Rachel Imperato
Nurse Practitioner · Osage Beach, MONPI 1801380845
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $221,840 of the $260,138 with a category attached, or 85.3%. Galderma Laboratories, L.p. accounts for 99.9% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2021 at $127,864 and has fallen 84.8% since, to $19,417 in 2025. Among nurse practitioner clinicians in MO 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 443 payments — averaging $587.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$260K
- Revance Therapeutics, Inc.$123
- AbbVie$64
What the payments were for
- Speaking & faculty fees$221,84085%
- Travel & lodging$33,47013%
- Food & beverage$4,8292%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 441 | $259,952 |
| Revance Therapeutics, Inc. | 1 | $123 |
| AbbVie | 1 | $64 |
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.
- DAXXIFY$123
How this compares
$260,138 in reported general payments places this provider in the 95th percentile of 1,898 nurse practitioner providers in Missouri.
Other nurse practitioner in Osage Beach
- Aeron SheffieldChesterfield$269K
- Matthew BrunsBridgeton$126K
- Michelle DickensSpringfield$59K
- Robert HafnerKansas City$47K
- Tracey CarpenterChesterfield$47K
- Laura GrantSaint Charles$34K
- Courtney JefferyKansas City$24K
- Carrie Roth BettlachSaint Louis$21K
- Amanda HumbersFarmington$19K
- Kristen O'DellSaint Peters$19K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.