Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Nathan Zasler

Neuromuscular Medicine Richmond, VA Medical Doctor

NPI 1457656969 CMS profile 247450

3721 Westerre Pkwy, Suite B, Richmond, VA 23233

Open in the dashboard

General payments

$1,371

75 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Nathan Zasler of Richmond, VA is reported in the CMS Open Payments database as having received $1,371 across 75 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $292 15
2024 General $358 18
2023 General $144 8
2022 General $164 9
2021 General $144 9
2020 General $94 5
2019 General $175 11

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Nathan Zasler
  • Neuromuscular Medicine median
  • Middle half of Neuromuscular Medicine
  • National median

In program year 2025, general payments to Nathan Zasler were reported at $292. Among 29 Neuromuscular Medicine profiles paid that year, the median was $140 and the middle half received between $45 and $721.

Show as a table
Year Nathan Zasler Neuromuscular Medicine median Middle half National median
2019 $175 $106 $32–$174 $163
2020 $94 — — $114
2021 $144 $142 $72–$2,438 $132
2022 $164 $146 $37–$459 $149
2023 $144 $125 $25–$296 $160
2024 $358 $182 $50–$398 $164
2025 $292 $140 $45–$721 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AbbVie, Inc. $199 11 payments
  2. Lundbeck LLC $154 8 payments
  3. Otsuka America Pharmaceutical, Inc. $135 7 payments
  4. ITI, Inc. $102 5 payments
  5. Avanir Pharmaceuticals, Inc. $81 4 payments
  6. Merz North America, Inc. $76 3 payments
  7. Pfizer Inc. $59 3 payments
  8. Lilly USA, LLC $53 3 payments
  9. Supernus Pharmaceuticals, Inc. $43 2 payments
  10. CutisPharma, Inc. $42 2 payments
  11. Other $429 27 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $1,312 73 payments
  2. Education $59 2 payments
Products named General payments · program years 2019–2025
  1. REXULTI Psychiatry $113 6 payments
  2. NUEDEXTA pseudobulbar affect (PBA) $81 4 payments
  3. REXULTI Psychiatry $79 4 payments
  4. UBRELVY $77 4 payments
  5. Xeomin $76 3 payments
  6. QULIPTA $75 4 payments
  7. VRAYLAR $67 4 payments
  8. CAPLYTA $60 3 payments
  9. NURTEC ODT $59 3 payments
  10. NUEDEXTA Neurology $56 3 payments
  11. Other $699 41 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 53 drugs

Part D claims

1,317

Median for Physical Medicine and Rehabilitation: 276

Drug cost

$131,222

Median for Physical Medicine and Rehabilitation: $5,921

Branded share of claims

16.9%

Median for Physical Medicine and Rehabilitation: 11.1%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Invega Sustenna Paliperidone Palmitate Brand 13 $49,466
Trintellix Vortioxetine Hydrobromide Brand 17 $11,815
Lacosamide Generic 24 $8,385
Myrbetriq Mirabegron Brand 13 $7,417
Spiriva Handihaler Tiotropium Bromide Brand 11 $6,087
Aripiprazole Generic 13 $5,877
Duloxetine Hcl Generic 57 $3,992
Oxcarbazepine Generic 64 $3,970
Dantrolene Sodium Generic 16 $3,214
Atomoxetine Hcl Generic 16 $2,770

The 10 drugs with the highest cost, of 53 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 7,591 Part D prescribers listed as Physical Medicine and Rehabilitation; they describe a distribution and say nothing about conduct.

Payments and prescribing

First 5 of 12 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
REXULTI
  • Lundbeck LLC $93
$93 — —
Qelbree
  • Supernus Pharmaceuticals, Inc. $43
$43 — —
CAPLYTA
  • ITI, Inc. $42
$42 — —
NUEDEXTA
  • Otsuka America Pharmaceutical, Inc. $41
$41 — —
NURTEC ODT
  • PFIZER INC. $23
$23 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 12 in the dashboard with a free account

Records

75 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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