Amy McMichael, MD
Dermatology · Winston Salem, NCNPI 1134104177
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.4%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Pfizer at 45.2% of the total. Among dermatology clinicians in NC 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 230 payments — averaging $1344.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$140K
- UCB, Inc.$47K
- Eli Lilly$23K
- Sun Pharmaceutical Industries Inc.$19K
- Lilly USA, LLC$17K
- Aclaris Therapeutics, Inc.$10K
- plus $55K from 15 others
Across 124 payments — averaging $3766.64 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Incyte Corporation$241K
- Sun Pharmaceutical Industries Inc.$205K
- Pfizer$14K
- Aclaris Therapeutics, Inc.$6K
- AbbVie$1K
What the payments were for
- Consulting fees$159,05251%
- Speaking & faculty fees$131,58243%
- Grants$1,2050%
- Travel & lodging$12,5194%
- Food & beverage$4,5411%
- Education$2420%
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 |
|---|---|---|
| Pfizer | 80 | $139,723 |
| UCB, Inc. | 40 | $46,783 |
| Eli Lilly | 13 | $22,662 |
| Sun Pharmaceutical Industries Inc. | 7 | $18,774 |
| Lilly USA, LLC | 8 | $16,549 |
| Aclaris Therapeutics, Inc. | 11 | $10,130 |
| Johnson & Johnson | 14 | $8,889 |
| Incyte Corporation | 10 | $8,871 |
| Janssen Scientific Affairs, LLC | 7 | $7,413 |
| LEO Pharma Inc. | 4 | $5,924 |
| Sanofi | 8 | $5,484 |
| Arcutis Biotherapeutics, Inc. | 4 | $4,673 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $3,850 |
| AbbVie(2 entities) | 5 | $2,652 |
| E.r. Squibb & Sons, L.L.C. | 4 | $2,580 |
| Regeneron Healthcare Solutions, Inc. | 2 | $2,300 |
| Almirall LLC | 4 | $1,510 |
| Galderma Laboratories, L.p. | 4 | $246 |
| Sanofi-aventis U.S. LLC | 2 | $67 |
| Janssen Research & Development, LLC | 1 | $43 |
| Astellas Pharma US Inc | 1 | $17 |
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
$309,141 in reported general payments places this provider in the 95th percentile of 475 dermatology providers in North Carolina.
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 |
|---|---|---|
| Cosentyx Sensoready (2 Pens)Secukinumab | 12 | $89,361 |
| Dupixent PenDupilumab | 17 | $61,315 |
| Clobetasol Propionate | 162 | $7,521 |
| Ketoconazole | 166 | $3,661 |
| Hydroxychloroquine Sulfate | 84 | $3,343 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 42 | $2,462 |
| Finasteride | 250 | $2,328 |
| Tretinoin | 26 | $2,275 |
| Fluocinonide | 43 | $2,185 |
| Minoxidil | 218 | $2,074 |
| Fluocinolone AcetonideFluocinolone/Shower Cap | 38 | $1,955 |
| Tacrolimus | 25 | $1,718 |
| Betamethasone Dipropionate | 33 | $1,448 |
| Triamcinolone Acetonide | 90 | $1,238 |
| Metronidazole | 16 | $1,237 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Winston Salem
- Steven FeldmanWinston Salem$3.4M
- Joseph JorizzoWinston Salem$20K
- David SpencerWinston Salem$14K
- Nicole SeminaraHuntersville$1.4M
- Andrew LeeElkin$702K
- Christopher SayedChapel Hill$690K
- William HooverConcord$594K
- Patrick McElgunnCharlotte$565K
- George MagelHickory$554K
- Muneeb ShahClinton$451K
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.