Roscoe Nelson, MD
Urology · American Fork, UTNPI 1962487462
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $124,272 of the $151,508 with a category attached, or 82.0%. Procept Biorobotics Corporation accounts for 87.8% of it on its own, with 48 other manufacturers making up the rest. Reporting peaked in 2023 at $80,040 and has fallen 77.9% since, to $17,728 in 2025. Among urology clinicians in UT 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 499 payments — averaging $303.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Procept Biorobotics Corporation$133K
- Dendreon Pharmaceuticals LLC$7K
- Boston Scientific$2K
- Axonics, Inc.$2K
- Bayer$1K
- Pfizer$742
- plus $6K from 43 others
What the payments were for
- Consulting fees$124,27282%
- Travel & lodging$13,3879%
- Food & beverage$13,4159%
- Education$4340%
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.
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.
- AquaBeam Robotic System$99,685
- AQUABEAM SYSTEM$29,766
- PROVENGE$6,569
- Axonics$3,064
- Bulkamid$1,406
- Nubeqa$924
- UroLift$271
- SpaceOAR VUE System - 10mL$131
- Prolaris$129
- ADSTILADRIN$122
- Irrisept$116
- Erleada$104
- XTANDI$100
How this compares
$151,508 in reported general payments places this provider in the 95th percentile of 96 urology providers in Utah.
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 |
|---|---|---|
| XtandiEnzalutamide | 40 | $540,344 |
| OrgovyxRelugolix | 48 | $121,744 |
| MyrbetriqMirabegron | 108 | $109,962 |
| GemtesaVibegron | 39 | $35,337 |
| Potassium Citrate ErPotassium Citrate | 68 | $12,124 |
| Tamsulosin Hcl | 697 | $11,886 |
| Solifenacin Succinate | 176 | $9,205 |
| Finasteride | 647 | $8,737 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 112 | $7,141 |
| Methenamine Hippurate | 46 | $6,916 |
| Dutasteride | 163 | $6,831 |
| Testosterone | 18 | $4,477 |
| Cephalexin | 154 | $2,970 |
| Testosterone Cypionate | 56 | $2,823 |
| NitrofurantoinNitrofurantoin Macrocrystal | 41 | $2,480 |
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 |
|---|---|---|
| Astellas Pharma US IncXtandi, Myrbetriq | $684 | $650,305148 claims |
| Sumitomo Pharma America, Inc.Orgovyx, Gemtesa | $355 | $157,08187 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 95th percentile of 96 urology providers in Utah.
Other urology in American Fork
- Nathan PursifullAmerican Fork$86K
- Stewart LandauAmerican Fork$27K
- Sean HendersonAmerican Fork$21K
- Daniel CahoonAmerican Fork$18K
- Steven GangeSlc$1.5M
- William BrantSalt Lake City$290K
- Benjamin McCormickSalt Lake City$67K
- Richard MaternSalt Lake City$58K
- Akhil SajiSalt Lake City$49K
- Jeffrey SparenborgProvo$37K
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.