Cristina Palermiti
Advanced Practice Midwife · Zephyrhills, FLNPI 1487399499
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,296 of the $4,854 with a category attached, or 67.9%. 20 manufacturers reported payments, led by Livanova USA, Inc. at 45.9% of the total. Reporting peaked in 2022 at $2,952 and has fallen 93.9% since, to $181 in 2025. Among advanced practice midwife clinicians in FL 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 127 payments — averaging $38.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Livanova USA, Inc.$2K
- Sumitomo Pharma America, Inc.$868
- UCB, Inc.$565
- Jazz Pharmaceuticals Inc.$254
- Corium, LLC$153
- Mayne Pharma Commercial LLC$123
- plus $664 from 14 others
What the payments were for
- Travel & lodging$1,55832%
- Food & beverage$3,29668%
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 |
|---|---|---|
| Livanova USA, Inc. | 6 | $2,227 |
| Sumitomo Pharma America, Inc. | 45 | $868 |
| UCB, Inc. | 22 | $565 |
| Jazz Pharmaceuticals Inc. | 12 | $254 |
| Corium, LLC | 9 | $153 |
| Mayne Pharma Commercial LLC | 1 | $123 |
| Catalyst Pharmaceuticals, Inc. | 5 | $117 |
| Eisai Inc. | 5 | $101 |
| Sunovion Pharmaceuticals Inc. | 6 | $96 |
| Amneal Pharmaceuticals LLC | 3 | $67 |
| PTC Therapeutics, Inc. | 3 | $63 |
| Travere Therapeutics, Inc. | 2 | $52 |
| Pfizer | 1 | $25 |
| Millicent US Inc | 1 | $24 |
| Arbor Pharmaceuticals, Inc. | 1 | $24 |
| Cranial Technologies, Inc | 1 | $22 |
| Sage Therapeutics, LLC | 1 | $20 |
| Avion Pharmaceuticals | 1 | $20 |
| Xeris Pharmaceuticals, Inc. | 1 | $19 |
| Exeltis, USA 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.
- VNS Therapy$2,227
- Fintepla$250
- APTIOM$240
- ANNOVERA$123
How this compares
$4,854 in reported general payments places this provider in the 95th percentile of 579 advanced practice midwife providers in Florida.
Other advanced practice midwife in Zephyrhills
- Meggan JaramilloZephyrhills$1K
- Jessica MoeZephyrhills$1K
- Laura RussellBrandon$118K
- Renita GreenTampa$7K
- Jillian JerniganMilton$6K
- Jessica BrumleyTampa$5K
- Ilona BlumbergBoynton Beach$4K
- Jacinta FeldmanDeland$3K
- Erin FinchLake Mary$3K
- Kristin NoblesOcala$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.