Gretchen Palmer
Women's Health · Austin, TXNPI 1932405354
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,726 of the $3,129 with a category attached, or 87.1%. It is spread thinly across 24 manufacturers, the largest accounting for just 14.4% — the pattern of someone who eats at a lot of different presentations. Among women's health clinicians in TX 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 165 payments — averaging $18.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$449
- Avion Pharmaceuticals$429
- Pfizer$401
- Lupin Inc.$341
- Mayne Pharma Commercial LLC$306
- Exeltis, USA Inc.$167
- plus $1K from 18 others
What the payments were for
- Consulting fees$31810%
- Food & beverage$2,72687%
- Education$853%
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 |
|---|---|---|
| Astellas Pharma US Inc | 20 | $449 |
| Avion Pharmaceuticals | 49 | $429 |
| Pfizer | 22 | $401 |
| Lupin Inc. | 4 | $341 |
| Mayne Pharma Commercial LLC | 17 | $306 |
| Exeltis, USA Inc. | 9 | $167 |
| Bayer | 1 | $114 |
| Hologic Sales And Service, LLC | 5 | $108 |
| Therapeuticsmd, Inc. | 6 | $97 |
| Evofem Biosciences, Inc. | 5 | $90 |
| Myriad Genetic Laboratories, Inc. | 1 | $89 |
| Sumitomo Pharma America, Inc. | 4 | $88 |
| AbbVie | 5 | $82 |
| Exact Sciences | 3 | $67 |
| Shield Therapeutics Inc | 2 | $59 |
| Millicent US Inc | 3 | $50 |
| Ascend Therapeutics US, LLC | 2 | $38 |
| Octapharma USA, Inc. | 1 | $32 |
| Organon | 1 | $27 |
| Myriad Women's Health, Inc. | 1 | $27 |
| Mission Pharmacal Company | 1 | $18 |
| Agile Therapeutics, Inc. | 1 | $17 |
| Amgen | 1 | $16 |
| Biogen | 1 | $16 |
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
$3,129 in reported general payments places this provider in the 90th percentile of 609 women's health providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol (Once Weekly)Estradiol | 11 | $1,320 |
| ProgesteroneProgesterone, Micronized | 18 | $588 |
| Estradiol | 13 | $267 |
Paid to pharmacies, not to this prescriber.
Other women's health in Austin
- Amanda ArmondAustin$17K
- Casey FriesenhahnAustin$5K
- Kelly ReaganAustin$4K
- Madison WebbAustin$4K
- Jenna CarneyAustin$3K
- Regan McFaulAustin$3K
- Evelyn TingGrapevine$89K
- Christina TrumanWaco$70K
- Kayla CastanedaEl Paso$53K
- Shelagh LarsonFort Worth$43K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.