Has Alexandra Lepley received payments from drug or device companies?

Yes. Drug and device makers reported $3,233 in general payments to Alexandra Lepley across 200 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Alexandra Lepley did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Alexandra Lepley come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Alexandra Lepley

Physician Assistant · Concord, NCNPI 1255999579

Payments from drug & device makers

$3,233in general payments, 2019–2025

Across 200 payments — averaging $16.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

AbbVie$633
Supernus Pharmaceuticals, Inc.$623
Sunovion Pharmaceuticals Inc.$415
Takeda Pharmaceuticals U.S.A., Inc.$279
Neurocrine Biosciences, Inc.$192
Otsuka America Pharmaceutical, Inc.$178
plus $913 from 13 others

What the payments were for

Food & beverage$3,233100%

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
AbbVie	47	$633
Supernus Pharmaceuticals, Inc.	33	$623
Sunovion Pharmaceuticals Inc.	26	$415
Takeda Pharmaceuticals U.S.A., Inc.	22	$279
Neurocrine Biosciences, Inc.	10	$192
Otsuka America Pharmaceutical, Inc.	10	$178
Neos Therapeutics, LP	11	$172
Teva Pharmaceuticals USA, Inc.	9	$145
Alkermes, Inc.	6	$108
Johnson & Johnson	4	$105
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)	5	$100
Lundbeck LLC	6	$97
Eisai Inc.	3	$46
Corium, LLC	2	$39
Avanir Pharmaceuticals, Inc.	2	$38
MDD US Operations, LLC	1	$24
Almatica Pharma LLC	1	$18
Idorsia Pharmaceuticals US Inc	1	$12
Adlon Therapeutics L.p.	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.

VRAYLAR$124

How this compares

$3,233 in reported general payments places this provider in the 85th percentile of 7,441 physician assistant providers in North Carolina.

See all physician assistant providers in North Carolina →

Most prescribed under Part D

Drug	Claims	Cost to plans & patients
TrintellixVortioxetine Hydrobromide	13	$6,094
Aripiprazole	14	$2,907
Escitalopram Oxalate	12	$2,299
Divalproex Sodium	12	$1,305
Gabapentin	27	$1,014
Olanzapine	18	$291
Lurasidone Hcl	11	$291
Mirtazapine	15	$240
Buspirone Hcl	13	$188
Trazodone Hcl	29	$152
Lithium Carbonate	14	$79
Sertraline Hcl	17	$67
Citalopram HbrCitalopram Hydrobromide	13	$15

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

Company	Paid to this provider	Part D cost of their drugs
Takeda Pharmaceuticals U.S.A., Inc.Trintellix	$279	$6,09413 claims
Almatica Pharma LLCSertraline Hcl	$18	$6717 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 7,441 physician assistant providers in North Carolina.

Other physician assistant in Concord

Harold SmithConcord$25K
Jo HughesGreensboro$814K
Rachel HolzhauerCharlotte$739K
Amber BlairCharlotte$551K
Benjamin EpsteinDavidson$447K
Rebecca KrausDavidson$425K
Brooke JonesGoldsboro$259K
Philip ReasbeckWilson$180K
Katherine SchultzHuntersville$164K
Kristin CabedaCharlotte$135K

See the full list for North Carolina →

Where these figures come from

Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
Identity: NPPES NPI Registry, July 2026.

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