Alyssa Shepard, PA
Physician Assistant · Lynchburg, VANPI 1578205209
Payments from drug & device makers
Across 102 payments — averaging $19.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$452
- AbbVie$256
- Lilly USA, LLC$181
- Pfizer$139
- Axsome Therapeutics, Inc.$134
- Inspire Medical Systems, Inc.$122
- plus $738 from 15 others
What the payments were for
- Food & beverage$2,013100%
- Education$90%
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 |
|---|---|---|
| Novo Nordisk | 24 | $452 |
| AbbVie | 16 | $256 |
| Lilly USA, LLC | 8 | $181 |
| Pfizer | 8 | $139 |
| Axsome Therapeutics, Inc. | 5 | $134 |
| Inspire Medical Systems, Inc. | 2 | $122 |
| Bayer | 6 | $115 |
| Amgen | 7 | $106 |
| AstraZeneca | 6 | $102 |
| Corcept Therapeutics | 3 | $76 |
| Astellas Pharma US Inc | 2 | $42 |
| Medtronic | 1 | $41 |
| Novartis | 3 | $40 |
| GSK | 2 | $37 |
| Halozyme Inc | 1 | $35 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $32 |
| Sanofi-aventis U.S. LLC | 1 | $26 |
| Idorsia Pharmaceuticals US Inc | 2 | $26 |
| Paratek Pharmaceuticals, Inc. | 1 | $21 |
| Teva Pharmaceuticals USA, Inc. | 1 | $20 |
| Otsuka America Pharmaceutical, Inc. | 1 | $18 |
How this compares
$2,022 in reported general payments places this provider in the 80th percentile of 3,376 physician assistant providers in Virginia.
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 |
|---|---|---|
| EliquisApixaban | 90 | $95,186 |
| OzempicSemaglutide | 53 | $93,256 |
| NuplazidPimavanserin Tartrate | 12 | $51,925 |
| Repatha SureclickEvolocumab | 43 | $32,932 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 42 | $29,697 |
| XareltoRivaroxaban | 36 | $26,940 |
| JanuviaSitagliptin Phosphate | 14 | $18,453 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 14 | $11,980 |
| Tresiba Flextouch U-100Insulin Degludec | 11 | $5,486 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 18 | $4,852 |
| SynthroidLevothyroxine Sodium | 33 | $2,598 |
| Atorvastatin Calcium | 221 | $2,385 |
| Omeprazole | 146 | $2,114 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 81 | $1,825 |
| Losartan Potassium | 183 | $1,724 |
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 |
|---|---|---|
| PfizerEliquis | $139 | $95,18690 claims |
| Novo NordiskOzempic | $452 | $93,25653 claims |
| GSKTrelegy Ellipta | $37 | $29,69742 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $26 | $11,98014 claims |
| AbbVieSynthroid | $256 | $2,59833 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 80th percentile of 3,376 physician assistant providers in Virginia.
Other physician assistant in Lynchburg
- John DalessandroSalem$160K
- Jalal AlghabraFredericksburg$119K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
- Robert HigginsonRichmond$66K
- Jameka McElroy-BrooklynArlington$65K
- Hillary HartungNorfolk$62K
- Juliette BeristainVirginia Beach$54K
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.