Deborah Marsden
Nurse Practitioner · Sayre, PANPI 1831754357
Payments from drug & device makers
Across 107 payments — averaging $22.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$467
- Dexcom, Inc.$383
- Sanofi-aventis U.S. LLC$293
- Xeris Pharmaceuticals, Inc.$137
- Amgen$119
- Tandem Diabetes Care, Inc.$110
- plus $898 from 17 others
What the payments were for
- Food & beverage$2,395100%
- Education$120%
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 | 29 | $467 |
| Dexcom, Inc. | 12 | $383 |
| Sanofi-aventis U.S. LLC | 12 | $293 |
| Xeris Pharmaceuticals, Inc. | 7 | $137 |
| Amgen | 5 | $119 |
| Tandem Diabetes Care, Inc. | 3 | $110 |
| Medtronic | 4 | $104 |
| Insulet Corporation | 4 | $102 |
| Novo Nordisk | 5 | $100 |
| Ascensia Diabetes Care US Inc. | 5 | $97 |
| Boehringer Ingelheim | 3 | $97 |
| AstraZeneca | 3 | $83 |
| Kyowa Kirin, Inc. | 2 | $56 |
| BETA Bionics, Inc. | 2 | $51 |
| Amneal Pharmaceuticals LLC | 2 | $51 |
| AbbVie | 2 | $38 |
| Recordati_rare_diseases_inc. | 1 | $23 |
| Corcept Therapeutics | 1 | $21 |
| Bayer | 1 | $18 |
| Amphastar Pharmaceuticals, Inc. | 1 | $16 |
| Cequr Corporation | 1 | $14 |
| Pfizer | 1 | $14 |
| BD | 1 | $12 |
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
$2,406 in reported general payments places this provider in the 90th percentile of 4,059 nurse practitioner providers in Pennsylvania.
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 | 340 | $481,601 |
| MounjaroTirzepatide | 264 | $348,468 |
| TrulicityDulaglutide | 191 | $258,768 |
| JardianceEmpagliflozin | 231 | $234,085 |
| FarxigaDapagliflozin Propanediol | 202 | $173,063 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 74 | $131,281 |
| JanuviaSitagliptin Phosphate | 76 | $100,385 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 162 | $92,006 |
| Tresiba Flextouch U-200Insulin Degludec | 51 | $64,147 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 367 | $61,041 |
| Tresiba Flextouch U-100Insulin Degludec | 70 | $58,257 |
| ProliaDenosumab | 34 | $58,142 |
| Novolog FlexpenInsulin Aspart | 160 | $53,017 |
| Humulin R U-500Insulin Regular, Human | 16 | $47,357 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $37,810 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Humalog, Insulin Lispro | $467 | $626,625554 claims |
| Novo NordiskOzempic, Novolog, Rybelsus, Fiasp | $100 | $555,978474 claims |
| Boehringer IngelheimJardiance, Tradjenta, Trijardy Xr | $97 | $267,205277 claims |
| AstraZenecaFarxiga | $83 | $173,063202 claims |
| AmgenProlia | $119 | $58,14234 claims |
| Sanofi-aventis U.S. LLCAdmelog | $293 | $9,47616 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $51 | $6,970508 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 90th percentile of 4,059 nurse practitioner providers in Pennsylvania.
Other nurse practitioner in Sayre
- Patricia ManganPhiladelphia$360K
- Lisa CocoPhiladelphia$230K
- Elisabeth BaidalPhiladelphia$151K
- Suzanne McGettiganPhiladelphia$108K
- Tracey WileyChambersburg$101K
- Pamela LorditchJohnstown$81K
- Nana BernaskoHershey$81K
- Dawn JeanneratClarion$78K
- Carolyn GrandePhiladelphia$71K
- Nicole WaetzmanStrafford$66K
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.