Lacey Nobles, PA
Physician Assistant · Houston, TXNPI 1215488721
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,025 of the $7,857 with a category attached, or 89.4%. 14 manufacturers reported payments, led by Abiomed at 24.5% of the total. 2025 is the largest year on record at $3,592, 4.8 times the $746 reported in 2021. Among physician assistant 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 99 payments — averaging $79.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$2K
- Baxter Healthcare$1K
- BD$1K
- Atricure, Inc.$1K
- Getinge USA Sales, LLC$938
- Edwards Lifesciences$482
- plus $878 from 8 others
What the payments were for
- Travel & lodging$83211%
- Food & beverage$7,02589%
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 |
|---|---|---|
| Abiomed | 24 | $1,923 |
| Baxter Healthcare | 16 | $1,339 |
| BD | 9 | $1,240 |
| Atricure, Inc. | 12 | $1,058 |
| Getinge USA Sales, LLC | 16 | $938 |
| Edwards Lifesciences | 5 | $482 |
| Abbott | 4 | $286 |
| Zimmer Biomet | 3 | $173 |
| Biom'up France SAS | 2 | $166 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $115 |
| Johnson & Johnson | 3 | $55 |
| Bolton Medical Inc | 1 | $35 |
| Medtronic | 1 | $26 |
| Lemaitre Vascular, Inc. | 1 | $21 |
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.
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$624
- PREVELEAK$473
- Impella$383
- MITRIS RESILIA Mitral Valve$244
- Vasoview Hemopro 2$220
- ATRICLIP LAA EXCLUSION SYSTEM$178
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$159
- HemoBlast Bellows$151
- INSPIRIS RESILIA aortic valve$148
- FLOSEAL$135
- PerClot$126
- SYNERGY ABLATION SYSTEM$120
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$120
- SternaLock Blu$105
How this compares
$7,857 in reported general payments places this provider in the 90th percentile of 8,308 physician assistant 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 |
|---|---|---|
| Metoprolol Succinate | 23 | $236 |
| Metoprolol Tartrate | 33 | $152 |
| ClopidogrelClopidogrel Bisulfate | 15 | $150 |
| Atorvastatin Calcium | 18 | $95 |
| Tramadol Hcl | 34 | $65 |
| Furosemide | 17 | $60 |
| Potassium Chloride | 15 | $54 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Houston
- Simone SteeleHouston$237K
- Amanda WilhiteHouston$207K
- Christina YazdaniHouston$72K
- Julie Huynh-LuHouston$64K
- Jennifer FalconeHouston$48K
- Jacqueline WeatherlyHouston$47K
- Samantha SalvatoraHouston$45K
- Virginia SchneiderHouston$43K
- Jill MillerHouston$32K
- Mercedes SerranoHouston$28K
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.