Nancy Tuohy
Women's Health · Winston Salem, NCNPI 1174302558
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 37 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 13 manufacturers, the largest accounting for just 15.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $352, 3.1 times the $115 reported in 2023.
Across 37 payments — averaging $20.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mayne Pharma Commercial LLC$117
- Astellas Pharma US Inc$111
- Exeltis, USA Inc.$80
- Biogen$68
- AbbVie$68
- Sumitomo Pharma America, Inc.$60
- plus $248 from 7 others
What the payments were for
- Food & beverage$752100%
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 |
|---|---|---|
| Mayne Pharma Commercial LLC | 7 | $117 |
| Astellas Pharma US Inc | 2 | $111 |
| Exeltis, USA Inc. | 4 | $80 |
| Biogen | 3 | $68 |
| AbbVie | 4 | $68 |
| Sumitomo Pharma America, Inc. | 3 | $60 |
| Exact Sciences | 3 | $57 |
| Vertex | 3 | $56 |
| Shield Therapeutics Inc | 3 | $52 |
| Pfizer | 2 | $34 |
| Mission Pharmacal Company | 1 | $19 |
| Coopersurgical, Inc. | 1 | $16 |
| Millicent US Inc | 1 | $14 |
How this compares
$752 in reported general payments places this provider in the 70th percentile of 158 women's health providers in North Carolina.
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 | 25 | $1,856 |
Paid to pharmacies, not to this prescriber.
Other women's health in Winston Salem
- Kylie HandsWinston Salem$996
- Beverly HuegelWinston Salem$660
- Meredith HarrisRaleigh$241K
- Jami ChrzanowskiGreensboro$27K
- Amy KemmerlinCharlotte$8K
- Kylie CajkaCharlotte$5K
- Lindsey MosleyCharlotte$5K
- Lanika WrightGreenville$3K
- Melinda DavesHickory$3K
- Margaret DarstRaleigh$3K
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.