Anne Ambs
Family · Pleasant Garden, NCNPI 1285150441
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.0% of the total across 622 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 41 manufacturers reported payments, led by AstraZeneca at 27.4% of the total. Among family 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 622 payments — averaging $24.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$4K
- Regeneron Healthcare Solutions, Inc.$2K
- Amgen$1K
- Sanofi$1K
- GSK$1K
- AbbVie$659
- plus $5K from 35 others
What the payments were for
- Consulting fees$370%
- Food & beverage$15,37499%
- Education$1121%
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 |
|---|---|---|
| AstraZeneca | 127 | $4,248 |
| Regeneron Healthcare Solutions, Inc. | 65 | $2,093 |
| Amgen | 61 | $1,368 |
| Sanofi | 62 | $1,325 |
| GSK | 50 | $1,013 |
| AbbVie | 20 | $659 |
| Takeda Pharmaceuticals U.S.A., Inc. | 22 | $572 |
| Novartis | 20 | $470 |
| Optinose US, Inc. | 29 | $403 |
| Pfizer | 18 | $401 |
| Incyte Corporation | 7 | $270 |
| Kaleo, Inc. | 17 | $253 |
| CSL Behring | 10 | $252 |
| Teva Pharmaceuticals USA, Inc. | 16 | $235 |
| Lilly USA, LLC | 6 | $211 |
| Covis Pharma GmbH | 15 | $202 |
| Genentech USA, Inc. | 9 | $186 |
| LEO Pharma Inc. | 9 | $168 |
| Hikma Pharmaceuticals USA | 7 | $122 |
| Biocryst US Sales Co., LLC | 5 | $117 |
| ARS Pharmaceuticals Operations, Inc. | 5 | $108 |
| Regeneron | 3 | $102 |
| Aytu Biopharma, Inc. | 6 | $94 |
| Octapharma USA, Inc. | 4 | $81 |
| Philips North America LLC | 3 | $63 |
| Ionis Pharmaceuticals, Inc. | 3 | $62 |
| Mylan Specialty L.p. | 3 | $61 |
| Galderma Laboratories, L.p. | 3 | $60 |
| Organon | 2 | $50 |
| Boehringer Ingelheim | 2 | $39 |
| ADMA Biomanufacturing LLC | 2 | $37 |
| Viatris Specialty LLC | 2 | $32 |
| Phadia US Inc. | 1 | $26 |
| Aimmune Therapeutics, Inc. | 1 | $25 |
| Azurity Pharmaceuticals, Inc. | 1 | $21 |
| Pharming Healthcare, Inc. | 1 | $18 |
| Grifols USA, LLC | 1 | $17 |
| Alk-abello, Inc | 1 | $17 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Eyevance Pharmaceuticals LLC | 1 | $14 |
| USWM, LLC | 1 | $13 |
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
$15,523 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| XolairOmalizumab | 44 | $136,490 |
| Dupixent SyringeDupilumab | 27 | $124,363 |
| Dupixent PenDupilumab | 14 | $53,379 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 51 | $35,077 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 38 | $34,487 |
| Spiriva RespimatTiotropium Bromide | 22 | $12,556 |
| SymbicortBudesonide/Formoterol Fumarate | 39 | $11,869 |
| Breo ElliptaFluticasone/Vilanterol | 22 | $11,023 |
| Epinephrine | 48 | $7,668 |
| Advair HfaFluticasone Propion/Salmeterol | 11 | $6,401 |
| DuleraMometasone/Formoterol | 13 | $4,486 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 18 | $3,836 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 105 | $2,831 |
| Ventolin HfaAlbuterol Sulfate | 30 | $2,196 |
| Azelastine Hcl | 73 | $2,161 |
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 |
|---|---|---|
| AstraZenecaBreztri Aerosphere, Symbicort | $4,248 | $46,94690 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $1,013 | $45,51060 claims |
| Boehringer IngelheimSpiriva Respimat | $39 | $12,55622 claims |
| Hikma Pharmaceuticals USAEpinephrine | $122 | $7,66848 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 95th percentile of 4,522 family providers in North Carolina.
Other family in Pleasant Garden
- Leslie ByrneFayetteville$482K
- Michele CerraRaleigh$332K
- Anne LakeArchdale$306K
- Carrie PettitRaleigh$298K
- Nicole RothmanDurham$268K
- Meredith LeaYanceyville$253K
- Jennifer GibbsRaleigh$216K
- Juanita PerkinsDurham$213K
- Teresa DossWilmington$137K
- Debra ScottCharlotte$129K
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.