Elizabeth Muchmore
Physician Assistant · St Augustine, FLNPI 1306228952
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.7% of the total across 255 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 21.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,406 and has fallen 67.2% since, to $461 in 2025.
Across 255 payments — averaging $16.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teva Pharmaceuticals USA, Inc.$899
- Eisai Inc.$507
- Novartis$414
- EMD Serono, Inc.$322
- Pfizer$237
- Lilly USA, LLC$208
- plus $2K from 23 others
What the payments were for
- Food & beverage$4,08999%
- Education$541%
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | 81 | $899 |
| Eisai Inc. | 38 | $507 |
| Novartis | 18 | $414 |
| EMD Serono, Inc. | 26 | $322 |
| Pfizer | 14 | $237 |
| Lilly USA, LLC | 8 | $208 |
| AbbVie | 13 | $206 |
| E.r. Squibb & Sons, L.L.C. | 2 | $152 |
| SK Life Science, Inc. | 7 | $141 |
| Vantive US Healthcare LLC | 1 | $132 |
| Corium, LLC | 9 | $130 |
| Travere Therapeutics, Inc. | 6 | $82 |
| Argenx US, Inc. | 4 | $80 |
| Otsuka America Pharmaceutical, Inc. | 3 | $74 |
| Catalyst Pharmaceuticals, Inc. | 3 | $70 |
| Amneal Pharmaceuticals LLC | 3 | $62 |
| Calliditas Therapeutics US Inc. | 2 | $57 |
| Tanabe Pharma America, Inc. | 2 | $49 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $45 |
| OPKO Pharmaceuticals, LLC | 2 | $41 |
| Bristol Myers Squibb | 2 | $37 |
| Amgen | 2 | $34 |
| Vifor Pharma, Inc. | 1 | $31 |
| Lundbeck LLC | 1 | $30 |
| Boehringer Ingelheim | 1 | $28 |
| Avion Pharmaceuticals | 1 | $24 |
| Merz Pharmaceuticals, LLC | 1 | $20 |
| Kyowa Kirin, Inc. | 1 | $18 |
| MDD US Operations, LLC | 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.
- Renal - PD$132
How this compares
$4,143 in reported general payments places this provider in the 85th percentile of 8,062 physician assistant providers in Florida.
Other physician assistant in St Augustine
- Audrey BeckerSt Augustine$689K
- Kevin WilliamsTampa$647K
- Brian BonomoLecanto$559K
- Melissa SingletonOcala$482K
- Reeli ReinuMaitland$427K
- Jeanelle KingMiami$424K
- Risha BellomoOrlando$397K
- Jason BergerClearwater$344K
- Ashley MillerGainesville$328K
- Nicole HillOrlando$319K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.