Annette St Pierre-Mackoul
Pediatrics · Fort Myers, FLNPI 1285623728
Payments from drug & device makers
Across 93 payments — averaging $21.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$423
- GSK$293
- Pfizer$265
- Ironshore Pharmaceuticals Inc.$156
- Supernus Pharmaceuticals, Inc.$147
- Sanofi Pasteur Inc.$144
- plus $614 from 13 others
What the payments were for
- Food & beverage$2,037100%
- Education$50%
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 |
|---|---|---|
| Merck | 19 | $423 |
| GSK | 18 | $293 |
| Pfizer | 14 | $265 |
| Ironshore Pharmaceuticals Inc. | 3 | $156 |
| Supernus Pharmaceuticals, Inc. | 7 | $147 |
| Sanofi Pasteur Inc. | 7 | $144 |
| Johnson & Johnson | 1 | $119 |
| Sobi, Inc | 5 | $88 |
| Corium, LLC | 5 | $84 |
| Boston Scientific | 1 | $67 |
| Verrica Pharmaceuticals Inc. | 2 | $45 |
| Sanofi-aventis U.S. LLC | 1 | $38 |
| Tris Pharma Inc | 2 | $38 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $37 |
| Seqirus USA Inc | 2 | $37 |
| Cranial Technologies, Inc | 1 | $19 |
| Kaleo, Inc. | 1 | $17 |
| Glenmark Therapeutics Inc. | 1 | $14 |
| Genentech USA, Inc. | 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.
- Jornay PM 20mg capsules (Bottle of 100)$122
- Teligen$119
- QELBREE$109
- GARDASIL$107
How this compares
$2,043 in reported general payments places this provider in the 90th percentile of 3,964 pediatrics providers in Florida.
Other pediatrics in Fort Myers
- Lilia Roque-GuerreroMiami$39.1M
- Kimberly CruzPompano Beach$19.9M
- Teena HughesTampa$8.2M
- Lazaro NunezCoral Gables$4.6M
- Nora DanielMiami$3.4M
- Hector CorderoNaples$2.6M
- Randall ReeseGulf Breeze$2.3M
- Karen KellyClearwater$2.2M
- Salma ElfakiOrlando$1.9M
- Jorge Lujan-ZilbermanTampa$1.6M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.