Cynthia Gerstenlauer
Nurse Practitioner · Troy, MINPI 1487773032
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,478 of the $3,858 with a category attached, or 64.2%. 23 manufacturers reported payments, led by Novo Nordisk at 35.8% of the total. Reporting peaked in 2021 at $1,912 and has fallen 56.4% since, to $834 in 2025. Among nurse practitioner clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 33 payments — averaging $116.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- Boehringer Ingelheim$262
- Eisai Inc.$235
- Amgen$184
- Sanofi-aventis U.S. LLC$172
- Teva Pharmaceuticals USA, Inc.$165
- plus $1K from 17 others
What the payments were for
- Consulting fees$1,38036%
- Food & beverage$2,47864%
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 |
|---|---|---|
| Novo Nordisk | 2 | $1,380 |
| Boehringer Ingelheim | 3 | $262 |
| Eisai Inc. | 2 | $235 |
| Amgen | 2 | $184 |
| Sanofi-aventis U.S. LLC | 2 | $172 |
| Teva Pharmaceuticals USA, Inc. | 3 | $165 |
| Merck | 2 | $151 |
| Gilead | 1 | $122 |
| Sun Pharmaceutical Industries Inc. | 1 | $117 |
| Medtronic | 1 | $112 |
| Pfizer | 1 | $112 |
| Urovant Sciences Inc | 1 | $110 |
| Neurocrine Biosciences, Inc. | 2 | $94 |
| AstraZeneca | 1 | $87 |
| Astellas Pharma US Inc | 1 | $78 |
| Alnylam Pharmaceuticals Inc. | 1 | $76 |
| Smith+Nephew | 1 | $70 |
| Boston Scientific | 1 | $66 |
| CMP Pharma, Inc. | 1 | $63 |
| Acadia Pharmaceuticals Inc | 1 | $62 |
| Otsuka America Pharmaceutical, Inc. | 1 | $60 |
| Molnlycke Health Care US, LLC | 1 | $46 |
| Dexcom, Inc. | 1 | $35 |
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
$3,858 in reported general payments places this provider in the 90th percentile of 3,351 nurse practitioner providers in Michigan.
Other nurse practitioner in Troy
- Linda SpencerTroy$217K
- Davida KrugerDetroit$739K
- Kari HillSpring Lake$426K
- Kyle FarrPlymouth$243K
- Ellen DillardDetroit$168K
- Golbon AghamohammadiDetroit$157K
- Abubakir BabanDearborn$143K
- Lisa Astalos ChismWoodhaven$103K
- Martha GoetzPetoskey$101K
- Debra DegraffGrand Rapids$80K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.