Joan Shepherd
Nurse Practitioner · Richmond, VANPI 1689838294
Payments from drug & device makers
Across 116 payments — averaging $22.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$461
- AbbVie$442
- Vanda Pharmaceuticals Inc.$326
- Alkermes, Inc.$247
- E.r. Squibb & Sons, L.L.C.$185
- Tris Pharma Inc$177
- plus $828 from 18 others
What the payments were for
- Food & beverage$2,65199%
- Education$151%
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 |
|---|---|---|
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 17 | $461 |
| AbbVie | 24 | $442 |
| Vanda Pharmaceuticals Inc. | 16 | $326 |
| Alkermes, Inc. | 14 | $247 |
| E.r. Squibb & Sons, L.L.C. | 6 | $185 |
| Tris Pharma Inc | 4 | $177 |
| Axsome Therapeutics, Inc. | 4 | $173 |
| Otsuka America Pharmaceutical, Inc. | 8 | $148 |
| Johnson & Johnson | 1 | $125 |
| Indivior Inc. | 3 | $63 |
| Almatica Pharma LLC | 2 | $34 |
| Teva Pharmaceuticals USA, Inc. | 2 | $34 |
| Idorsia Pharmaceuticals US Inc | 2 | $33 |
| Neos Therapeutics, LP | 2 | $31 |
| TMS Neurohealth Centers Inc. | 2 | $25 |
| Neurocrine Biosciences, Inc. | 1 | $23 |
| Gilead | 1 | $22 |
| Braeburn Inc. | 1 | $20 |
| Lundbeck LLC | 1 | $20 |
| Bausch Health US, LLC | 1 | $19 |
| Ironshore Pharmaceuticals Inc. | 1 | $17 |
| Collegium Pharmaceutical, Inc. | 1 | $17 |
| Avanir Pharmaceuticals, Inc. | 1 | $13 |
| Corium, LLC | 1 | $10 |
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.
- CAPLYTA$242
- Dyanavel XR$125
- Quillivant$125
- Quillichew ER$125
- INVEGA$125
- Fanapt$124
- Auvelity$121
- COBENFY$119
- VRAYLAR$116
How this compares
$2,666 in reported general payments places this provider in the 90th percentile of 2,166 nurse practitioner providers in Virginia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 22 | $1,481 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Richmond
- Kevin BrigleRichmond$166K
- Denese GomesRichmond$126K
- Angelica KubeRichmond$10K
- Kristin CrainRichmond$8K
- Kristin SeiglerRichmond$7K
- Michele CanfieldRichmond$6K
- Samantha FoxGate City$207K
- Mikel GrayCharlottesville$174K
- Ashley CarmenAlexandria$99K
- Rachel AndersonCharlottesville$90K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.