Elizabeth Meadows
Advanced Practice Midwife · St Augustine, FLNPI 1992967541
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 67 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 20 manufacturers, the largest accounting for just 17.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $390 and has fallen 65.4% since, to $135 in 2025. Among advanced practice midwife clinicians in FL 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 67 payments — averaging $19.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$226
- Hologic Sales And Service, LLC$133
- Mayne Pharma Commercial LLC$131
- Bayer$130
- Abbott$117
- Astellas Pharma US Inc$103
- plus $450 from 14 others
What the payments were for
- Food & beverage$1,291100%
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 |
|---|---|---|
| AbbVie | 12 | $226 |
| Hologic Sales And Service, LLC | 8 | $133 |
| Mayne Pharma Commercial LLC | 6 | $131 |
| Bayer | 8 | $130 |
| Abbott | 1 | $117 |
| Astellas Pharma US Inc | 5 | $103 |
| Agile Therapeutics, Inc. | 4 | $54 |
| Pfizer | 3 | $53 |
| Therapeuticsmd, Inc. | 3 | $53 |
| Organon | 3 | $50 |
| Coopersurgical, Inc. | 2 | $41 |
| Daiichi Sankyo Inc. | 2 | $37 |
| Optumhealth Care Solutions, LLC | 1 | $34 |
| Scynexis, Inc. | 2 | $25 |
| Avion Pharmaceuticals | 2 | $25 |
| Evofem Biosciences, Inc. | 1 | $17 |
| Sumitomo Pharma America, Inc. | 1 | $17 |
| Exact Sciences | 1 | $16 |
| KCI USA, Inc. | 1 | $16 |
| Exeltis, USA Inc. | 1 | $13 |
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.
- PROCLAIM$117
How this compares
$1,291 in reported general payments places this provider in the 90th percentile of 579 advanced practice midwife providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol (Twice Weekly)Estradiol | 18 | $1,303 |
| Estradiol | 12 | $714 |
| Medroxyprogesterone Acetate | 11 | $190 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in St Augustine
- Jessica DeanSt Augustine$2K
- Laura RussellBrandon$118K
- Renita GreenTampa$7K
- Jillian JerniganMilton$6K
- Jessica BrumleyTampa$5K
- Cristina PalermitiZephyrhills$5K
- Ilona BlumbergBoynton Beach$4K
- Jacinta FeldmanDeland$3K
- Erin FinchLake Mary$3K
- Kristin NoblesOcala$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.