Lauren-Shylene Luna Toscano
Nurse Practitioner · Niles, MINPI 1083960652
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 43 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 22 manufacturers, the largest accounting for just 10.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $276, 6.0 times the $46 reported in 2021.
Across 43 payments — averaging $17.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dexcom, Inc.$81
- Novo Nordisk$74
- Merck$61
- Supernus Pharmaceuticals, Inc.$57
- Boehringer Ingelheim$46
- AbbVie$46
- plus $400 from 16 others
What the payments were for
- Food & beverage$765100%
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 |
|---|---|---|
| Dexcom, Inc. | 4 | $81 |
| Novo Nordisk | 4 | $74 |
| Merck | 3 | $61 |
| Supernus Pharmaceuticals, Inc. | 3 | $57 |
| Boehringer Ingelheim | 3 | $46 |
| AbbVie | 2 | $46 |
| Bayer | 3 | $43 |
| Abbott | 2 | $43 |
| Ironshore Pharmaceuticals Inc. | 2 | $41 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $37 |
| Corium, LLC | 2 | $33 |
| AstraZeneca | 2 | $30 |
| Amgen | 2 | $28 |
| Lilly USA, LLC | 1 | $18 |
| Mylan Specialty L.p. | 1 | $18 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $18 |
| Genentech USA, Inc. | 1 | $17 |
| Exact Sciences | 1 | $15 |
| GSK | 1 | $15 |
| Phadia US Inc. | 1 | $15 |
| Lundbeck LLC | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $13 |
How this compares
$765 in reported general payments places this provider in the 75th percentile of 3,351 nurse practitioner providers in Michigan.
Other nurse practitioner in Niles
- Davida KrugerDetroit$739K
- Kari HillSpring Lake$426K
- Kyle FarrPlymouth$243K
- Linda SpencerTroy$217K
- Ellen DillardDetroit$168K
- Golbon AghamohammadiDetroit$157K
- Abubakir BabanDearborn$143K
- Lisa Astalos ChismWoodhaven$103K
- Martha GoetzPetoskey$101K
- Debra DegraffGrand Rapids$80K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.