Nell Nestor
Family Medicine · Hendersonville, TNNPI 1427023894
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 166 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 10.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,260 and has fallen 99.3% since, to $15 in 2022.
Across 166 payments — averaging $13.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$231
- AstraZeneca$229
- Pfizer$193
- GSK$181
- Lilly USA, LLC$178
- Amgen$155
- plus $1K from 20 others
What the payments were for
- Food & beverage$2,29399%
- Education$141%
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 |
|---|---|---|
| Novo Nordisk | 16 | $231 |
| AstraZeneca | 10 | $229 |
| Pfizer | 18 | $193 |
| GSK | 20 | $181 |
| Lilly USA, LLC | 11 | $178 |
| Amgen(2 entities) | 8 | $155 |
| Astellas Pharma US Inc | 11 | $143 |
| Teva Pharmaceuticals USA, Inc. | 13 | $140 |
| Boehringer Ingelheim | 11 | $134 |
| AbbVie(2 entities) | 9 | $125 |
| Merck | 10 | $114 |
| Sunovion Pharmaceuticals Inc. | 6 | $103 |
| Johnson & Johnson | 4 | $68 |
| Sanofi-aventis U.S. LLC | 3 | $43 |
| Nevro Corp. | 1 | $40 |
| Novartis | 3 | $37 |
| Amarin Pharma, Inc. | 2 | $31 |
| Avanir Pharmaceuticals, Inc. | 2 | $31 |
| Daiichi Sankyo Inc. | 1 | $24 |
| Medtronic | 1 | $19 |
| Abbott | 1 | $19 |
| Seqirus USA Inc | 1 | $14 |
| IBSA Pharma Inc. | 1 | $14 |
| Gilead | 1 | $14 |
| Boston Scientific | 1 | $13 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $13 |
How this compares
$2,307 in reported general payments places this provider in the 70th percentile of 2,087 family medicine providers in Tennessee.
Other family medicine in Hendersonville
- Paul LeavittHendersonville$15K
- Malinda LinnHendersonville$14K
- Kevin DennisFranklin$354K
- Charolette JacksonBartlett$162K
- Keren HolmesNashville$58K
- Kabir Harricharan SinghNewport$49K
- Khaisha GistAntioch$49K
- Jerry PunchKnoxville$45K
- Christopher HollowayAntioch$41K
- Curtis JantziKingsport$39K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.