Sherif Nagueh, MD
Cardiovascular Disease · Houston, TXNPI 1407891807
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $1,500 of the $1,983 with a category attached, or 75.7%. Pfizer accounts for 76.5% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2020 at $1,553 and has fallen 95.5% since, to $70 in 2025. That places this record below the midpoint for cardiovascular disease clinicians in TX, where the typical reported total is $3,258.
Across 17 payments — averaging $116.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$2K
- Heartflow, Inc.$162
- GE HealthCare$97
- Boston Scientific$50
- Edwards Lifesciences$49
- Tactile Systems Technology Inc$45
- plus $63 from 3 others
Across 38 payments — averaging $10,485 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.
- E.r. Squibb & Sons, L.L.C.$216K
- Janssen Research & Development, LLC$112K
- Lexicon Pharmaceuticals, Inc.$70K
What the payments were for
- Speaking & faculty fees$1,50076%
- Food & beverage$48324%
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 |
|---|---|---|
| Pfizer | 2 | $1,517 |
| Heartflow, Inc. | 2 | $162 |
| GE HealthCare | 5 | $97 |
| Boston Scientific | 1 | $50 |
| Edwards Lifesciences | 1 | $49 |
| Tactile Systems Technology Inc | 3 | $45 |
| Medtronic | 1 | $33 |
| Bracco Diagnostics Inc. | 1 | $16 |
| Amgen | 1 | $14 |
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.
How this compares
$1,983 in reported general payments places this provider in the 35th percentile of 1,515 cardiovascular disease providers in Texas.
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 |
|---|---|---|
| CamzyosMavacamten | 77 | $641,790 |
| EliquisApixaban | 122 | $155,225 |
| EntrestoSacubitril/Valsartan | 42 | $56,592 |
| JardianceEmpagliflozin | 24 | $31,091 |
| Repatha SureclickEvolocumab | 39 | $28,188 |
| Praluent PenAlirocumab | 12 | $7,436 |
| Eplerenone | 45 | $3,616 |
| Metoprolol Succinate | 155 | $2,610 |
| Rosuvastatin Calcium | 139 | $1,925 |
| Valsartan | 53 | $1,671 |
| Ezetimibe | 55 | $1,621 |
| Chlorthalidone | 73 | $1,457 |
| Omega-3 Acid Ethyl Esters | 19 | $1,448 |
| Atorvastatin Calcium | 120 | $1,041 |
| Torsemide | 16 | $807 |
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 | $1,517 | $155,225122 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 35th percentile of 1,515 cardiovascular disease providers in Texas.
Other cardiovascular disease in Houston
- Biykem BozkurtHouston$606K
- Reynolds DelgadoHouston$471K
- Christie BallantyneHouston$413K
- Asif AliHouston$411K
- Sanjay ManiarHouston$263K
- Joggy GeorgeHouston$231K
- Jerry EstepHouston$226K
- Stephen LittleHouston$144K
- Akira NishikawaHouston$109K
- Andres MesaHouston$103K
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.