Nicole Kopari, MD
Trauma Surgery · Fresno, CANPI 1164683769
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $60,481 of the $89,923 with a category attached, or 67.3%. Avita Medical Americas, LLC accounts for 79.4% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2020 at $33,253 and has fallen 91.3% since, to $2,898 in 2025. Among trauma surgery clinicians in CA 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 170 payments — averaging $528.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Avita Medical Americas, LLC$71K
- Integra Lifesciences Corporation$14K
- Urgo Medical North America, LLC$1K
- Polynovo North America LLC$1K
- Kerecis Limited$954
- Smith+Nephew$400
- plus $728 from 5 others
What the payments were for
- Consulting fees$60,48167%
- Speaking & faculty fees$13,46115%
- Travel & lodging$6,1787%
- Food & beverage$9,79411%
- Education$90%
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 |
|---|---|---|
| Avita Medical Americas, LLC | 80 | $71,356 |
| Integra Lifesciences Corporation | 30 | $14,177 |
| Urgo Medical North America, LLC | 18 | $1,238 |
| Polynovo North America LLC | 15 | $1,072 |
| Kerecis Limited | 2 | $954 |
| Smith+Nephew | 8 | $400 |
| Access Pro Medical, LLC | 5 | $293 |
| Polymedics Innovations Inc. | 7 | $216 |
| Vericel Corporation | 3 | $188 |
| Molnlycke Health Care US, LLC | 1 | $16 |
| Bioventus LLC | 1 | $15 |
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.
- RECELL$31,669
- INTEGRA$15,381
- INTEGRA MESHED BILAYER WOUND MATRIX$5,533
- INTEGRA WOUND MATRIX (IWM)$5,533
- Kerecis Omega3 Marigen$1,089
- PERMEADERM$1,000
- Cohealyx$1,000
- Kerecis Omega3 GraftGuide$954
- Kerecis Omega3 SurgiClose$954
- PRIMATRIX$820
- INTEGRA DERMAL REGENERATION TEMPLATE$820
- Novosorb BTM$740
- VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP$637
- Kerecis Omega3 Wound$591
- Kerecis Omega3 Surgibind$591
- NexoBrid$150
- Oasis$142
- INTEGRA FLOWABLE WOUND MATRIX$133
- AMNIOEXCEL$118
- TCC-EZ$118
How this compares
$89,923 in reported general payments places this provider in the 95th percentile of 119 trauma surgery providers in California.
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.
Other trauma surgery in Fresno
- Jennifer HubbardFresno$26K
- Lawrence SueFresno$10K
- Nancy ParksFresno$7K
- Mary WolfeFresno$4K
- Shana BallowFresno$3K
- Elliot WilliamsFresno$2K
- William DominicFresno$1K
- Sebastian SchublOrange$480K
- Antonio CoirinModesto$212K
- Ruby SkinnerSanta Maria$66K
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.