Nora Lersch
Family · Portland, ORNPI 1639253115
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (46.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Merck accounts for 74.2% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $6,051 and has fallen 69.4% since, to $1,854 in 2025. Among family clinicians in OR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 42 payments — averaging $211.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$7K
- Intuitive Surgical$935
- GSK$527
- Eisai Inc.$337
- AstraZeneca$240
- Seagen Inc.$156
- plus $98 from 2 others
What the payments were for
- Speaking & faculty fees$4,09546%
- Travel & lodging$2,73931%
- Food & beverage$1,93422%
- Education$1101%
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 |
|---|---|---|
| Merck | 17 | $6,586 |
| Intuitive Surgical | 6 | $935 |
| GSK | 9 | $527 |
| Eisai Inc. | 3 | $337 |
| AstraZeneca | 2 | $240 |
| Seagen Inc. | 2 | $156 |
| Bayer | 1 | $85 |
| Clovis Oncology, Inc. | 2 | $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.
- KEYTRUDA$6,236
- Da Vinci Surgical System$704
- LENVIMA$337
- LYNPARZA$246
- ZEJULA$227
- Enhertu$118
- DAVINCI XI$100
How this compares
$8,878 in reported general payments places this provider in the 95th percentile of 1,130 family providers in Oregon.
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 |
|---|---|---|
| Raloxifene Hcl | 12 | $452 |
| Anastrozole | 19 | $225 |
| Oxycodone Hcl | 12 | $36 |
Paid to pharmacies, not to this prescriber.
Other family in Portland
- Rachel PangilinanPortland$103K
- Lani DoserPortland$45K
- Leah GaedekePortland$26K
- Susan ToftePortland$21K
- Leah WessenbergPortland$19K
- Christine YedinakPortland$19K
- Laurel ZuberiPortland$11K
- Jessica JamesPortland$7K
- Nathalia Gaviria-CorreaPortland$5K
- Katherine SandstromPortland$5K
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.