Cynthia Armstrong, NP
Family · Garland, TXNPI 1841634722
Payments from drug & device makers
Across 69 payments — averaging $14.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$449
- Sunovion Pharmaceuticals Inc.$162
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$92
- Otsuka America Pharmaceutical, Inc.$81
- Johnson & Johnson$61
- Alkermes, Inc.$58
- plus $85 from 5 others
What the payments were for
- Food & beverage$94295%
- Education$475%
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 |
|---|---|---|
| AbbVie | 38 | $449 |
| Sunovion Pharmaceuticals Inc. | 10 | $162 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 4 | $92 |
| Otsuka America Pharmaceutical, Inc. | 5 | $81 |
| Johnson & Johnson | 4 | $61 |
| Alkermes, Inc. | 3 | $58 |
| Boston Scientific | 1 | $25 |
| Indivior Inc. | 1 | $20 |
| Axsome Therapeutics, Inc. | 1 | $16 |
| Lundbeck LLC | 1 | $13 |
| Avanir Pharmaceuticals, Inc. | 1 | $12 |
How this compares
$989 in reported general payments places this provider in the 65th percentile of 15,456 family providers in Texas.
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 |
|---|---|---|
| RybelsusSemaglutide | 59 | $61,069 |
| Tresiba Flextouch U-100Insulin Degludec | 12 | $14,025 |
| Atorvastatin Calcium | 223 | $2,162 |
| Ventolin HfaAlbuterol Sulfate | 27 | $1,640 |
| Amlodipine Besylate | 114 | $1,168 |
| Levothyroxine Sodium | 95 | $1,111 |
| Omeprazole | 77 | $1,049 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 54 | $971 |
| Fluticasone Propionate | 46 | $911 |
| Metformin Hcl | 78 | $891 |
| Potassium Chloride | 43 | $872 |
| Lisinopril | 97 | $839 |
| Montelukast Sodium | 37 | $584 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 15 | $566 |
| Metoprolol Tartrate | 45 | $442 |
Paid to pharmacies, not to this prescriber.
Other family in Garland
- Lashonda CraneHouston$3.4M
- David WeirDallas$959K
- Luba YammineHouston$479K
- Robin BeachHouston$428K
- Nirupama JeromeAustin$418K
- April LopezMcAllen$417K
- Linda MercadoHouston$211K
- Sarah AguilarHouston$199K
- Sie ThomasDallas$197K
- Anna CastroSan Antonio$184K
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.