Karen Miele
Nurse Practitioner · Dallas, TXNPI 1053009688
Payments from drug & device makers
Across 63 payments — averaging $21.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Collegium Pharmaceutical, Inc.$453
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$199
- Medtronic$163
- AbbVie$121
- Pfizer$82
- Vertex$81
- plus $225 from 9 others
What the payments were for
- Food & beverage$1,325100%
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc. | 26 | $453 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 8 | $199 |
| Medtronic | 2 | $163 |
| AbbVie | 7 | $121 |
| Pfizer | 5 | $82 |
| Vertex | 4 | $81 |
| Boston Scientific | 2 | $38 |
| Valinor Pharma, LLC | 2 | $36 |
| Averitas Pharma Inc. | 1 | $30 |
| Orexo US, Inc. | 1 | $25 |
| Avanos Medical | 1 | $23 |
| Fidia Pharma USA Inc. | 1 | $20 |
| Bioventus LLC | 1 | $20 |
| Hikma Pharmaceuticals USA | 1 | $17 |
| Neuronetics, Inc. | 1 | $17 |
How this compares
$1,325 in reported general payments places this provider in the 80th percentile of 5,422 nurse practitioner providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Piroxicam | 40 | $18,574 |
| MovantikNaloxegol Oxalate | 16 | $11,613 |
| Calcipotriene | 23 | $7,681 |
| Lubiprostone | 26 | $3,841 |
| Gabapentin | 163 | $2,858 |
| Tizanidine Hcl | 162 | $2,149 |
| Lidocaine | 17 | $1,952 |
| Naloxone Hcl | 28 | $1,902 |
| Methocarbamol | 64 | $1,295 |
| Ondansetron OdtOndansetron | 35 | $1,074 |
| Cyclobenzaprine Hcl | 115 | $1,058 |
| Baclofen | 28 | $823 |
| Diclofenac Sodium | 19 | $819 |
| Topiramate | 14 | $405 |
| Duloxetine Hcl | 22 | $384 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Dallas
- Samantha OnealDallas$133K
- Tam TranDallas$37K
- Tobin SpeightDallas$35K
- Rachel TiuDallas$19K
- Cecilia DavisAustin$262K
- Melanie MorrisHouston$254K
- Stephanie BrownHarlingen$235K
- Brittney MisercolaKilleen$223K
- Roger ChapmanTyler$211K
- Kelly BrassilHouston$194K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.