Annette Nielsen
Pediatrics · Orlando, FLNPI 1053310185
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 134 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Pfizer at 34.5% of the total. Reporting peaked in 2021 at $527 and has fallen 70.8% since, to $154 in 2025. Among pediatrics clinicians in FL 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 134 payments — averaging $18.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$859
- Tris Pharma Inc$350
- Corium, LLC$201
- Covis Pharma GmbH$190
- Ironshore Pharmaceuticals Inc.$177
- Takeda Pharmaceuticals U.S.A., Inc.$128
- plus $585 from 12 others
What the payments were for
- Food & beverage$2,489100%
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 |
|---|---|---|
| Pfizer | 50 | $859 |
| Tris Pharma Inc | 19 | $350 |
| Corium, LLC | 12 | $201 |
| Covis Pharma GmbH | 8 | $190 |
| Ironshore Pharmaceuticals Inc. | 9 | $177 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $128 |
| Cranial Technologies, Inc | 7 | $117 |
| Kaleo, Inc. | 6 | $109 |
| GSK | 3 | $67 |
| Phadia US Inc. | 3 | $64 |
| Alk-abello, Inc | 2 | $48 |
| Merck | 2 | $43 |
| Sanofi Pasteur Inc. | 2 | $35 |
| Nestle Healthcare Nutrition Inc. | 1 | $22 |
| Mylan Pharmaceuticals Inc. | 1 | $22 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $22 |
| Shire North American Group Inc | 1 | $19 |
| Collegium Pharmaceutical, Inc. | 1 | $18 |
How this compares
$2,489 in reported general payments places this provider in the 95th percentile of 3,964 pediatrics providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Prednisone | 13 | $48 |
Paid to pharmacies, not to this prescriber.
Other pediatrics in Orlando
- Tolulope AdebanjoOrlando$24K
- Edwin Mejia OrtegaOrlando$14K
- Teresa PerraultOrlando$10K
- Salma ElfakiOrlando$7K
- Maria Rodriguez de VeraOrlando$7K
- Jorge Lujan-ZilbermanTampa$378K
- Bonnie SmeryageHollywood$153K
- Patricia DeanMiami$92K
- Ryan CantvilleJacksonville$87K
- Christina CanodyTampa$87K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.