Lesley Goulding
Nurse Practitioner · Rexburg, IDNPI 1043730302
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,988 of the $3,498 with a category attached, or 85.4%. It is spread thinly across 30 manufacturers, the largest accounting for just 13.6% — the pattern of someone who eats at a lot of different presentations. Among nurse practitioner clinicians in ID 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 158 payments — averaging $22.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$476
- Novartis$362
- Pfizer$294
- Johnson & Johnson$287
- Gilead$222
- Incyte Corporation$168
- plus $2K from 24 others
What the payments were for
- Food & beverage$2,98885%
- Education$51015%
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 |
|---|---|---|
| Merck | 24 | $476 |
| Novartis | 20 | $362 |
| Pfizer | 23 | $294 |
| Johnson & Johnson | 5 | $287 |
| Gilead(2 entities) | 6 | $222 |
| Incyte Corporation | 7 | $168 |
| AVEO Pharmaceuticals, Inc. | 3 | $161 |
| Tersera Therapeutics LLC | 8 | $159 |
| AstraZeneca | 7 | $126 |
| Jazz Pharmaceuticals Inc. | 1 | $125 |
| Seagen Inc. | 2 | $121 |
| AbbVie | 5 | $111 |
| Bristol Myers Squibb | 5 | $110 |
| E.r. Squibb & Sons, L.L.C. | 4 | $82 |
| Eisai Inc. | 5 | $82 |
| Daiichi Sankyo Inc. | 4 | $75 |
| Sanofi | 4 | $66 |
| Puma Biotechnology, Inc. | 4 | $65 |
| Lilly USA, LLC | 3 | $53 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $51 |
| Bayer | 2 | $47 |
| Boehringer Ingelheim | 2 | $40 |
| Myriad Genetic Laboratories, Inc. | 2 | $39 |
| Genentech USA, Inc. | 2 | $37 |
| GSK | 2 | $36 |
| Stemline Therapeutics Inc. | 2 | $33 |
| Amgen | 1 | $19 |
| Sobi, Inc | 1 | $18 |
| Regeneron Healthcare Solutions, Inc. | 1 | $18 |
| Medtronic | 1 | $13 |
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.
How this compares
$3,498 in reported general payments places this provider in the 90th percentile of 570 nurse practitioner providers in Idaho.
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 |
|---|---|---|
| LumakrasSotorasib | 11 | $239,709 |
| TagrissoOsimertinib Mesylate | 11 | $183,433 |
| EliquisApixaban | 29 | $21,324 |
| Letrozole | 37 | $943 |
| Tamoxifen Citrate | 32 | $806 |
| Ondansetron OdtOndansetron | 13 | $700 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $306 |
| Levothyroxine Sodium | 27 | $296 |
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 14 | $267 |
| Escitalopram Oxalate | 16 | $232 |
| Oxycodone Hcl | 18 | $206 |
| Gabapentin | 17 | $199 |
| Hydroxyurea | 12 | $188 |
| Omeprazole | 12 | $70 |
| Lorazepam | 13 | $69 |
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 |
|---|---|---|
| AmgenLumakras | $19 | $239,70911 claims |
| AstraZenecaTagrisso | $126 | $183,43311 claims |
| PfizerEliquis | $294 | $21,32429 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 90th percentile of 570 nurse practitioner providers in Idaho.
Other nurse practitioner in Rexburg
- Kathleen CliffordBoise$119K
- Alissa HelvikCoeur D Alene$93K
- Amanda ThompsonIdaho Falls$67K
- Micalena PerkinsBurley$44K
- Tosha JohnsonNampa$26K
- Loreen NugentBoise$20K
- Rachel RyanMeridian$19K
- Stephanie HartPost Falls$18K
- Joshua ScovilleTwin Falls$12K
- John PilcherBoise$11K
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.