Debra Narcisse, NP
Adult Health · Albuquerque, NMNPI 1306039623
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 140 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 31 manufacturers, the largest accounting for just 16.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,051, more than ten times the $16 reported in 2021. Among adult health clinicians in NM 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 140 payments — averaging $34.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$787
- GSK$491
- AstraZeneca$421
- Lilly USA, LLC$356
- Pfizer$342
- Phathom Pharmaceuticals, Inc.$200
- plus $2K from 25 others
What the payments were for
- Food & beverage$4,810100%
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 | 34 | $787 |
| GSK | 13 | $491 |
| AstraZeneca | 9 | $421 |
| Lilly USA, LLC | 13 | $356 |
| Pfizer | 10 | $342 |
| Phathom Pharmaceuticals, Inc. | 2 | $200 |
| AbbVie | 4 | $185 |
| Otsuka America Pharmaceutical, Inc. | 3 | $169 |
| Madrigal Pharmaceuticals | 2 | $162 |
| Medtronic | 1 | $150 |
| Neurocrine Biosciences, Inc. | 2 | $134 |
| Exact Sciences | 8 | $134 |
| Astellas Pharma US Inc | 5 | $125 |
| Biogen | 1 | $118 |
| Abiomed | 1 | $114 |
| Neurelis, Inc. | 1 | $106 |
| Acadia Pharmaceuticals Inc | 1 | $93 |
| Ultragenyx Pharmaceutical Inc. | 2 | $86 |
| Lundbeck LLC | 4 | $84 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $78 |
| Sanofi Pasteur Inc. | 3 | $77 |
| Boehringer Ingelheim | 3 | $64 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $64 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $50 |
| Bayer | 3 | $49 |
| Novartis | 2 | $43 |
| Merck | 3 | $42 |
| Boston Scientific | 1 | $26 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $24 |
| BD | 1 | $18 |
| Jazz Pharmaceuticals Inc. | 1 | $17 |
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
$4,810 in reported general payments places this provider in the 90th percentile of 52 adult health providers in New Mexico.
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 |
|---|---|---|
| XareltoRivaroxaban | 30 | $35,853 |
| JardianceEmpagliflozin | 30 | $35,554 |
| EliquisApixaban | 39 | $34,482 |
| RexultiBrexpiprazole | 15 | $23,260 |
| MyrbetriqMirabegron | 16 | $10,472 |
| SymbicortBudesonide/Formoterol Fumarate | 19 | $5,138 |
| Levothyroxine Sodium | 346 | $4,532 |
| Olanzapine | 13 | $3,527 |
| Atorvastatin Calcium | 279 | $3,259 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $2,979 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 66 | $2,661 |
| Novolog FlexpenInsulin Aspart | 16 | $2,480 |
| Rosuvastatin Calcium | 205 | $2,294 |
| Losartan Potassium | 197 | $2,258 |
| Lisinopril | 329 | $2,042 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $64 | $35,55430 claims |
| PfizerEliquis | $342 | $34,48239 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $169 | $23,26015 claims |
| Astellas Pharma US IncMyrbetriq | $125 | $10,47216 claims |
| AstraZenecaSymbicort | $421 | $5,13819 claims |
| Lilly USA, LLCOlanzapine | $356 | $3,52713 claims |
| AbbVieSynthroid | $185 | $72126 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 52 adult health providers in New Mexico.
Other adult health in Albuquerque
- Elizabeth EvansAlbuquerque$9K
- Leslie DorkAlbuquerque$7K
- Stephanie MahootyAlbuquerque$6K
- Sara RogersAlbuquerque$2K
- Theresa CastlemainAlbuquerque$2K
- Melissa TorresAlbuquerque$2K
- Deborah AnayaAlbuquerque$1K
- Clyde SanchezAlbuquerque$1K
- Sheila MisraAlbuquerque$1K
- Michele HeadAlbuquerque$992
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.