Thomas Nebel, DO
Surgery · Owensboro, KYNPI 1053468876
Payments from drug & device makers
What this record shows
This record is dominated by education: $25,000 of the $30,816 with a category attached, or 81.1%. Intuitive Surgical accounts for 96.1% of it on its own, with 24 other manufacturers making up the rest. Reporting peaked in 2019 at $22,901 and has fallen 99.2% since, to $193 in 2025. Among surgery clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 121 payments — averaging $254.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$30K
- Johnson & Johnson$292
- Davol Inc.$140
- Takeda Pharmaceuticals U.S.A., Inc.$116
- Covidien LP$78
- AbbVie$76
- plus $490 from 19 others
What the payments were for
- Travel & lodging$2,97510%
- Food & beverage$2,8419%
- Education$25,00081%
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 |
|---|---|---|
| Intuitive Surgical | 66 | $29,625 |
| Johnson & Johnson | 10 | $292 |
| Davol Inc. | 5 | $140 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $116 |
| Covidien LP | 2 | $78 |
| AbbVie | 5 | $76 |
| Medtronic | 3 | $69 |
| W. L. Gore & Associates, Inc. | 4 | $67 |
| Kerecis Limited | 3 | $62 |
| Abbott | 2 | $50 |
| Teleflex LLC | 1 | $29 |
| Solventum Corporation | 1 | $25 |
| Aroa Biosurgery Incorporated | 1 | $21 |
| Innocoll Pharmaceuticals Limited | 1 | $20 |
| EKOS Corporation | 1 | $18 |
| Vertex | 1 | $17 |
| Olympus America Inc. | 1 | $16 |
| Cagent Vascular Inc | 1 | $14 |
| TELA Bio, Inc. | 1 | $14 |
| Bard Peripheral Vascular, Inc. | 1 | $12 |
| Ambu Inc. | 1 | $12 |
| Braintree Laboratories, Inc. | 1 | $12 |
| Cook Medical LLC | 1 | $11 |
| Penumbra, Inc. | 1 | $10 |
| Polynovo North America LLC | 1 | $9 |
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.
- Da Vinci Surgical System$28,314
How this compares
$30,816 in reported general payments places this provider in the 90th percentile of 377 surgery providers in Kentucky.
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 |
|---|---|---|
| ClenpiqSod Picosulf/Mag Ox/Citric Ac | 24 | $4,062 |
| Dexlansoprazole DrDexlansoprazole | 12 | $2,763 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 93 | $1,294 |
| Pantoprazole Sodium | 97 | $497 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 29 | $381 |
| Sucralfate | 25 | $315 |
| Omeprazole | 19 | $298 |
| Ondansetron OdtOndansetron | 31 | $218 |
| Oxycodone Hcl | 52 | $112 |
| Ondansetron Hcl | 16 | $83 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $82 |
| Metronidazole | 11 | $70 |
| Metoclopramide Hcl | 131 | $60 |
Paid to pharmacies, not to this prescriber.
Other surgery in Owensboro
- Samuel CarsonOwensboro$25K
- Ravi AlapatiOwensboro$22K
- Matthew StrodeOwensboro$14K
- Eric SmithAshland$1.1M
- John RothLexington$820K
- John OldhamLouisville$515K
- George MundayDanville$271K
- Amber KoonHenderson$210K
- Frank MillerLouisville$119K
- Jared DavisLouisville$89K
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.