments from drug & device makers
What this record shows
This record is dominated by education: $11,829 of the $14,895 with a category attached, or 79.4%. Intuitive Surgical accounts for 97.6% of it on its own, with 4 other manufacturers making up the rest. 2024 is the largest year on record at $14,446, more than ten times the $12 reported in 2020.
Across 58 payments — averaging $256.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$15K
- Davol Inc.$188
- Daiichi Sankyo Inc.$136
- THD America, Inc.$19
- Johnson & Johnson$12
What the payments were for
- Travel & lodging$1,98213%
- Food & beverage$1,0847%
- Education$11,82979%
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 | 54 | $14,541 |
| Davol Inc. | 1 | $188 |
| Daiichi Sankyo Inc. | 1 | $136 |
| THD America, Inc. | 1 | $19 |
| Johnson & Johnson | 1 | $12 |
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.
- DAVINCI XI$11,000
- Da Vinci Surgical System$2,571
- Enhertu$136
How this compares
$14,895 in reported general payments places this provider in the 85th percentile of 386 surgery providers in Oregon.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 74 | $316 |
| Ibuprofen | 45 | $191 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $155 |
| Oxycodone Hcl | 28 | $124 |
| Gabapentin | 11 | $119 |
| Tramadol Hcl | 23 | $55 |
| Metronidazole | 11 | $43 |
Paid to pharmacies, not to this prescriber.
Other surgery in Springfield
- Matthew GustSpringfield$17K
- Arielle PerezSpringfield$15K
- Diego MuilenburgSpringfield$15K
- Katelyn ClarkSpringfield$14K
- Alex BauerSpringfield$13K
- Robert MartindalePortland$795K
- Edward BoyleBend$618K
- Sean OrensteinPortland$480K
- Vahagn NikolianPortland$277K
- Timothy BeardBend$211K
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.