Talal Nsouli, MD
Clinical & Laboratory Immunology · Washington, DCNPI 1639271653
Payments from drug & device makers
Across 446 payments — averaging $169.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$53K
- Amgen$10K
- Merck$7K
- GSK$1K
- Sanofi$1K
- Pfizer$641
- plus $3K from 20 others
What the payments were for
- Consulting fees$5,6477%
- Speaking & faculty fees$57,27576%
- Travel & lodging$1,2082%
- Food & beverage$11,61215%
- Education$90%
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 |
|---|---|---|
| AstraZeneca | 175 | $53,496 |
| Amgen | 25 | $9,833 |
| Merck | 9 | $6,668 |
| GSK | 67 | $1,193 |
| Sanofi | 31 | $1,059 |
| Pfizer | 25 | $641 |
| Regeneron Healthcare Solutions, Inc. | 21 | $566 |
| Genentech USA, Inc. | 14 | $451 |
| Optinose US, Inc. | 13 | $303 |
| Pharming Healthcare, Inc. | 12 | $271 |
| CSL Behring | 10 | $237 |
| Kaleo, Inc. | 8 | $187 |
| Biocryst US Sales Co., LLC | 6 | $146 |
| Novartis | 5 | $129 |
| ARS Pharmaceuticals Operations, Inc. | 4 | $106 |
| Phadia US Inc. | 4 | $97 |
| Hikma Pharmaceuticals USA | 3 | $66 |
| Grifols USA, LLC | 2 | $58 |
| AbbVie | 3 | $57 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $50 |
| Mylan Specialty L.p. | 2 | $31 |
| Dermavant Sciences, Inc. | 1 | $27 |
| Ionis Pharmaceuticals, Inc. | 1 | $25 |
| ADMA Biomanufacturing LLC | 1 | $22 |
| Boehringer Ingelheim | 1 | $20 |
| Shire North American Group Inc | 1 | $13 |
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
Too few clinical & laboratory immunology providers in District of Columbiato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 40 | $35,498 |
| Breo ElliptaFluticasone/Vilanterol | 25 | $15,052 |
| Spiriva RespimatTiotropium Bromide | 13 | $14,294 |
| Arnuity ElliptaFluticasone Furoate | 25 | $12,089 |
| Advair HfaFluticasone Propion/Salmeterol | 15 | $9,715 |
| Epinephrine | 19 | $2,859 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 83 | $2,515 |
| Fluticasone Propionate HfaFluticasone Propionate | 11 | $2,278 |
| Azelastine Hcl | 44 | $2,226 |
| Wixela InhubFluticasone Propion/Salmeterol | 18 | $2,097 |
| Azelastine-FluticasoneAzelastine/Fluticasone | 16 | $1,703 |
| Montelukast Sodium | 77 | $1,145 |
| Fluticasone Propionate | 27 | $704 |
| Mometasone Furoate | 17 | $525 |
| Levocetirizine Dihydrochloride | 14 | $197 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta | $1,193 | $62,63990 claims |
| Boehringer IngelheimSpiriva Respimat | $20 | $14,29413 claims |
| Hikma Pharmaceuticals USAEpinephrine | $66 | $2,85919 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. There are too few clinical & laboratory immunology providers in District of Columbiaon file to place this against a meaningful peer group, so we don't.
Other clinical & laboratory immunology in Washington
- Brant WardWashington$198K
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.