Marion Thomas
Nurse Practitioner · Roanoke, VANPI 1821720715
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.2% of the total across 27 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by EMD Serono, Inc. at 55.1% of the total. 2025 is the largest year on record at $876, more than ten times the $32 reported in 2023.
Across 27 payments — averaging $44.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- EMD Serono, Inc.$660
- TG Therapeutics, Inc.$263
- Bristol Myers Squibb$64
- Novartis$50
- Boston Scientific$32
- Medtronic$31
- plus $100 from 5 others
What the payments were for
- Food & beverage$1,14095%
- Education$585%
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 |
|---|---|---|
| EMD Serono, Inc. | 9 | $660 |
| TG Therapeutics, Inc. | 5 | $263 |
| Bristol Myers Squibb | 3 | $64 |
| Novartis | 2 | $50 |
| Boston Scientific | 2 | $32 |
| Medtronic | 1 | $31 |
| AstraZeneca | 1 | $27 |
| Genentech USA, Inc. | 1 | $24 |
| ANI Pharmaceuticals, Inc. | 1 | $19 |
| Biogen | 1 | $17 |
| Argenx US, Inc. | 1 | $14 |
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
$1,198 in reported general payments places this provider in the 85th percentile of 2,166 nurse practitioner providers in Virginia.
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 |
|---|---|---|
| Nurtec OdtRimegepant Sulfate | 61 | $86,850 |
| UbrelvyUbrogepant | 35 | $50,940 |
| Aimovig AutoinjectorErenumab-Aooe | 43 | $32,223 |
| Emgality PenGalcanezumab-Gnlm | 39 | $30,852 |
| QuliptaAtogepant | 16 | $19,940 |
| Ajovy AutoinjectorFremanezumab-Vfrm | 11 | $14,027 |
| Ajovy SyringeFremanezumab-Vfrm | 17 | $12,783 |
| Eletriptan HbrEletriptan Hydrobromide | 11 | $3,404 |
| Sumatriptan Succinate | 99 | $3,131 |
| Gabapentin | 60 | $1,374 |
| Pyridostigmine Bromide | 13 | $1,372 |
| Propranolol Hcl ErPropranolol Hcl | 22 | $1,206 |
| RizatriptanRizatriptan Benzoate | 104 | $1,125 |
| Naratriptan Hcl | 14 | $1,046 |
| Topiramate | 75 | $1,020 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Roanoke
- Maria PhillipsRoanoke$7K
- William PauleyRoanoke$6K
- Samantha FoxGate City$207K
- Mikel GrayCharlottesville$174K
- Kevin BrigleRichmond$166K
- Denese GomesRichmond$126K
- Ashley CarmenAlexandria$99K
- Rachel AndersonCharlottesville$90K
- Megan FrancisArlington$81K
- Elizabeth WilletteNorfolk$58K
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.