Charina Toste
Nurse Practitioner · Henderson, NVNPI 1598929606
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $269,953 of the $392,915 with a category attached, or 68.7%. Incyte Corporation accounts for 64.5% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2021 at $208,925 and has fallen 99.9% since, to $308 in 2025. Among nurse practitioner clinicians in NV 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 797 payments — averaging $492.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Incyte Corporation$254K
- Coherus Oncology, Inc.$67K
- Takeda Pharmaceuticals U.S.A., Inc.$37K
- Rigel Pharmaceuticals, Inc.$27K
- Amgen$3K
- Bristol Myers Squibb$2K
- plus $3K from 11 others
What the payments were for
- Consulting fees$24,8106%
- Speaking & faculty fees$269,95369%
- Travel & lodging$86,84322%
- Food & beverage$11,2013%
- Education$1080%
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 |
|---|---|---|
| Incyte Corporation | 502 | $253,605 |
| Coherus Oncology, Inc. | 171 | $67,445 |
| Takeda Pharmaceuticals U.S.A., Inc. | 54 | $37,194 |
| Rigel Pharmaceuticals, Inc. | 26 | $27,005 |
| Amgen | 10 | $2,598 |
| Bristol Myers Squibb | 5 | $2,319 |
| GSK | 1 | $1,500 |
| Merz North America, Inc. | 7 | $382 |
| Sanofi | 2 | $240 |
| Galderma Laboratories, L.p. | 2 | $224 |
| AbbVie(2 entities) | 10 | $210 |
| Johnson & Johnson | 2 | $112 |
| Merck | 1 | $20 |
| Daiichi Sankyo Inc. | 1 | $17 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
| Array Biopharma Inc | 1 | $13 |
| AstraZeneca | 1 | $12 |
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
$392,915 in reported general payments places this provider in the 95th percentile of 933 nurse practitioner providers in Nevada.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ondansetron OdtOndansetron | 11 | $15 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Henderson
- Marites PilapilHenderson$11K
- Jackie ArmijoHenderson$11K
- Arianny Perrino LanzHenderson$9K
- Natalie HuxtableHenderson$7K
- Tiffany ShowHenderson$7K
- Stefanie RemsonHenderson$7K
- Bethany BairdHenderson$6K
- Melanie SpeedLas Vegas$80K
- Shelley MilesLas Vegas$34K
- Nasslynne LenzLas Vegas$32K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.