Pamela Guest
Dermatology · Pinehurst, NCNPI 1023145976
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 96 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 20 manufacturers, the largest accounting for just 19.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,101 and has fallen 94.9% since, to $57 in 2022. That places this record below the midpoint for dermatology clinicians in NC, where the typical reported total is $2,057.
Across 96 payments — averaging $16.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$311
- Novartis$260
- Pfizer$187
- LEO Pharma Inc.$130
- Johnson & Johnson$111
- Sun Pharmaceutical Industries Inc.$79
- plus $552 from 14 others
What the payments were for
- Food & beverage$1,630100%
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 |
|---|---|---|
| AbbVie(2 entities) | 17 | $311 |
| Novartis | 13 | $260 |
| Pfizer | 15 | $187 |
| LEO Pharma Inc. | 8 | $130 |
| Johnson & Johnson | 7 | $111 |
| Sun Pharmaceutical Industries Inc. | 5 | $79 |
| Regeneron Healthcare Solutions, Inc. | 4 | $75 |
| Galderma Laboratories, L.p. | 5 | $69 |
| Prugen, Inc. Pharmaceuticals | 5 | $62 |
| Dermira, Inc. | 2 | $51 |
| Mayne Pharma Commercial LLC | 3 | $45 |
| Amgen | 2 | $44 |
| Bristol Myers Squibb | 2 | $37 |
| Almirall LLC | 1 | $36 |
| VYNE Pharmaceuticals Inc. | 1 | $27 |
| DUSA Pharmaceuticals, Inc. | 2 | $26 |
| Sanofi | 1 | $24 |
| Aclaris Therapeutics, Inc. | 1 | $19 |
| Stemline Therapeutics Inc. | 1 | $19 |
| Promius Pharma LLC | 1 | $18 |
How this compares
$1,630 in reported general payments places this provider in the 40th percentile of 475 dermatology providers in North Carolina.
Other dermatology in Pinehurst
- Steven FeldmanWinston Salem$3.4M
- Nicole SeminaraHuntersville$1.4M
- Andrew LeeElkin$702K
- Christopher SayedChapel Hill$690K
- William HooverConcord$594K
- Patrick McElgunnCharlotte$565K
- George MagelHickory$554K
- Muneeb ShahClinton$451K
- John SoderbergCary$398K
- Rosalyn GeorgeWilmington$346K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.