Nicole Cassler, MD
Dermatology · Tacoma, WANPI 1750585741
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $9,484 of the $11,740 with a category attached, or 80.8%. It is spread thinly across 26 manufacturers, the largest accounting for just 21.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $4,011 and has fallen 51.3% since, to $1,954 in 2025. Among dermatology clinicians in WA 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 358 payments — averaging $32.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dermavant Sciences, Inc.$3K
- AbbVie$2K
- Johnson & Johnson$1K
- Pfizer$951
- Sun Pharmaceutical Industries Inc.$858
- UCB, Inc.$758
- plus $4K from 20 others
What the payments were for
- Consulting fees$2,00017%
- Travel & lodging$580%
- Food & beverage$9,48481%
- Education$1982%
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 |
|---|---|---|
| Dermavant Sciences, Inc. | 14 | $2,538 |
| AbbVie(2 entities) | 68 | $1,690 |
| Johnson & Johnson | 80 | $1,350 |
| Pfizer | 53 | $951 |
| Sun Pharmaceutical Industries Inc. | 25 | $858 |
| UCB, Inc. | 11 | $758 |
| Amgen | 18 | $588 |
| Regeneron Healthcare Solutions, Inc. | 15 | $549 |
| Novartis | 20 | $428 |
| Sanofi | 10 | $398 |
| Arcutis Biotherapeutics, Inc. | 10 | $320 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 5 | $273 |
| Incyte Corporation | 3 | $266 |
| E.r. Squibb & Sons, L.L.C. | 4 | $128 |
| Janssen Scientific Affairs, LLC | 1 | $114 |
| Lilly USA, LLC | 6 | $111 |
| Sanofi-aventis U.S. LLC | 1 | $99 |
| Galderma Laboratories, L.p. | 4 | $86 |
| LEO Pharma Inc. | 2 | $52 |
| Boehringer Ingelheim | 2 | $49 |
| Stemline Therapeutics Inc. | 1 | $43 |
| Botanix SB Inc | 1 | $27 |
| Genentech USA, Inc. | 1 | $24 |
| Dermira, Inc. | 1 | $21 |
| Almirall LLC | 1 | $14 |
| Organon | 1 | $4 |
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
$11,740 in reported general payments places this provider in the 90th percentile of 323 dermatology providers in Washington.
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 |
|---|---|---|
| Dupixent PenDupilumab | 13 | $48,380 |
| Clobetasol Propionate | 86 | $3,541 |
| Ketoconazole | 114 | $1,681 |
| Metronidazole | 21 | $1,086 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 28 | $1,034 |
| Doxycycline Monohydrate | 26 | $985 |
| Triamcinolone Acetonide | 78 | $931 |
| ValacyclovirValacyclovir Hcl | 26 | $568 |
| Desonide | 17 | $562 |
| Hydroxychloroquine Sulfate | 13 | $240 |
| Nystatin | 17 | $215 |
| Fluconazole | 20 | $188 |
| Minoxidil | 12 | $183 |
| Terbinafine Hcl | 13 | $154 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Tacoma
- Clive LiuBellevue$2.9M
- Vivian ShiSeattle$971K
- William WerschlerSpokane$948K
- Daniel LevyBonney Lake$541K
- Daniel SugaiBellevue$302K
- Ting-Lin YangBellingham$124K
- James CollyerSeattle$115K
- Cameron ChesnutSpokane$93K
- Alison YoungSeattle$53K
- Eileen SmithWalla Walla$49K
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.