Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

TOM A NACHTIGAL

Allopathic & Osteopathic Physicians Surgery

NPI
1396815809
CMS profile
858164
Location
LARAMIE, WY

General Payments · PY2018–2019

$17,306.06

  • Reported across 43 records
  • CMS publication 2026-01-23

Latest program year · PY2019

$433.73

17 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2019 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $433.73 17

By paying entity

PY2019 · sorted by reported total

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $302.53 10
Misonix Inc $28.16 1
EKOS Corporation $23.41 1
DAVOL INC. $19.15 1
LeMaitre Vascular, Inc. $18.14 1
Biocompatibles, Inc. $15.98 1
COVIDIEN LP $14.56 1
ACELL, INC. $11.80 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $16,872.33 26
PY2019 $433.73 17

Payment records · PY2019 (17)

Sorted by paying entity, then date · as published by CMS

Program year 2019 2018 Record-level detail is published for PY2019; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ACELL, INC. $11.80 08/07/2019 Food and Beverage Undisputed 01/23/2026 660539989 CMS
Biocompatibles, Inc. $15.98 08/07/2019 Food and Beverage Undisputed 01/23/2026 694927799 CMS
Covidien LP $14.56 09/15/2019 Food and Beverage Undisputed 01/23/2026 636984795 CMS
DAVOL INC. $19.15 06/27/2019 Food and Beverage Undisputed 01/23/2026 701685639 CMS
EKOS Corporation $23.41 09/25/2019 Food and Beverage Undisputed 01/23/2026 694935437 CMS
Intuitive Surgical, Inc. $39.47 01/01/2019 Food and Beverage Undisputed 01/23/2026 706418153 CMS
Intuitive Surgical, Inc. $33.86 01/01/2019 Food and Beverage Undisputed 01/23/2026 706418507 CMS
Intuitive Surgical, Inc. $20.22 01/09/2019 Food and Beverage Undisputed 01/23/2026 706429017 CMS
Intuitive Surgical, Inc. $13.57 01/09/2019 Food and Beverage Undisputed 01/23/2026 706431549 CMS
Intuitive Surgical, Inc. $115.04 01/09/2019 Food and Beverage Undisputed 01/23/2026 706456579 CMS
Intuitive Surgical, Inc. $9.85 03/26/2019 Food and Beverage Undisputed 01/23/2026 706443715 CMS
Intuitive Surgical, Inc. $20.71 12/24/2019 Food and Beverage Undisputed 01/23/2026 706351519 CMS
Intuitive Surgical, Inc. $14.55 12/24/2019 Food and Beverage Undisputed 01/23/2026 706351521 CMS
Intuitive Surgical, Inc. $20.71 12/24/2019 Food and Beverage Undisputed 01/23/2026 706358433 CMS
Intuitive Surgical, Inc. $14.55 12/24/2019 Food and Beverage Undisputed 01/23/2026 706375411 CMS
LeMaitre Vascular, Inc. $18.14 10/23/2019 Food and Beverage Undisputed 01/23/2026 701460547 CMS
Misonix Inc $28.16 11/14/2019 Food and Beverage Undisputed 01/23/2026 701663637 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019
Source files
Dataset page · Bulk file · PY2018 , PY2019
Generated from
OP_DTL_GNRL_PGYR2019_P01232026_01102026.csv

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