Alyssa Coogan
Nurse Practitioner · Dartmouth, MANPI 1801302765
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.5% of the total across 304 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 16.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,523, 9.9 times the $255 reported in 2021. Among nurse practitioner clinicians in MA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 304 payments — averaging $21.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- E.r. Squibb & Sons, L.L.C.$913
- Johnson & Johnson$777
- LEO Pharma Inc.$663
- Sanofi$491
- Regeneron Healthcare Solutions, Inc.$444
- plus $2K from 19 others
What the payments were for
- Food & beverage$6,10293%
- Education$4277%
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 | 85 | $1,054 |
| E.r. Squibb & Sons, L.L.C. | 35 | $913 |
| Johnson & Johnson | 35 | $777 |
| LEO Pharma Inc. | 25 | $663 |
| Sanofi | 17 | $491 |
| Regeneron Healthcare Solutions, Inc. | 13 | $444 |
| Novartis | 13 | $311 |
| Incyte Corporation | 11 | $286 |
| Amgen | 9 | $275 |
| UCB, Inc. | 12 | $273 |
| Lilly USA, LLC | 12 | $251 |
| Galderma Laboratories, L.p. | 15 | $232 |
| Pfizer | 5 | $96 |
| Almirall LLC | 1 | $94 |
| Organon | 3 | $66 |
| Revance Therapeutics, Inc. | 1 | $64 |
| Fresenius Kabi USA, LLC | 3 | $60 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $34 |
| Dermavant Sciences, Inc. | 1 | $32 |
| LNHC, Inc | 1 | $20 |
| Boehringer Ingelheim | 1 | $20 |
| Merck | 1 | $20 |
| Sun Pharmaceutical Industries Inc. | 1 | $19 |
| Arcutis Biotherapeutics, Inc. | 1 | $18 |
| Botanix SB Inc | 1 | $18 |
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.
How this compares
$6,529 in reported general payments places this provider in the 95th percentile of 3,855 nurse practitioner providers in Massachusetts.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Dupixent PenDupilumab | 30 | $113,390 |
| Fluocinonide | 116 | $4,012 |
| Ketoconazole | 189 | $3,172 |
| Clindamycin Phosphate | 59 | $2,518 |
| Tacrolimus | 11 | $2,286 |
| Tretinoin | 12 | $1,349 |
| Clobetasol Propionate | 18 | $978 |
| Ammonium Lactate | 57 | $969 |
| Metronidazole | 26 | $921 |
| Doxycycline Hyclate | 46 | $848 |
| Triamcinolone Acetonide | 64 | $805 |
| Mometasone Furoate | 28 | $434 |
| Betamethasone Dipropionate | 13 | $400 |
| Hydrocortisone | 79 | $349 |
| Mupirocin | 44 | $327 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Dartmouth
- Cynthia ParadiseDartmouth$7K
- Lauri WelchNorth Chelmsford$110K
- Teresa FogarenBoston$102K
- Carolyn MetivierBoston$93K
- Deborah GearySalem$80K
- Amberly ChaplinWorcester$56K
- Darlene MadoreBrockton$42K
- Nancy SydowN Chelmsford$35K
- Miu Lai NgBoston$33K
- Victoria Garcia AlbeaStoneham$31K
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.