Melissa Nihiser
Adult Health · Zephyrhills, FLNPI 1033458831
Payments from drug & device makers
Across 197 payments — averaging $18.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$621
- AbbVie$355
- Lilly USA, LLC$337
- Pfizer$282
- Amgen$232
- GSK$187
- plus $2K from 26 others
What the payments were for
- Food & beverage$3,695100%
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 |
|---|---|---|
| Novo Nordisk | 48 | $621 |
| AbbVie | 19 | $355 |
| Lilly USA, LLC | 18 | $337 |
| Pfizer | 17 | $282 |
| Amgen | 14 | $232 |
| GSK | 9 | $187 |
| Bayer | 7 | $186 |
| Cvrx, Inc. | 4 | $158 |
| Edwards Lifesciences | 3 | $121 |
| Boehringer Ingelheim | 6 | $117 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $110 |
| Astellas Pharma US Inc | 5 | $108 |
| Merck | 6 | $101 |
| Otsuka America Pharmaceutical, Inc. | 4 | $90 |
| Dexcom, Inc. | 3 | $84 |
| Almatica Pharma LLC | 3 | $56 |
| Phathom Pharmaceuticals, Inc. | 2 | $48 |
| Sanofi-aventis U.S. LLC | 2 | $48 |
| Renalytix AI, Inc. | 2 | $47 |
| Exact Sciences | 3 | $47 |
| Johnson & Johnson | 2 | $46 |
| Angiodynamics, Inc. | 1 | $43 |
| Novartis | 2 | $38 |
| Actelion Pharmaceuticals US, Inc. | 1 | $37 |
| Xeris Pharmaceuticals, Inc. | 2 | $33 |
| Esperion Therapeutics, Inc. | 2 | $32 |
| Sanofi | 1 | $28 |
| Axonics, Inc. | 1 | $26 |
| Sumitomo Pharma America, Inc. | 1 | $23 |
| Dynavax Technologies Corporation | 1 | $21 |
| AstraZeneca | 1 | $19 |
| Boston Scientific | 1 | $16 |
How this compares
$3,695 in reported general payments places this provider in the 85th percentile of 2,237 adult health providers in Florida.
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 |
|---|---|---|
| OzempicSemaglutide | 83 | $96,438 |
| RybelsusSemaglutide | 47 | $71,437 |
| EliquisApixaban | 33 | $49,086 |
| JanuviaSitagliptin Phosphate | 47 | $48,676 |
| TrulicityDulaglutide | 25 | $47,607 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 38 | $26,596 |
| XareltoRivaroxaban | 26 | $26,554 |
| FarxigaDapagliflozin Propanediol | 12 | $15,882 |
| JardianceEmpagliflozin | 16 | $15,620 |
| Fenofibrate | 43 | $8,058 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 11 | $6,730 |
| Levemir FlexpenInsulin Detemir | 22 | $6,161 |
| Levothyroxine Sodium | 396 | $4,422 |
| Atorvastatin Calcium | 418 | $3,862 |
| Omeprazole | 236 | $2,952 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $621 | $167,875130 claims |
| PfizerEliquis | $282 | $49,08633 claims |
| MerckJanuvia | $101 | $48,67647 claims |
| Lilly USA, LLCTrulicity | $337 | $47,60725 claims |
| GSKTrelegy Ellipta | $187 | $26,59638 claims |
| Johnson & JohnsonXarelto | $46 | $26,55426 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $19 | $22,61223 claims |
| Boehringer IngelheimJardiance | $117 | $15,62016 claims |
| AbbVieSynthroid | $355 | $2,52140 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 85th percentile of 2,237 adult health providers in Florida.
Other adult health in Zephyrhills
- Patricia PagnottaMaitland$441K
- Carly KoelschSarasota$265K
- Norma SolisMiami$150K
- Ashley PontenbergWinter Park$136K
- Jeffrey HernandezMiami$122K
- Jamie JohnsonTampa$58K
- Jessica MangesClearwater$52K
- Sita SwamyOrlando$49K
- Alejandro Dela CruzOrlando$44K
- Cynthia OteroMaitland$31K
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.