Amy Palacios, NP
Family · Charlotte, NCNPI 1851874200
Payments from drug & device makers
Across 28 payments — averaging $27.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merz North America, Inc.$350
- Acadia Pharmaceuticals Inc$120
- Intuity Medical Inc$109
- Lilly USA, LLC$57
- Sunovion Pharmaceuticals Inc.$23
- AstraZeneca$21
- plus $97 from 6 others
What the payments were for
- Food & beverage$776100%
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 |
|---|---|---|
| Merz North America, Inc. | 6 | $350 |
| Acadia Pharmaceuticals Inc | 8 | $120 |
| Intuity Medical Inc | 1 | $109 |
| Lilly USA, LLC | 4 | $57 |
| Sunovion Pharmaceuticals Inc. | 2 | $23 |
| AstraZeneca | 1 | $21 |
| Avanir Pharmaceuticals, Inc. | 1 | $20 |
| Beigene USA, Inc. | 1 | $17 |
| Mylan Specialty L.p. | 1 | $16 |
| Novo Nordisk | 1 | $15 |
| Viatris Specialty LLC | 1 | $15 |
| Neurocrine Biosciences, Inc. | 1 | $14 |
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
$776 in reported general payments places this provider in the 65th percentile of 4,522 family 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 |
|---|---|---|
| EliquisApixaban | 91 | $37,183 |
| Memantine Hcl | 71 | $4,086 |
| JanuviaSitagliptin Phosphate | 11 | $3,133 |
| Ondansetron Hcl | 57 | $2,712 |
| Donepezil Hcl | 125 | $2,612 |
| Doxycycline Hyclate | 38 | $2,484 |
| Lacosamide | 20 | $2,295 |
| Fentanyl | 15 | $2,073 |
| Amlodipine Besylate | 133 | $1,912 |
| CeftriaxoneCeftriaxone Sodium | 14 | $1,890 |
| Trazodone Hcl | 126 | $1,811 |
| Levothyroxine Sodium | 114 | $1,728 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 18 | $1,644 |
| Lorazepam | 113 | $1,575 |
| Mirtazapine | 87 | $1,567 |
Paid to pharmacies, not to this prescriber.
Other family in Charlotte
- Debra ScottCharlotte$129K
- Lasherri LeathersCharlotte$89K
- Catherine ShahCharlotte$72K
- Jason HardinCharlotte$37K
- Laura ListonCharlotte$33K
- Marie KristensenCharlotte$30K
- Hadley DebergCharlotte$16K
- Morgan HubeliCharlotte$15K
- Trisha WootenCharlotte$15K
- Samantha GriffinCharlotte$13K
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.