Celeste Tunnell, PA
Physician Assistant · Las Vegas, NVNPI 1710925466
Payments from drug & device makers
Across 102 payments — averaging $31.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biohaven Pharmaceuticals, Inc.$800
- AbbVie$339
- Mayne Pharma Commercial LLC$305
- Astellas Pharma US Inc$276
- Hologic Sales And Service, LLC$250
- Exeltis, USA Inc.$182
- plus $1K from 20 others
What the payments were for
- Consulting fees$80025%
- Food & beverage$2,29172%
- Education$1013%
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 |
|---|---|---|
| Biohaven Pharmaceuticals, Inc. | 1 | $800 |
| AbbVie | 18 | $339 |
| Mayne Pharma Commercial LLC | 14 | $305 |
| Astellas Pharma US Inc | 9 | $276 |
| Hologic Sales And Service, LLC | 4 | $250 |
| Exeltis, USA Inc. | 3 | $182 |
| Pfizer | 8 | $160 |
| Sumitomo Pharma America, Inc. | 6 | $112 |
| Organon | 5 | $108 |
| Bayer | 5 | $102 |
| Myriad Women's Health, Inc. | 1 | $92 |
| Myovant Sciences Inc. | 5 | $67 |
| Therapeuticsmd, Inc. | 3 | $56 |
| Sage Therapeutics, LLC | 3 | $52 |
| Exact Sciences | 2 | $49 |
| Shield Therapeutics Inc | 2 | $40 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $35 |
| Avion Pharmaceuticals | 2 | $31 |
| Mylan Pharmaceuticals Inc. | 2 | $30 |
| Medicem Inc. | 1 | $17 |
| Merck | 1 | $16 |
| Supernus Pharmaceuticals, Inc. | 1 | $15 |
| Daiichi Sankyo Inc. | 1 | $15 |
| BD | 1 | $15 |
| Agile Therapeutics, Inc. | 1 | $15 |
| Coopersurgical, 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.
- NURTEC ODT$800
- Aptima$159
- Slynd$142
How this compares
$3,192 in reported general payments places this provider in the 80th percentile of 881 physician assistant providers in Nevada.
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 |
|---|---|---|
| ValacyclovirValacyclovir Hcl | 11 | $382 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Las Vegas
- Steven HawkesLas Vegas$70K
- Nathan MorganLas Vegas$44K
- Stephanie DastrupLas Vegas$23K
- Sandra OviedoLas Vegas$21K
- Patrick JamesonLas Vegas$20K
- Jordan ChristensenLas Vegas$19K
- Jacquelyn DaneshforouzLas Vegas$18K
- Violet AmirjalaliLas Vegas$15K
- Joseph GuruleLas Vegas$15K
- Rebecca Markin-NewsomeLas Vegas$14K
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.