Debbie Estes, APRN
Nurse Practitioner · Orlando, FLNPI 1992217244
Payments from drug & device makers
Across 30 payments — averaging $19.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$151
- Astellas Pharma US Inc$116
- Johnson & Johnson$74
- Bayer$65
- Alkermes, Inc.$61
- AbbVie$47
- plus $72 from 2 others
What the payments were for
- Food & beverage$587100%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 8 | $151 |
| Astellas Pharma US Inc | 5 | $116 |
| Johnson & Johnson | 5 | $74 |
| Bayer | 1 | $65 |
| Alkermes, Inc. | 3 | $61 |
| AbbVie | 3 | $47 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $42 |
| Indivior Inc. | 2 | $30 |
How this compares
$587 in reported general payments places this provider in the 65th percentile of 8,290 nurse practitioner providers in Florida.
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 |
|---|---|---|
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 73 | $7,625 |
| Fenofibrate | 12 | $2,080 |
| LantusInsulin Glargine,hum.Rec.Anlog | 22 | $1,584 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 26 | $1,051 |
| Metoprolol Succinate | 34 | $681 |
| Levothyroxine Sodium | 40 | $655 |
| Metoprolol Tartrate | 54 | $560 |
| Ipratropium-AlbuterolIpratropium/Albuterol Sulfate | 18 | $461 |
| Potassium Chloride | 24 | $453 |
| Tamsulosin Hcl | 17 | $320 |
| Atorvastatin Calcium | 19 | $317 |
| Cefdinir | 18 | $289 |
| Trazodone Hcl | 15 | $265 |
| Buspirone Hcl | 12 | $255 |
| Metformin Hcl | 26 | $239 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Orlando
- Jason RoyOrlando$95K
- Deborah ChandlerOrlando$60K
- Jennifer BlattnerOrlando$24K
- Jolanta BaginskiClearwater$494K
- Adissa PerezWinter Park$370K
- April WessonTampa$342K
- Margarita FernandezMiami$311K
- Stephanie SimmermanNaples$283K
- Claudette WalkerPonte Vedra Beach$271K
- Lisa NodzonTampa$246K
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.