Ashley Gruber, APRN
Nurse Practitioner · Wesley Chapel, FLNPI 1972159697
Payments from drug & device makers
Across 484 payments — averaging $21.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$2K
- GSK$2K
- Sanofi$1K
- AstraZeneca$1K
- Novartis$613
- CSL Behring$538
- plus $3K from 20 others
What the payments were for
- Consulting fees$430%
- Food & beverage$9,71995%
- Education$5055%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 99 | $2,090 |
| GSK | 104 | $1,667 |
| Sanofi | 54 | $1,429 |
| AstraZeneca | 55 | $1,313 |
| Novartis | 27 | $613 |
| CSL Behring | 26 | $538 |
| Optinose US, Inc. | 14 | $448 |
| Takeda Pharmaceuticals U.S.A., Inc. | 13 | $380 |
| Amgen | 16 | $295 |
| Pfizer | 18 | $258 |
| Kaleo, Inc. | 14 | $255 |
| Genentech USA, Inc. | 9 | $207 |
| Phadia US Inc. | 6 | $117 |
| Sanofi-aventis U.S. LLC | 1 | $95 |
| LEO Pharma Inc. | 4 | $92 |
| Grifols USA, LLC | 5 | $91 |
| Teva Pharmaceuticals USA, Inc. | 4 | $80 |
| Blueprint Medicines Corporation | 3 | $61 |
| ARS Pharmaceuticals Operations, Inc. | 3 | $59 |
| Hikma Pharmaceuticals USA | 3 | $46 |
| ADMA Biomanufacturing LLC | 1 | $43 |
| Biocryst US Sales Co., LLC | 1 | $23 |
| Pharming Healthcare, Inc. | 1 | $23 |
| Hologic Sales And Service, LLC | 1 | $16 |
| Lilly USA, LLC | 1 | $15 |
| Ionis Pharmaceuticals, 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
$10,267 in reported general payments places this provider in the 95th percentile of 8,290 nurse practitioner providers in Florida.
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 |
|---|---|---|
| Dupixent SyringeDupilumab | 26 | $104,249 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 31 | $20,441 |
| Breo ElliptaFluticasone/Vilanterol | 18 | $10,783 |
| Advair HfaFluticasone Propion/Salmeterol | 11 | $7,713 |
| SymbicortBudesonide/Formoterol Fumarate | 13 | $5,046 |
| Epinephrine | 18 | $2,824 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 24 | $2,355 |
| Azelastine Hcl | 59 | $1,864 |
| Ipratropium Bromide | 55 | $1,215 |
| Fluticasone Propionate | 60 | $921 |
| Levocetirizine Dihydrochloride | 45 | $572 |
| Montelukast Sodium | 53 | $554 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 20 | $424 |
| Famotidine | 26 | $300 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta | $1,667 | $31,22449 claims |
| AstraZenecaSymbicort | $1,313 | $5,04613 claims |
| Hikma Pharmaceuticals USAEpinephrine | $46 | $2,82418 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 8,290 nurse practitioner providers in Florida.
Other nurse practitioner in Wesley Chapel
- Jolanta BaginskiClearwater$494K
- Adissa PerezWinter Park$370K
- April WessonTampa$342K
- Margarita FernandezMiami$311K
- Stephanie SimmermanNaples$283K
- Claudette WalkerPonte Vedra Beach$271K
- Lisa NodzonTampa$246K
- Ashima BahlTampa$226K
- Maya BloombergMiami$202K
- Jennifer PuleoTampa$171K
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.