Tyler Nelson, MD
Anesthesiology · St. George, UTNPI 1164502381
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $802 of the $902 with a category attached, or 88.9%. 8 manufacturers reported payments, led by Chiesi USA, Inc. at 53.4% of the total. Reporting peaked in 2024 at $212 and has fallen 75.3% since, to $52 in 2025. Among anesthesiology clinicians in UT 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 46 payments — averaging $19.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Chiesi USA, Inc.$481
- Merck$148
- Comsort, Inc$100
- Portola Pharmaceuticals, LLC$46
- Acacia Pharma Inc$40
- Cook Medical LLC$39
- plus $48 from 2 others
What the payments were for
- Consulting fees$10011%
- Food & beverage$80289%
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 |
|---|---|---|
| Chiesi USA, Inc. | 27 | $481 |
| Merck | 8 | $148 |
| Comsort, Inc | 1 | $100 |
| Portola Pharmaceuticals, LLC | 1 | $46 |
| Acacia Pharma Inc | 4 | $40 |
| Cook Medical LLC | 2 | $39 |
| Vertex | 2 | $36 |
| Edwards Lifesciences | 1 | $12 |
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.
- BRIDION$100
How this compares
$902 in reported general payments places this provider in the 90th percentile of 510 anesthesiology 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.
Other anesthesiology in St. George
- Reed NelsonSt. George$45K
- Shane BroganSalt Lake City$104K
- Massimiliano Romanelli-GobbiMurray$25K
- Nathaniel BirgenheierSalt Lake City$24K
- Mark HuffMurray$16K
- Zachary JergensenSalt Lake City$16K
- Kenward JohnsonSalt Lake City$15K
- Devin ReedMidvale$13K
- John SummersMurray$13K
- Sheldon FurstSalt Lake City$13K
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.