Rachel Sims
Registered Nurse · Fort Myers, FLNPI 1245860410
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 374 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 48 manufacturers, the largest accounting for just 12.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,408, 5.6 times the $429 reported in 2021. Among registered nurse clinicians in FL 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 374 payments — averaging $21.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- UCB, Inc.$760
- Amgen$494
- AstraZeneca$473
- Neurocrine Biosciences, Inc.$473
- Acadia Pharmaceuticals Inc$418
- plus $4K from 42 others
What the payments were for
- Food & beverage$8,040100%
- Education$310%
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.
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
$8,071 in reported general payments places this provider in the 95th percentile of 185 registered nurse providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| GammakedImmune Globul G/Gly/Iga Avg 46 | 18 | $215,707 |
| Austedo XrDeutetrabenazine | 19 | $103,601 |
| NuplazidPimavanserin Tartrate | 17 | $80,619 |
| GocovriAmantadine Hcl | 27 | $64,303 |
| QuliptaAtogepant | 28 | $54,399 |
| Emgality PenGalcanezumab-Gnlm | 63 | $54,035 |
| NourianzIstradefylline | 15 | $43,339 |
| Nurtec OdtRimegepant Sulfate | 35 | $39,985 |
| RytaryCarbidopa/Levodopa | 26 | $38,269 |
| BriviactBrivaracetam | 21 | $35,891 |
| UbrelvyUbrogepant | 30 | $34,303 |
| Ajovy SyringeFremanezumab-Vfrm | 17 | $15,374 |
| Emgality SyringeGalcanezumab-Gnlm | 13 | $12,193 |
| Aimovig AutoinjectorErenumab-Aooe | 12 | $12,104 |
| Lacosamide | 71 | $11,998 |
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc.Austedo Xr | $99 | $103,60119 claims |
| AbbVieQulipta, Ubrelvy | $1,039 | $88,70258 claims |
| Acadia Pharmaceuticals IncNuplazid | $418 | $80,61917 claims |
| Kyowa Kirin, Inc.Nourianz | $43 | $43,33915 claims |
| PfizerNurtec Odt | $234 | $39,98535 claims |
| Amneal Pharmaceuticals LLCRytary, Pyridostigmine Bromide | $73 | $39,79046 claims |
| UCB, Inc.Briviact | $760 | $35,89121 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 95th percentile of 185 registered nurse providers in Florida.
Other registered nurse in Fort Myers
- Britten StineFort Myers$615
- Abbey DeanFort Myers$575
- Carly GeierCape Coral$10K
- Dianne DavidDeland$10K
- Shannon BagnellAtlantis$5K
- Marcia JohnsonMiami$4K
- Brigitte MartinezOdessa$3K
- Diana MaciasPort Charlotte$2K
- Alexandria HardyWeston$2K
- Pilar TatumPalm Harbor$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.