Richard Nguyen, MD
Emergency Medicine · Silver Spring, MDNPI 1013959105
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,641 of the $1,860 with a category attached, or 88.3%. 11 manufacturers reported payments, led by Tactile Systems Technology Inc at 47.9% of the total. Reporting peaked in 2021 at $568 and has fallen 92.4% since, to $43 in 2025. Among emergency medicine clinicians in MD 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 79 payments — averaging $23.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Tactile Systems Technology Inc$891
- Organogenesis Inc.$243
- Alphatec Spine, Inc$218
- Boston Scientific$164
- Teva Pharmaceuticals USA, Inc.$139
- Pfizer$62
- plus $143 from 5 others
What the payments were for
- Travel & lodging$21812%
- Food & beverage$1,64188%
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 |
|---|---|---|
| Tactile Systems Technology Inc | 56 | $891 |
| Organogenesis Inc. | 7 | $243 |
| Alphatec Spine, Inc | 2 | $218 |
| Boston Scientific | 3 | $164 |
| Teva Pharmaceuticals USA, Inc. | 1 | $139 |
| Pfizer | 3 | $62 |
| Johnson & Johnson | 2 | $51 |
| Biocompatibles, Inc. | 2 | $28 |
| Abbott | 1 | $24 |
| Medtronic | 1 | $21 |
| Siemens Medical Solutions USA, Inc. | 1 | $20 |
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.
- AJOVY$139
- Solus ALIF$133
- Varithena Administration Pack$133
- PuraPly$122
How this compares
$1,860 in reported general payments places this provider in the 95th percentile of 925 emergency medicine providers in Maryland.
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 |
|---|---|---|
| Cefdinir | 16 | $341 |
| Ondansetron Hcl | 55 | $274 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $79 |
| Azithromycin | 12 | $49 |
| Ibuprofen | 11 | $13 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Silver Spring
- Khanh NguyenSilver Spring$7K
- Sean StewartSilver Spring$4K
- Anuj ShahSilver Spring$1K
- Trupti PatelSilver Spring$921
- Alfred JumpSilver Spring$759
- Leana WenBaltimore$2.2M
- Matthew LevyBaltimore$135K
- Puneet ChopraLaurel$98K
- Ron ElfenbeinBaltimore$60K
- Asa MargolisBaltimore$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.