Michelle Twombly
Family · Strongsville, OHNPI 1467409896
Payments from drug & device makers
Across 209 payments — averaging $17.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$588
- AstraZeneca$410
- Novo Nordisk$373
- Lilly USA, LLC$289
- Bayer$258
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$196
- plus $2K from 24 others
What the payments were for
- Food & beverage$3,59698%
- Education$852%
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 | 41 | $588 |
| AstraZeneca | 17 | $410 |
| Novo Nordisk | 21 | $373 |
| Lilly USA, LLC | 19 | $289 |
| Bayer | 13 | $258 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 10 | $196 |
| GSK | 9 | $153 |
| Merck | 10 | $152 |
| Astellas Pharma US Inc | 6 | $147 |
| Exact Sciences | 6 | $124 |
| Johnson & Johnson | 6 | $121 |
| Boehringer Ingelheim | 7 | $107 |
| Currax Pharmaceuticals LLC | 7 | $98 |
| Pfizer | 5 | $94 |
| Idorsia Pharmaceuticals US Inc | 5 | $87 |
| Teva Pharmaceuticals USA, Inc. | 3 | $57 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $53 |
| Dexcom, Inc. | 2 | $50 |
| Axsome Therapeutics, Inc. | 2 | $48 |
| Sumitomo Pharma America, Inc. | 2 | $39 |
| Novartis | 2 | $36 |
| Biohaven Pharmaceuticals, Inc. | 2 | $33 |
| Sunovion Pharmaceuticals Inc. | 2 | $32 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $31 |
| Jazz Pharmaceuticals Inc. | 2 | $27 |
| Amarin Pharma, Inc. | 1 | $22 |
| Amgen | 1 | $18 |
| Noven Therapeutics, LLC | 1 | $17 |
| Lundbeck LLC | 1 | $15 |
| Genentech USA, Inc. | 1 | $6 |
How this compares
$3,681 in reported general payments places this provider in the 90th percentile of 6,812 family providers in Ohio.
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 | 21 | $21,600 |
| MounjaroTirzepatide | 20 | $20,436 |
| FarxigaDapagliflozin Propanediol | 12 | $17,253 |
| OzempicSemaglutide | 13 | $15,780 |
| EliquisApixaban | 22 | $12,860 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 23 | $3,530 |
| Rosuvastatin Calcium | 98 | $1,897 |
| Atorvastatin Calcium | 127 | $1,766 |
| Tizanidine Hcl | 80 | $1,490 |
| PaxlovidNirmatrelvir/Ritonavir | 11 | $1,370 |
| Lisinopril | 146 | $1,165 |
| Levothyroxine Sodium | 109 | $994 |
| SynthroidLevothyroxine Sodium | 11 | $920 |
| Omeprazole | 57 | $885 |
| Amlodipine Besylate | 119 | $884 |
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 | $107 | $21,60021 claims |
| Lilly USA, LLCMounjaro | $289 | $20,43620 claims |
| AstraZenecaFarxiga | $410 | $17,25312 claims |
| Novo NordiskOzempic | $373 | $15,78013 claims |
| PfizerEliquis, Paxlovid | $94 | $14,23033 claims |
| AbbVieSynthroid | $588 | $92011 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 90th percentile of 6,812 family providers in Ohio.
Other family in Strongsville
- Eileen FauldsLewis Center$991K
- Leigh Ann PanschDayton$670K
- Natalie BelliniMayfield Heights$582K
- Kaitlyn LovettMontgomery$286K
- Amy RossDayton$281K
- Renee OttSandusky$179K
- Megan MillerSpringfield$156K
- George KnightCincinnati$130K
- Jillian HuntCincinnati$116K
- Florence StewartNew Albany$113K
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.