Nigel Azer, MD
Adult Reconstructive Orthopaedic Surgery · Arlington, VANPI 1255336178
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 18 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 18.7% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in VA, where the typical reported total is $8,085.
Across 18 payments — averaging $22.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$77
- Bioventus LLC$59
- Stryker$57
- Carbofix Orthopedics Inc$39
- Johnson & Johnson$38
- Davol Inc.$29
- plus $114 from 6 others
What the payments were for
- Food & beverage$412100%
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 |
|---|---|---|
| Amgen | 5 | $77 |
| Bioventus LLC | 2 | $59 |
| Stryker | 2 | $57 |
| Carbofix Orthopedics Inc | 1 | $39 |
| Johnson & Johnson | 1 | $38 |
| Davol Inc. | 1 | $29 |
| Smith+Nephew | 1 | $28 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| Orthofix Medical, Inc. | 1 | $19 |
| ERMI LLC | 1 | $17 |
| Vertex | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
How this compares
$412 in reported general payments places this provider in the 10th percentile of 58 adult reconstructive orthopaedic surgery providers in Virginia.
See all adult reconstructive orthopaedic surgery providers in Virginia →
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 |
|---|---|---|
| Celecoxib | 269 | $4,340 |
| Diclofenac Sodium | 36 | $1,442 |
| Meloxicam | 369 | $928 |
| Oxycodone Hcl | 71 | $502 |
| Tramadol Hcl | 95 | $305 |
| Cyclobenzaprine Hcl | 54 | $202 |
| Ibuprofen | 12 | $173 |
| Amoxicillin | 99 | $76 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Arlington
- Nitin GoyalArlington$81.5M
- Charles EnghArlington$5.5M
- Robert SershonArlington$94K
- Aaron GebrelulArlington$21K
- Kurtis CarlockArlington$16K
- Jacob ZalewskiArlington$7K
- Charles EnghArlington$4K
- Andrew HolmesArlington$24
- William HamiltonAlexandria$9.3M
- James BrowneCharlottesville$4.8M
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.