Lori Middleton, NP
Nurse Practitioner · Hendersonville, TNNPI 1780631945
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $858 of the $1,085 with a category attached, or 79.1%. It is spread thinly across 12 manufacturers, the largest accounting for just 20.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $557 and has fallen 69.1% since, to $172 in 2025.
Across 23 payments — averaging $47.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$226
- Teva Pharmaceuticals USA, Inc.$146
- AbbVie$125
- Otsuka America Pharmaceutical, Inc.$124
- Acadia Pharmaceuticals Inc$102
- AstraZeneca$90
- plus $272 from 6 others
What the payments were for
- Travel & lodging$22621%
- Food & beverage$85879%
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 |
|---|---|---|
| Intuitive Surgical | 2 | $226 |
| Teva Pharmaceuticals USA, Inc. | 2 | $146 |
| AbbVie | 1 | $125 |
| Otsuka America Pharmaceutical, Inc. | 1 | $124 |
| Acadia Pharmaceuticals Inc | 2 | $102 |
| AstraZeneca | 4 | $90 |
| Genentech USA, Inc. | 3 | $75 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $71 |
| GSK | 2 | $61 |
| Ionis Pharmaceuticals, Inc. | 1 | $29 |
| Optinose US, Inc. | 1 | $19 |
| Biocryst US Sales Co., LLC | 1 | $17 |
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.
- Da Vinci Surgical System$220
- Rinvoq$125
- Austedo XR$124
- REXULTI$124
How this compares
$1,085 in reported general payments places this provider in the 70th percentile of 2,662 nurse practitioner providers in Tennessee.
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 |
|---|---|---|
| Duloxetine Hcl | 64 | $3,231 |
| Divalproex Sodium | 54 | $3,130 |
| Buspirone Hcl | 60 | $2,068 |
| Mirtazapine | 35 | $1,545 |
| Sertraline Hcl | 43 | $1,163 |
| Olanzapine | 30 | $1,020 |
| Trazodone Hcl | 59 | $888 |
| Aripiprazole | 26 | $690 |
| Escitalopram Oxalate | 38 | $493 |
| Ziprasidone Hcl | 11 | $428 |
| Quetiapine Fumarate | 13 | $288 |
| Fluoxetine Hcl | 13 | $200 |
| Risperidone | 15 | $192 |
| Fluticasone Propionate | 11 | $174 |
| Lamotrigine | 11 | $172 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Hendersonville
- Amy HatcherMurfreesboro$1.1M
- Karen RodenKnoxville$265K
- Susan UtleyNashville$194K
- Whitney EricksonMemphis$159K
- Erica HembreeKnoxville$125K
- Brooke FaughtNashville$87K
- Lauren WelchNashville$71K
- Cara StoutKingsport$71K
- S Marie HamiltonOoltewah$64K
- Cynthia WilsonChattanooga$62K
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.