Melissa Packwood, PA
Medical · Louisville, KYNPI 1518963073
Payments from drug & device makers
Across 112 payments — averaging $21.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$483
- Mayne Pharma Commercial LLC$370
- Biogen$202
- Pfizer$187
- AbbVie$180
- Amgen$122
- plus $818 from 19 others
What the payments were for
- Food & beverage$2,27196%
- Education$914%
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 |
|---|---|---|
| Astellas Pharma US Inc | 17 | $483 |
| Mayne Pharma Commercial LLC | 17 | $370 |
| Biogen | 9 | $202 |
| Pfizer | 10 | $187 |
| AbbVie | 6 | $180 |
| Amgen | 1 | $122 |
| Exeltis, USA Inc. | 8 | $114 |
| Organon | 6 | $102 |
| Bayer | 6 | $94 |
| Hologic Sales And Service, LLC | 5 | $87 |
| Merck | 4 | $79 |
| Avion Pharmaceuticals | 5 | $63 |
| Exact Sciences | 4 | $58 |
| Sumitomo Pharma America, Inc. | 3 | $49 |
| Shield Therapeutics Inc | 1 | $20 |
| Medicem Inc. | 1 | $19 |
| Novo Nordisk | 1 | $18 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $17 |
| Kerecis Limited | 1 | $16 |
| Therapeuticsmd, Inc. | 1 | $15 |
| Sanofi Pasteur Inc. | 1 | $14 |
| Radius Health, Inc. | 1 | $13 |
| Sage Therapeutics, LLC | 1 | $13 |
| Pacira Pharmaceuticals Incorporated | 1 | $13 |
| Evofem Biosciences, 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.
How this compares
$2,362 in reported general payments places this provider in the 65th percentile of 222 medical providers in Kentucky.
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 |
|---|---|---|
| Estradiol | 63 | $4,033 |
| Ibandronate Sodium | 20 | $792 |
| Raloxifene Hcl | 19 | $714 |
| ProgesteroneProgesterone, Micronized | 14 | $328 |
| ValacyclovirValacyclovir Hcl | 11 | $252 |
| Alendronate Sodium | 13 | $25 |
Paid to pharmacies, not to this prescriber.
Other medical in Louisville
- Alexandra HuettLouisville$13K
- Mitzi CarterLouisville$5K
- Kristen YoungLouisville$5K
- Kacie LawLouisville$4K
- Lindsey KraftLouisville$4K
- Elizabeth ArnoldLouisville$3K
- Kristen HordLouisville$3K
- William BriggsLouisville$3K
- Mikal BaileyPaducah$84K
- Kyle HeraldBowling Green$65K
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.