Paul Nghiem
Dermatology · Seattle, WANPI 1407932205
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $21,124 of the $32,215 with a category attached, or 65.6%. EMD Serono, Inc. accounts for 68.8% of it on its own, with 4 other manufacturers making up the rest. 2025 is the largest year on record at $18,604, 5.5 times the $3,382 reported in 2019. Among dermatology clinicians in WA 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 20 payments — averaging $1610.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- EMD Serono, Inc.$22K
- Almirall LLC$7K
- Pfizer$3K
- Sanofi$317
- E.r. Squibb & Sons, L.L.C.$30
Across 1 payment — averaging $2408.69 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$2K
What the payments were for
- Consulting fees$10,42432%
- Speaking & faculty fees$21,12466%
- Travel & lodging$4261%
- Food & beverage$2421%
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 |
|---|---|---|
| EMD Serono, Inc. | 11 | $22,158 |
| Almirall LLC | 4 | $7,190 |
| Pfizer | 1 | $2,520 |
| Sanofi | 3 | $317 |
| E.r. Squibb & Sons, L.L.C. | 1 | $30 |
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.
- BAVENCIO$5,483
- NO PRODUCT DISCUSSED$287
How this compares
$32,215 in reported general payments places this provider in the 95th percentile of 323 dermatology providers in Washington.
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.
Other dermatology in Seattle
- Vivian ShiSeattle$971K
- James CollyerSeattle$115K
- Alison YoungSeattle$53K
- Andrew LinSeattle$19K
- John ScopettaSeattle$15K
- Tien NguyenSeattle$13K
- Paula ZookSeattle$12K
- Cory SimpsonSeattle$12K
- James HuSeattle$11K
- Courtney GwinnSeattle$6K
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.