Nicolette Picerno, MD
Otolaryngology/Facial Plastic Surgery · Denver, CONPI 1851493936
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 148 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by AbbVie at 35.4% of the total.
Across 148 payments — averaging $20.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- GSK$382
- Regeneron Healthcare Solutions, Inc.$370
- Sanofi$181
- Galderma Laboratories, L.p.$177
- Stryker$156
- plus $663 from 13 others
What the payments were for
- Food & beverage$2,93398%
- Education$532%
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 |
|---|---|---|
| AbbVie(2 entities) | 58 | $1,058 |
| GSK | 23 | $382 |
| Regeneron Healthcare Solutions, Inc. | 18 | $370 |
| Sanofi | 8 | $181 |
| Galderma Laboratories, L.p. | 10 | $177 |
| Stryker | 4 | $156 |
| Kaleo, Inc. | 7 | $139 |
| Johnson & Johnson | 1 | $135 |
| Optinose US, Inc. | 6 | $106 |
| Apyx Medical Corporation | 3 | $72 |
| Sanofi-aventis U.S. LLC | 1 | $53 |
| Novartis | 2 | $32 |
| Aerin Medical Inc. | 1 | $25 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $24 |
| Jazz Pharmaceuticals Inc. | 1 | $18 |
| Mission Pharmacal Company | 1 | $17 |
| Medtronic | 1 | $15 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $14 |
| Eisai Inc. | 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.
- MATRIXMIDFACE$135
How this compares
Too few otolaryngology/facial plastic surgery providers in Coloradoto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Epinephrine | 20 | $4,144 |
| Ofloxacin | 16 | $596 |
| Ipratropium Bromide | 22 | $567 |
| Omeprazole | 67 | $492 |
| ProgesteroneProgesterone, Micronized | 18 | $442 |
| Dexamethasone | 23 | $433 |
| Fluocinolone Acetonide | 11 | $284 |
| Azelastine Hcl | 17 | $239 |
| Montelukast Sodium | 15 | $182 |
| Ondansetron OdtOndansetron | 14 | $140 |
| Mupirocin | 20 | $129 |
| Cephalexin | 21 | $114 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $90 |
| Prednisone | 44 | $90 |
| Diazepam | 12 | $40 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Denver
- Jeffrey RavalDenver$4K
- Arlen MeyersDenver$3K
- Christopher CoteDenver$1K
- Stephen WeberLone Tree$157K
- Douglas PellerThornton$3K
- Mark GriffinGrand Junction$3K
- Mark NoelMontrose$2K
- Duane HartshornGrand Junction$2K
- Michael MenachofGreenwood Village$1K
- Justin RossColorado Springs$480
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.