Mierlyn Toledo
Physician Assistant · Naples, FLNPI 1891220133
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.3% 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 37 manufacturers, the largest accounting for just 9.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,265, more than ten times the $31 reported in 2021.
Across 147 payments — averaging $24.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$342
- E.r. Squibb & Sons, L.L.C.$319
- Novartis$309
- Incyte Corporation$297
- AstraZeneca$216
- Takeda Pharmaceuticals U.S.A., Inc.$207
- plus $2K from 31 others
What the payments were for
- Food & beverage$3,57597%
- Education$993%
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 |
|---|---|---|
| Pfizer | 14 | $342 |
| E.r. Squibb & Sons, L.L.C. | 13 | $319 |
| Novartis | 15 | $309 |
| Incyte Corporation | 9 | $297 |
| AstraZeneca(2 entities) | 10 | $216 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $207 |
| GSK | 4 | $204 |
| Merck | 7 | $180 |
| Sobi, Inc | 6 | $160 |
| Lilly USA, LLC | 6 | $144 |
| Gilead(2 entities) | 6 | $131 |
| Pharmaessentia USA Corporation | 2 | $127 |
| Seagen Inc. | 1 | $99 |
| Johnson & Johnson | 5 | $95 |
| AbbVie | 4 | $95 |
| Bristol Myers Squibb | 4 | $85 |
| Eisai Inc. | 4 | $72 |
| Daiichi Sankyo Inc. | 3 | $68 |
| Bayer | 4 | $61 |
| Genentech USA, Inc. | 3 | $59 |
| Myriad Genetic Laboratories, Inc. | 2 | $42 |
| Jazz Pharmaceuticals Inc. | 2 | $39 |
| Puma Biotechnology, Inc. | 2 | $33 |
| Regeneron Healthcare Solutions, Inc. | 1 | $32 |
| Array Biopharma Inc | 1 | $25 |
| Kyowa Kirin, Inc. | 1 | $25 |
| Servier Pharmaceuticals LLC | 1 | $24 |
| Apellis Pharmaceuticals, Inc. | 1 | $22 |
| Syndax Pharmaceuticals, Inc. | 1 | $22 |
| AVEO Pharmaceuticals, Inc. | 1 | $21 |
| Geron Corporation | 1 | $20 |
| Dendreon Pharmaceuticals LLC | 1 | $20 |
| Immunogen, Inc. | 1 | $19 |
| EMD Serono, Inc. | 1 | $18 |
| Agios Pharmaceuticals, Inc. | 1 | $18 |
| Novo Nordisk | 1 | $14 |
| Taiho Oncology, Inc. | 1 | $14 |
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
$3,674 in reported general payments places this provider in the 85th percentile of 8,062 physician assistant providers in Florida.
Other physician assistant in Naples
- Andrew ShirlenNaples$44K
- Audrey BeckerSt Augustine$689K
- Kevin WilliamsTampa$647K
- Brian BonomoLecanto$559K
- Melissa SingletonOcala$482K
- Reeli ReinuMaitland$427K
- Jeanelle KingMiami$424K
- Risha BellomoOrlando$397K
- Jason BergerClearwater$344K
- Ashley MillerGainesville$328K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.