Rachel Spagnoli
Nurse Practitioner · Alpharetta, GANPI 1255890943
Payments from drug & device makers
Across 132 payments — averaging $19.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$356
- Lilly USA, LLC$293
- Noven Therapeutics, LLC$186
- Pfizer$179
- AstraZeneca$171
- Astellas Pharma US Inc$151
- plus $1K from 23 others
What the payments were for
- Food & beverage$2,528100%
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 |
|---|---|---|
| Novo Nordisk | 24 | $356 |
| Lilly USA, LLC | 18 | $293 |
| Noven Therapeutics, LLC | 9 | $186 |
| Pfizer | 8 | $179 |
| AstraZeneca | 9 | $171 |
| Astellas Pharma US Inc | 6 | $151 |
| AbbVie | 7 | $136 |
| Exact Sciences | 8 | $129 |
| Amgen | 6 | $97 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $75 |
| GSK | 4 | $69 |
| Harmony Biosciences LLC | 2 | $68 |
| Johnson & Johnson | 2 | $58 |
| Xeris Pharmaceuticals, Inc. | 3 | $55 |
| Bayer | 2 | $54 |
| Axsome Therapeutics, Inc. | 2 | $49 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $48 |
| Dexcom, Inc. | 2 | $41 |
| Inspire Medical Systems, Inc. | 1 | $39 |
| Merck | 2 | $37 |
| Baxter Healthcare | 2 | $37 |
| Boston Scientific | 1 | $36 |
| Saluda Medical Americas, Inc. | 1 | $33 |
| Sanofi-aventis U.S. LLC | 1 | $26 |
| Boehringer Ingelheim | 1 | $23 |
| Corium, LLC | 1 | $23 |
| Esperion Therapeutics, Inc. | 1 | $22 |
| Medtronic | 1 | $19 |
| Actelion Pharmaceuticals US, Inc. | 1 | $18 |
How this compares
$2,528 in reported general payments places this provider in the 85th percentile of 3,328 nurse practitioner providers in Georgia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Advair HfaFluticasone Propion/Salmeterol | 11 | $5,125 |
| Atorvastatin Calcium | 15 | $137 |
| Lisinopril | 14 | $81 |
| Amlodipine Besylate | 13 | $21 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Alpharetta
- Brett PerkinsAlpharetta$14K
- Crystal LogsdonSavannah$566K
- Victor CzerkasijDalton$505K
- Kennon Mc CollumStockbridge$364K
- Pamela AllenRome$270K
- Tajuana BradleyJohns Creek$256K
- Janice McAlisterAtlanta$241K
- Jessica AdkinsSavannah$226K
- Laura ElledgeAtlanta$177K
- Afsha HussainiKennesaw$122K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.