Rachel Piacsek
Nurse Practitioner · Richmond, KYNPI 1588187470
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (52.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. AbbVie accounts for 68.2% of it on its own, with 29 other manufacturers making up the rest. Reporting peaked in 2022 at $10,641 and has fallen 99.7% since, to $33 in 2025. Among nurse practitioner clinicians in KY 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 411 payments — averaging $41.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$12K
- Biohaven Pharmaceuticals, Inc.$1K
- Biohaven Pharmaceutical Holding Company Ltd.$899
- UCB, Inc.$552
- SK Life Science, Inc.$484
- Amgen$321
- plus $2K from 24 others
What the payments were for
- Speaking & faculty fees$8,88852%
- Travel & lodging$1931%
- Food & beverage$7,88646%
- Education$100%
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) | 129 | $11,577 |
| Biohaven Pharmaceuticals, Inc. | 51 | $1,129 |
| Biohaven Pharmaceutical Holding Company Ltd. | 60 | $899 |
| UCB, Inc. | 35 | $552 |
| SK Life Science, Inc. | 14 | $484 |
| Amgen | 15 | $321 |
| Sunovion Pharmaceuticals Inc. | 17 | $202 |
| Lilly USA, LLC | 12 | $201 |
| Teva Pharmaceuticals USA, Inc. | 9 | $175 |
| Lundbeck LLC | 3 | $163 |
| Avanir Pharmaceuticals, Inc. | 9 | $156 |
| Arbor Pharmaceuticals, Inc. | 9 | $139 |
| CSL Behring | 7 | $121 |
| MDD US Operations, LLC | 8 | $117 |
| E.r. Squibb & Sons, L.L.C. | 1 | $111 |
| Supernus Pharmaceuticals, Inc. | 7 | $103 |
| Biogen | 6 | $95 |
| Novartis | 2 | $83 |
| EMD Serono, Inc. | 1 | $77 |
| Jazz Pharmaceuticals Inc. | 2 | $42 |
| Neurelis, Inc. | 2 | $34 |
| Livanova USA, Inc. | 1 | $31 |
| Adamas Pharmaceuticals, Inc. | 2 | $27 |
| Acadia Pharmaceuticals Inc | 2 | $27 |
| Neurocrine Biosciences, Inc. | 2 | $26 |
| Harmony Biosciences LLC | 1 | $21 |
| Avion Pharmaceuticals | 1 | $20 |
| Pfizer | 1 | $19 |
| Upsher-smith Laboratories LLC | 1 | $16 |
| Sumitomo Pharma America, Inc. | 1 | $8 |
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
$16,976 in reported general payments places this provider in the 95th percentile of 1,918 nurse practitioner providers in Kentucky.
Other nurse practitioner in Richmond
- Rachael BradfordLexington$447K
- Tara MuddLouisville$243K
- Lee HaasLouisville$95K
- Ashley KnableLouisville$86K
- Christina BenningerLouisville$81K
- Courtney BowlingCampbellsville$47K
- Rebecca BraunerLouisville$40K
- Scott SeitzWinchester$34K
- Kristen KreinestEdgewood$34K
- Lillian ArgentEdgewood$33K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.