Physician profile
Nicholas Thomas Rafaill
NPI 1356455893
$1,173.41
in general payments reported to CMS, 2019-2025
13 companies · $21.73 in 2025
The $21.73 reported for 2025 was less than what a typical Orthodontics and Dentofacial Orthopedics provider received nationally (typical 2025 total: $146).
See the full distribution for Orthodontics and Dentofacial Orthopedics
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $215 · 2020: $349 · 2021: $75.26 · 2022: $39.19 · 2023: $290 · 2024: $184 · 2025: $21.73.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $425 · Consulting Fee: $35.00 · Gift: $34.72.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $425.40 |
| Consulting Fee | $35.00 |
| Gift | $34.72 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Align Technology, INC. | $289.02 | 2019-2023 | Itero, Invisalign |
| 3m Company | $284.04 | 2019-2023 | Clarity Aligners |
| American Orthodontics Corporation | $242.78 | 2019-2025 | Radiance, Empower-Ceramic, LP and Ifit Tubes |
| Solventum Corporation | $72.95 | 2024 | Clarity Aligners, Apc Flash-Free Clarity Advanced |
| Ortho Organizers, INC. | $69.60 | 2022-2024 | Carriere |
| Ormco Corporation | $49.88 | 2023 | Spark, Miniendo II |
| Nobel Biocare USA | $49.86 | 2023 | Nobelactive |
| USA Angelalign Technology Corp | $36.10 | 2024 | |
| Envista Holdings Corporation | $34.43 | 2024 | Spark |
| Philips North America LLC | $15.00 | 2023 | |
| Lightforce Orthodontics, INC. | $13.73 | 2023 | |
| Dentsply Sirona INC | $11.44 | 2019 | |
| Coltene Whaledent INC. | $4.58 | 2022 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Nicholas Rafaill listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.