Nichole Smith
Physician Assistant · Round Rock, TXNPI 1053444679
Payments from drug & device makers
Across 154 payments — averaging $18.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$622
- Novo Nordisk$381
- AbbVie$352
- Abbott$221
- Amgen$180
- Lilly USA, LLC$132
- plus $981 from 25 others
What the payments were for
- Food & beverage$2,870100%
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 |
|---|---|---|
| AstraZeneca | 26 | $622 |
| Novo Nordisk | 20 | $381 |
| AbbVie | 25 | $352 |
| Abbott | 12 | $221 |
| Amgen | 11 | $180 |
| Lilly USA, LLC | 7 | $132 |
| Amarin Pharma, Inc. | 6 | $117 |
| GSK | 7 | $114 |
| Boehringer Ingelheim | 4 | $83 |
| Astellas Pharma US Inc | 3 | $68 |
| Amneal Pharmaceuticals LLC | 4 | $66 |
| Pfizer | 3 | $51 |
| Corium, LLC | 2 | $49 |
| Ironshore Pharmaceuticals Inc. | 3 | $48 |
| Bayer | 3 | $45 |
| Tolmar, Inc. | 2 | $35 |
| Medtronic | 2 | $34 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $24 |
| Organon | 1 | $24 |
| Agios Pharmaceuticals, Inc. | 1 | $24 |
| Itamar Medical Inc | 1 | $23 |
| Biohaven Pharmaceuticals, Inc. | 1 | $22 |
| Halozyme Inc | 1 | $22 |
| Axsome Therapeutics, Inc. | 1 | $21 |
| Globus Medical | 1 | $20 |
| Antares Pharma, Inc. | 1 | $17 |
| Merck | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16 |
| Biodelivery Sciences International, Inc. | 1 | $16 |
| Genentech USA, Inc. | 1 | $13 |
| Acerus Pharmaceuticals Corporation | 1 | $13 |
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
$2,870 in reported general payments places this provider in the 80th percentile of 8,308 physician assistant providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 25 | $27,954 |
| MounjaroTirzepatide | 16 | $21,479 |
| EliquisApixaban | 12 | $6,786 |
| SynthroidLevothyroxine Sodium | 39 | $2,293 |
| Levothyroxine Sodium | 101 | $925 |
| Olmesartan Medoxomil | 52 | $689 |
| Sertraline Hcl | 66 | $688 |
| Atorvastatin Calcium | 129 | $670 |
| Rosuvastatin Calcium | 63 | $662 |
| Cefdinir | 23 | $583 |
| Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide | 14 | $560 |
| ValacyclovirValacyclovir Hcl | 17 | $549 |
| Eszopiclone | 24 | $537 |
| Escitalopram Oxalate | 58 | $537 |
| Azelastine Hcl | 11 | $468 |
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 |
|---|---|---|
| Novo NordiskOzempic | $381 | $27,95425 claims |
| Lilly USA, LLCMounjaro | $132 | $21,47916 claims |
| PfizerEliquis | $51 | $6,78612 claims |
| AbbVieSynthroid | $352 | $2,29339 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $66 | $925101 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 80th percentile of 8,308 physician assistant providers in Texas.
Other physician assistant in Round Rock
- Dustin FontenotRound Rock$47K
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Anthony DerenciusSan Antonio$507K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.