Meagan Culpepper
Nurse Practitioner · Tyler, TXNPI 1861929234
Payments from drug & device makers
Across 240 payments — averaging $17.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biohaven Pharmaceutical Holding Company Ltd.$1K
- AbbVie$707
- Novo Nordisk$315
- Amgen$284
- Merck$235
- Esperion Therapeutics, Inc.$210
- plus $948 from 21 others
What the payments were for
- Consulting fees$80020%
- Travel & lodging$3288%
- Food & beverage$2,96672%
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 |
|---|---|---|
| Biohaven Pharmaceutical Holding Company Ltd. | 15 | $1,394 |
| AbbVie | 59 | $707 |
| Novo Nordisk | 44 | $315 |
| Amgen(2 entities) | 29 | $284 |
| Merck | 15 | $235 |
| Esperion Therapeutics, Inc. | 16 | $210 |
| Bayer | 10 | $157 |
| Amarin Pharma, Inc. | 10 | $136 |
| Novartis | 7 | $127 |
| Biohaven Pharmaceuticals, Inc. | 4 | $71 |
| Boehringer Ingelheim | 4 | $64 |
| Abbott | 3 | $55 |
| Teva Pharmaceuticals USA, Inc. | 2 | $48 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $45 |
| Lilly USA, LLC | 2 | $30 |
| Lundbeck LLC | 2 | $27 |
| Arbor Pharmaceuticals, Inc. | 2 | $24 |
| Kowa Pharmaceuticals America, Inc. | 2 | $23 |
| Genentech USA, Inc. | 3 | $22 |
| Medtronic | 1 | $19 |
| Nevro Corp. | 1 | $18 |
| Vertex | 1 | $16 |
| Astellas Pharma US Inc | 1 | $15 |
| Mylan Specialty L.p. | 1 | $14 |
| Eisai Inc. | 1 | $14 |
| Johnson & Johnson | 1 | $14 |
| Nestle Healthcare Nutrition Inc. | 1 | $12 |
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.
- NURTEC ODT$1,104
How this compares
$4,095 in reported general payments places this provider in the 90th percentile of 5,422 nurse practitioner 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 |
|---|---|---|
| Mupirocin | 36 | $222 |
| Ciprofloxacin Hcl | 45 | $192 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 21 | $165 |
| Potassium Chloride | 19 | $80 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Tyler
- Roger ChapmanTyler$211K
- David McCaskillTyler$27K
- Cecilia DavisAustin$262K
- Melanie MorrisHouston$254K
- Stephanie BrownHarlingen$235K
- Brittney MisercolaKilleen$223K
- Kelly BrassilHouston$194K
- Corrie BerkSan Antonio$155K
- Samantha OnealDallas$133K
- Monica WhiteLongview$118K
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.