Nicole Rich, MD
Vascular Surgery · Murfreesboro, TNNPI 1437416724
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 22.8%. Reporting peaked in 2021 at $2,889 and has fallen 92.0% since, to $230 in 2025.
Across 98 payments — averaging $99.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- W. L. Gore & Associates, Inc.$2K
- Penumbra, Inc.$2K
- Silk Road Medical, Inc.$2K
- Cook Medical LLC$1K
- Boston Scientific$481
- plus $647 from 6 others
What the payments were for
- Grants$2032%
- Travel & lodging$3,22033%
- Food & beverage$5,28254%
- Education$1,00210%
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 |
|---|---|---|
| Medtronic(2 entities) | 19 | $2,217 |
| W. L. Gore & Associates, Inc. | 14 | $1,819 |
| Penumbra, Inc. | 9 | $1,818 |
| Silk Road Medical, Inc. | 9 | $1,541 |
| Cook Medical LLC | 25 | $1,184 |
| Boston Scientific | 6 | $481 |
| Abbott | 11 | $430 |
| Johnson & Johnson | 1 | $91 |
| Acell, Inc. | 1 | $57 |
| Bard Peripheral Vascular, Inc. | 1 | $40 |
| Lemaitre Vascular, Inc. | 1 | $19 |
| Ossur Americas, Inc. | 1 | $10 |
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.
- ENROUTE Transcarotid Neuroprotection System$2,524
- Indigo System$1,535
- ENROUTE Transcarotid Stent$1,274
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$1,124
- GORE VIABAHN VBX Balloon Expandable Endo$895
- TurboHawk$825
- Endurant$378
- Vascular Graft$259
- Cook Medical AAA$229
- GORE VIABAHN Endoprosthesis with Heparin$227
- EPIC VASCULAR$145
- ENROUTE Transcarotid Stent System$126
- ENHANCE Transcarotid Peripheral Access Kit$126
- ENROUTE 0.014 Guidewire$126
- Zilver PTX$125
- Zenith Spiral-Z$117
- GENERAL VASCULAR INTERVENTION$111
- Zilver 635$105
How this compares
$9,707 in reported general payments places this provider in the 60th percentile of 117 vascular surgery providers in Tennessee.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 20 | $162 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Murfreesboro
- Elizabeth HartmannMurfreesboro$14K
- Daniel ClairNashville$993K
- Anton Dias PereraGermantown$832K
- Bryan FisherHendersonville$417K
- Christopher LesarChattanooga$311K
- Billy KimMount Juliet$140K
- William HarrisChattanooga$122K
- Mark FugateChattanooga$100K
- Heesuk YoonJohnson City$95K
- Scott StevensKnoxville$53K
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.