Melanie Shepard, PA
Physician Assistant · San Diego, CANPI 1366932113
Payments from drug & device makers
Across 56 payments — averaging $27.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$315
- AstraZeneca$292
- Organon$259
- Hologic Sales And Service, LLC$68
- Myriad Women's Health, Inc.$63
- Gilead$59
- plus $496 from 16 others
What the payments were for
- Food & beverage$1,551100%
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 |
|---|---|---|
| AbbVie | 15 | $315 |
| AstraZeneca | 9 | $292 |
| Organon | 2 | $259 |
| Hologic Sales And Service, LLC | 2 | $68 |
| Myriad Women's Health, Inc. | 1 | $63 |
| Gilead | 3 | $59 |
| Bayer | 3 | $57 |
| GSK | 2 | $55 |
| Idorsia Pharmaceuticals US Inc | 3 | $45 |
| Boehringer Ingelheim | 2 | $41 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $39 |
| Lilly USA, LLC | 2 | $38 |
| Exact Sciences | 1 | $33 |
| Otsuka America Pharmaceutical, Inc. | 1 | $30 |
| Antares Pharma, Inc. | 1 | $29 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $23 |
| Abbott | 1 | $20 |
| Xeris Pharmaceuticals, Inc. | 1 | $19 |
| Pfizer | 1 | $18 |
| Currax Pharmaceuticals LLC | 1 | $18 |
| Phadia US Inc. | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16 |
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
$1,551 in reported general payments places this provider in the 75th percentile of 10,423 physician assistant providers in California.
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 |
|---|---|---|
| JardianceEmpagliflozin | 29 | $38,904 |
| FarxigaDapagliflozin Propanediol | 20 | $18,982 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 18 | $11,477 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 11 | $8,895 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 61 | $1,367 |
| Atorvastatin Calcium | 89 | $1,036 |
| Levothyroxine Sodium | 59 | $806 |
| Omeprazole | 38 | $617 |
| Rosuvastatin Calcium | 49 | $615 |
| Bupropion XlBupropion Hcl | 20 | $538 |
| Metoprolol Succinate | 27 | $513 |
| Losartan Potassium | 52 | $395 |
| Metformin Hcl | 34 | $329 |
| Quetiapine Fumarate | 17 | $318 |
| Hydrochlorothiazide | 38 | $238 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $41 | $38,90429 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $292 | $30,46038 claims |
| GSKTrelegy Ellipta | $55 | $8,89511 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 75th percentile of 10,423 physician assistant providers in California.
Other physician assistant in San Diego
- Jeremy AdlerSan Diego$82K
- Anne DenslowSan Diego$43K
- Kathryn SmileySan Diego$33K
- John QuigleyDowney$2.9M
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
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.