Nicole Szell, DO
Urogynecology and Reconstructive Pelvic Surgery · Largo, FLNPI 1124316088
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (29.4%), consulting fees and education — rather than concentrated in one kind of arrangement. 54 manufacturers reported payments, led by Coloplast at 47.1% of the total. 2025 is the largest year on record at $15,645, 2.2 times the $7,263 reported in 2019. Among urogynecology and reconstructive pelvic surgery clinicians in FL 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 630 payments — averaging $85.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Coloplast$25K
- AbbVie$12K
- Axonics, Inc.$4K
- C. R. Bard, Inc. & Subsidiaries$4K
- Verathon Inc.$2K
- Astellas Pharma US Inc$896
- plus $6K from 48 others
What the payments were for
- Consulting fees$10,74020%
- Speaking & faculty fees$9,68818%
- Travel & lodging$7,33214%
- Food & beverage$15,77229%
- Education$10,01919%
- Other$180%
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.
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.
- ALTIS$17,070
- BOTOX$11,013
- TITAN$3,693
- NPD Clinical Study$1,500
- Axonics$1,199
- Bulkamid$1,070
- Saffron$581
- Axonics r-SNM System$448
- Porges Coloplast$283
- FEMALE INCONTINENCE$225
- SUPRIS$224
- ATLANTIS$198
- Magic3 Go Intermittent Urinary Catheter$166
- Da Vinci Surgical System$128
- Noctiva$118
- Desara$110
- Coloplast TFL Drive$107
- NOCDURNA$103
How this compares
$53,568 in reported general payments places this provider in the 95th percentile of 81 urogynecology and reconstructive pelvic surgery providers in Florida.
See all urogynecology and reconstructive pelvic surgery providers in Florida →
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 |
|---|---|---|
| MyrbetriqMirabegron | 346 | $282,740 |
| GemtesaVibegron | 143 | $121,082 |
| BotoxOnabotulinumtoxina | 83 | $60,764 |
| Methenamine Hippurate | 219 | $16,785 |
| Estradiol | 277 | $14,987 |
| Trimethoprim | 153 | $11,371 |
| Mirabegron ErMirabegron | 12 | $7,429 |
| NitrofurantoinNitrofurantoin Macrocrystal | 106 | $4,914 |
| Tamsulosin Hcl | 331 | $3,907 |
| Cephalexin | 276 | $1,861 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 149 | $1,811 |
| Oxybutynin Chloride | 75 | $1,781 |
| Desmopressin Acetate | 46 | $1,743 |
| Tadalafil | 29 | $1,501 |
| Finasteride | 94 | $855 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $896 | $282,740346 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $499 | $121,082143 claims |
| AbbVieBotox | $12,285 | $60,76483 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 81 urogynecology and reconstructive pelvic surgery providers in Florida.
Other urogynecology and reconstructive pelvic surgery in Largo
- Nathan KowOrlando$116K
- Amir ShariatiCoconut Creek$106K
- Charbel SalamonOrlando$100K
- Allison WymanTampa$69K
- Jose Lazaro WeissOviedo$28K
- Paul PettitJacksonville$27K
- Arash RahiCoconut Creek$23K
- Moises VirellesWellington$21K
- Marja SprockRockledge$21K
- Jennifer GilbyHomosassa$21K
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.