Nidal Makhoul, MD
Nuclear Cardiology · Plattsburgh, NYNPI 1063409282
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 8 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 6 manufacturers reported payments, led by Merck at 31.0% of the total. Reporting peaked in 2022 at $134 and has fallen 81.9% since, to $24 in 2024. That places this record below the midpoint for nuclear cardiology clinicians in NY, where the typical reported total is $1,470.
Across 8 payments — averaging $32.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$80
- Medtronic$63
- Pfizer$54
- Philips North America LLC$24
- Kiniksa Pharmaceuticals, Ltd.$20
- Mannkind Corporation$17
What the payments were for
- Food & beverage$258100%
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 |
|---|---|---|
| Merck | 3 | $80 |
| Medtronic | 1 | $63 |
| Pfizer | 1 | $54 |
| Philips North America LLC | 1 | $24 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $20 |
| Mannkind Corporation | 1 | $17 |
How this compares
$258 in reported general payments places this provider in the 30th percentile of 21 nuclear cardiology providers in New York.
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 |
|---|---|---|
| EliquisApixaban | 84 | $118,352 |
| EntrestoSacubitril/Valsartan | 32 | $36,754 |
| XareltoRivaroxaban | 17 | $22,323 |
| Repatha SureclickEvolocumab | 15 | $19,507 |
| Praluent PenAlirocumab | 13 | $6,415 |
| Ranolazine ErRanolazine | 45 | $3,643 |
| Metoprolol Succinate | 89 | $1,009 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 16 | $363 |
| Atorvastatin Calcium | 52 | $354 |
| Lisinopril | 32 | $179 |
| Amlodipine Besylate | 26 | $172 |
| Warfarin Sodium | 15 | $167 |
| Ezetimibe | 13 | $166 |
| Losartan Potassium | 13 | $134 |
| Carvedilol | 22 | $121 |
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 |
|---|---|---|
| PfizerEliquis | $54 | $118,35284 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 30th percentile of 21 nuclear cardiology providers in New York.
Other nuclear cardiology in Plattsburgh
- Klaus RentropNew York$5.6M
- Diwakar JainHawthorne$105K
- John AsheldWest Islip$24K
- Brian RiegelWilliamsville$23K
- Wilbur AsheldWest Islip$11K
- Jonathan WeinsaftNew York$10K
- Ossama SamuelBrooklyn$7K
- Rajesh RohatgiGarden City$4K
- Harout YacoubNew York$2K
- Nicholas PapapietroBrooklyn$2K
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.