Nicolas Rich
Pediatrics · El Paso, TXNPI 1689741712
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.5% of the total across 111 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by GSK at 31.9% of the total. Among pediatrics clinicians in TX 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 111 payments — averaging $18.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$648
- Merck$561
- Sanofi Pasteur Inc.$148
- Inspire Medical Systems, Inc.$104
- Corium, LLC$89
- Pfizer$81
- plus $402 from 11 others
What the payments were for
- Consulting fees$251%
- Food & beverage$1,98197%
- Gifts$261%
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 |
|---|---|---|
| GSK | 42 | $648 |
| Merck | 30 | $561 |
| Sanofi Pasteur Inc. | 7 | $148 |
| Inspire Medical Systems, Inc. | 1 | $104 |
| Corium, LLC | 3 | $89 |
| Pfizer | 5 | $81 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $77 |
| Seqirus USA Inc | 3 | $56 |
| Tris Pharma Inc | 3 | $52 |
| AstraZeneca | 3 | $46 |
| Genentech USA, Inc. | 3 | $46 |
| Cumberland Pharmaceuticals, Inc. | 2 | $30 |
| Collegium Pharmaceutical, Inc. | 1 | $23 |
| Krystal Biotech Inc | 1 | $22 |
| Ironshore Pharmaceuticals Inc. | 1 | $19 |
| Kaleo, Inc. | 1 | $18 |
| Incyte Corporation | 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.
How this compares
$2,032 in reported general payments places this provider in the 90th percentile of 5,361 pediatrics providers in Texas.
Other pediatrics in El Paso
- Evelyn AcostaEl Paso$14K
- Pedro PiedraHouston$729K
- Jason RiehsFrisco$216K
- Ivonne Sahagun-CarreonNew Braunfels$168K
- Angela ScheuerleDallas$118K
- Dianna BurnsSan Antonio$100K
- Jason TerkKeller$93K
- Vernon SuttonHouston$90K
- Laura ScalfanoPlano$74K
- Patricia AmersonSan Antonio$73K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.