Kenneth Shephard, MD
Endocrinology, Diabetes & Metabolism · Miami, FLNPI 1568411262
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 200 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 24 manufacturers, the largest accounting for just 17.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $825 and has fallen 86.5% since, to $112 in 2025. That places this record below the midpoint for endocrinology, diabetes & metabolism clinicians in FL, where the typical reported total is $3,445.
Across 200 payments — averaging $16.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$551
- Novo Nordisk$478
- Insulet Corporation$370
- Abbott$217
- Medtronic$209
- Sanofi-aventis U.S. LLC$197
- plus $1K from 18 others
What the payments were for
- Food & beverage$3,14398%
- Education$562%
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 |
|---|---|---|
| Lilly USA, LLC | 28 | $551 |
| Novo Nordisk | 30 | $478 |
| Insulet Corporation | 30 | $370 |
| Abbott | 14 | $217 |
| Medtronic | 12 | $209 |
| Sanofi-aventis U.S. LLC | 11 | $197 |
| Merck | 27 | $196 |
| Bayer | 7 | $181 |
| Cequr Corporation | 3 | $115 |
| BD | 4 | $98 |
| Amgen | 6 | $98 |
| Mannkind Corporation | 5 | $82 |
| AbbVie | 4 | $66 |
| Dexcom, Inc. | 3 | $60 |
| Boehringer Ingelheim | 3 | $59 |
| Novartis | 2 | $47 |
| Zealand Pharma US, Inc. | 2 | $38 |
| Xeris Pharmaceuticals, Inc. | 2 | $29 |
| Amarin Pharma, Inc. | 2 | $25 |
| Lifescan, Inc. | 1 | $21 |
| Tandem Diabetes Care, Inc. | 1 | $20 |
| Astellas Pharma US Inc | 1 | $16 |
| Johnson & Johnson | 1 | $14 |
| AstraZeneca | 1 | $12 |
How this compares
$3,199 in reported general payments places this provider in the 45th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
See all endocrinology, diabetes & metabolism providers in Florida →
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 |
|---|---|---|
| MounjaroTirzepatide | 939 | $1,030,704 |
| OzempicSemaglutide | 851 | $863,686 |
| JardianceEmpagliflozin | 590 | $477,530 |
| SynjardyEmpagliflozin/Metformin Hcl | 403 | $244,425 |
| RybelsusSemaglutide | 222 | $243,618 |
| FarxigaDapagliflozin Propanediol | 202 | $164,088 |
| Tresiba Flextouch U-100Insulin Degludec | 302 | $154,682 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 159 | $127,976 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 140 | $110,094 |
| Trijardy XrEmpaglifloz/Linaglip/Metformin | 176 | $106,300 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 72 | $105,025 |
| ProliaDenosumab | 59 | $101,675 |
| TradjentaLinagliptin | 110 | $92,505 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 103 | $89,854 |
| TrulicityDulaglutide | 69 | $87,053 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $551 | $1,133,0401,049 claims |
| Novo NordiskOzempic, Rybelsus, Novolog | $478 | $1,116,8161,108 claims |
| Boehringer IngelheimJardiance, Synjardy, Synjardy Xr, Trijardy Xr, Tradjenta | $59 | $1,102,7931,525 claims |
| AstraZenecaFarxiga | $12 | $164,088202 claims |
| AmgenProlia | $98 | $101,67559 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $197 | $89,854103 claims |
| MerckJanuvia, Janumet, Janumet Xr | $196 | $48,60559 claims |
| BayerKerendia | $181 | $45,32261 claims |
| AbbVieSynthroid | $66 | $28,454300 claims |
| Mannkind CorporationAfrezza | $82 | $18,00415 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 45th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
Other endocrinology, diabetes & metabolism in Miami
- Jay SkylerMiami$2.2M
- Eugenio Angueira-SerranoMiami$603K
- Rodolfo GalindoMiami$229K
- Camillo RicordiMiami$128K
- Arelis MaderaPort Charlotte$1.7M
- Damon TantonOrlando$1.2M
- Gaston PonteMelbourne$906K
- Brian LakeLargo$888K
- David SuttonJacksonville$783K
- Mae Sheikh AliJacksonville$751K
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.