Michelle Starke
Gynecology · Coral Gables, FLNPI 1457337271
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.6% of the total across 147 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 26 manufacturers, the largest accounting for just 20.7% — the pattern of someone who eats at a lot of different presentations.
Across 147 payments — averaging $24.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$730
- Mayne Pharma Commercial LLC$599
- Astellas Pharma US Inc$489
- Vertical Pharmaceuticals, LLC$248
- Therapeuticsmd, Inc.$247
- Millicent US Inc$127
- plus $1K from 20 others
What the payments were for
- Food & beverage$3,19891%
- Education$2778%
- Gifts$532%
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(2 entities) | 36 | $730 |
| Mayne Pharma Commercial LLC | 14 | $599 |
| Astellas Pharma US Inc | 16 | $489 |
| Vertical Pharmaceuticals, LLC | 13 | $248 |
| Therapeuticsmd, Inc. | 8 | $247 |
| Millicent US Inc | 7 | $127 |
| Novo Nordisk | 6 | $126 |
| Exact Sciences | 5 | $120 |
| Coopersurgical, Inc. | 6 | $116 |
| Hologic Sales And Service, LLC | 7 | $112 |
| AMAG Pharmaceuticals, Inc. | 4 | $93 |
| Evofem Biosciences, Inc. | 5 | $89 |
| Myovant Sciences Inc. | 3 | $82 |
| Acella Pharmaceuticals, LLC | 3 | $66 |
| Ascend Therapeutics US, LLC | 2 | $53 |
| Mylan Pharmaceuticals Inc. | 2 | $49 |
| Mycovia Pharmaceuticals, Inc. | 1 | $31 |
| Bayer | 1 | $25 |
| Scynexis, Inc. | 1 | $19 |
| IBSA Pharma Inc. | 1 | $17 |
| Virtus Pharmaceuticals LLC | 1 | $17 |
| Lupin Inc. | 1 | $16 |
| Merck | 1 | $16 |
| Lilly USA, LLC | 1 | $15 |
| Duchesnay USA Incorporated | 1 | $12 |
| Avion Pharmaceuticals | 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.
- NEXTSTELLIS$122
- BIJUVA$122
How this compares
$3,528 in reported general payments places this provider in the 80th percentile of 290 gynecology providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol (Twice Weekly)Estradiol | 48 | $3,578 |
| ProgesteroneProgesterone, Micronized | 91 | $3,241 |
| Estradiol | 35 | $2,047 |
Paid to pharmacies, not to this prescriber.
Other gynecology in Coral Gables
- Aileen CaceresKissimmee$406K
- Parveen VahoraNew Port Richey$327K
- James KondrupVenice$310K
- Andrea GallowayThe Villages$252K
- Jessica VaughtOrlando$129K
- Steven ChavoustieMiami$113K
- Marshall BovelskyMelbourne$52K
- Minda NeimarkFt Lauderdale$46K
- Meenakshi JainSt Petersburg$35K
- Michael SpragueWeston$34K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.