Cheryl Almirante, MD
Endocrinology, Diabetes & Metabolism · Hampton, VANPI 1245329804
Payments from drug & device makers
Across 67 payments — averaging $19.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$373
- Abbott$139
- Novo Nordisk$137
- Dexcom, Inc.$119
- Amgen$115
- Boehringer Ingelheim$90
- plus $328 from 10 others
What the payments were for
- Food & beverage$1,23895%
- Education$645%
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 |
|---|---|---|
| Lilly USA, LLC | 19 | $373 |
| Abbott | 5 | $139 |
| Novo Nordisk | 8 | $137 |
| Dexcom, Inc. | 7 | $119 |
| Amgen(2 entities) | 7 | $115 |
| Boehringer Ingelheim | 4 | $90 |
| AstraZeneca | 5 | $88 |
| Amneal Pharmaceuticals LLC | 3 | $84 |
| Medtronic | 2 | $44 |
| AbbVie | 1 | $21 |
| Mannkind Corporation | 1 | $19 |
| Amarin Pharma, Inc. | 1 | $18 |
| Xeris Pharmaceuticals, Inc. | 1 | $16 |
| Zealand Pharma US, Inc. | 1 | $14 |
| Boston Scientific | 1 | $13 |
| Radius Health, Inc. | 1 | $12 |
How this compares
$1,302 in reported general payments places this provider in the 45th percentile of 223 endocrinology, diabetes & metabolism providers in Virginia.
See all endocrinology, diabetes & metabolism providers in Virginia →
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 |
|---|---|---|
| OzempicSemaglutide | 32 | $33,485 |
| JardianceEmpagliflozin | 31 | $29,735 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 12 | $27,813 |
| Tresiba Flextouch U-200Insulin Degludec | 15 | $24,856 |
| RybelsusSemaglutide | 12 | $14,887 |
| MounjaroTirzepatide | 13 | $13,469 |
| TrulicityDulaglutide | 12 | $12,937 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 37 | $6,486 |
| SynthroidLevothyroxine Sodium | 60 | $5,847 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $5,453 |
| Humalog Kwikpen U-100Insulin Lispro | 14 | $3,378 |
| Novolog FlexpenInsulin Aspart | 14 | $2,409 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 25 | $2,293 |
| UnithroidLevothyroxine Sodium | 29 | $1,966 |
| Levothyroxine Sodium | 46 | $569 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $137 | $48,37144 claims |
| Boehringer IngelheimJardiance | $90 | $29,73531 claims |
| Lilly USA, LLCMounjaro, Trulicity | $373 | $26,40725 claims |
| AbbVieSynthroid | $21 | $5,84760 claims |
| Amneal Pharmaceuticals LLCUnithroid, Levothyroxine Sodium | $84 | $2,53575 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 45th percentile of 223 endocrinology, diabetes & metabolism providers in Virginia.
Other endocrinology, diabetes & metabolism in Hampton
- Domenica RubinoArlington$3M
- Suzanne Jan de BeurCharlottesville$1.5M
- Farhad ZangenehSterling$1.2M
- Ali IranmaneshSalem$1.1M
- Elias SirajNorfolk$884K
- James MulindaRoanoke$788K
- Jeffrey SicatGlen Allen$657K
- Dewey BaileyRoanoke$645K
- James la RocqueChesapeake$576K
- Samamtha HudsonMidlothian$372K
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.