Desiree Chappell
Nurse Anesthetist, Certified Registered · Louisville, KYNPI 1780861302
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $91,156 of the $120,217 with a category attached, or 75.8%. 9 manufacturers reported payments, led by BD at 49.7% of the total. 2025 is the largest year on record at $54,098, 9.0 times the $6,008 reported in 2021. Among nurse anesthetist, certified registered clinicians in KY 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 195 payments — averaging $616.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- BD$60K
- Edwards Lifesciences$51K
- Medtronic$9K
- Acacia Pharma Inc$214
- Avanos Medical$126
- Pacira Pharmaceuticals Incorporated$49
- plus $71 from 3 others
What the payments were for
- Consulting fees$91,15676%
- Speaking & faculty fees$2,8002%
- Travel & lodging$17,45715%
- Food & beverage$8,8047%
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 |
|---|---|---|
| BD | 60 | $59,792 |
| Edwards Lifesciences | 105 | $51,066 |
| Medtronic | 23 | $8,899 |
| Acacia Pharma Inc | 2 | $214 |
| Avanos Medical | 1 | $126 |
| Pacira Pharmaceuticals Incorporated | 1 | $49 |
| La Jolla Pharmaceutical Company | 1 | $38 |
| Vertex | 1 | $19 |
| Merck | 1 | $14 |
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.
- HemoSphere$1,856
- BYFAVO$204
- BARHEMSYS$204
- ON-Q* PUMP AND ACCESSORIES$126
How this compares
$120,217 in reported general payments places this provider in the 95th percentile of 1,053 nurse anesthetist, certified registered providers in Kentucky.
See all nurse anesthetist, certified registered providers in Kentucky →
Other nurse anesthetist, certified registered in Louisville
- Steven GarvinLouisville$22K
- Jennifer Harpe-BatesLouisville$10K
- Zohn CentimoleLouisville$7K
- Bessie ChristensenLouisville$7K
- Jana BrewerLouisville$6K
- Jennifer GiudiceLouisville$5K
- Christina RoachLouisville$5K
- Lisa MaherLouisville$4K
- Stephen EdelenLouisville$4K
- Kimberly PenningtonLouisville$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.