Debra Adams
Family · Fredericksburg, VANPI 1932330339
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.0% of the total across 205 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 20.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $4,659, more than ten times the $12 reported in 2021. Among family clinicians in VA 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 205 payments — averaging $30.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Mallinckrodt Hospital Products Inc.$515
- ANI Pharmaceuticals, Inc.$479
- GSK$433
- Novo Nordisk$369
- Amgen$343
- plus $3K from 23 others
What the payments were for
- Food & beverage$6,07797%
- Education$1913%
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 |
|---|---|---|
| AstraZeneca | 34 | $1,305 |
| Mallinckrodt Hospital Products Inc. | 11 | $515 |
| ANI Pharmaceuticals, Inc. | 15 | $479 |
| GSK | 23 | $433 |
| Novo Nordisk | 6 | $369 |
| Amgen | 13 | $343 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $282 |
| United Therapeutics Corporation | 8 | $266 |
| Regeneron Healthcare Solutions, Inc. | 9 | $262 |
| Actelion Pharmaceuticals US, Inc. | 9 | $240 |
| Insmed, Inc. | 9 | $228 |
| Pulmonx Corporation | 2 | $201 |
| Sanofi | 6 | $172 |
| Harmony Biosciences LLC | 7 | $163 |
| Boehringer Ingelheim | 7 | $155 |
| Lilly USA, LLC | 2 | $137 |
| Verona Pharma, Inc. | 6 | $122 |
| Bayer | 5 | $97 |
| Axsome Therapeutics, Inc. | 4 | $96 |
| Viatris Specialty LLC | 5 | $96 |
| Pfizer | 3 | $59 |
| Electromed, Inc. | 4 | $58 |
| Myriad Genetic Laboratories, Inc. | 1 | $39 |
| Avadel CNS Pharmaceuticals, LLC | 2 | $35 |
| Paratek Pharmaceuticals, Inc. | 2 | $34 |
| Baxter Healthcare | 1 | $30 |
| Melinta Therapeutics, LLC | 1 | $28 |
| AMAG Pharmaceuticals, Inc. | 1 | $12 |
| Itamar Medical Inc | 1 | $11 |
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.
- AIRSUPRA$243
- Wegovy$232
- CHARTIS CATHETER$167
- ZEPHYR DELIVERY CATHETER$167
- ZEPHYR ENDOBRONCHIAL VALVE$167
- PULMONX CHARTIS TABLET CONSOLE$167
- BREZTRI$125
- ZEPBOUND$122
- ACTHAR$120
- TEZSPIRE$107
- Repatha$106
How this compares
$6,268 in reported general payments places this provider in the 95th percentile of 4,332 family providers in Virginia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Albuterol Sulfate HfaAlbuterol Sulfate | 18 | $361 |
| Prednisone | 19 | $57 |
Paid to pharmacies, not to this prescriber.
Other family in Fredericksburg
- Kaitlynn AgeeFredericksburg$11K
- Andrea CottonVirginia Beach$696K
- Susan MooreWytheville$438K
- Ellen WermterCharlottesville$251K
- Dana StallingsFranklin$225K
- Jocelyn BrackettHerndon$199K
- Hochong Smith GillesRichmond$131K
- Sean OlaughlinMidlothian$110K
- Adam MedlinHampton$67K
- Casey SharpDanville$63K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.