Sabyl Farmer
Advanced Practice Midwife · Nashville, TNNPI 1063044196
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.2%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. Biogen accounts for 75.4% of it on its own, with 18 other manufacturers making up the rest. 2025 is the largest year on record at $3,184, more than ten times the $154 reported in 2021. Among advanced practice midwife clinicians in TN 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 76 payments — averaging $56.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biogen$3K
- Exeltis, USA Inc.$219
- Organon$156
- Aspira Women's Health Inc$156
- AbbVie$117
- Shield Therapeutics Inc$68
- plus $342 from 13 others
What the payments were for
- Consulting fees$2,16150%
- Speaking & faculty fees$60314%
- Food & beverage$1,53936%
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 |
|---|---|---|
| Biogen | 20 | $3,246 |
| Exeltis, USA Inc. | 12 | $219 |
| Organon | 9 | $156 |
| Aspira Women's Health Inc | 6 | $156 |
| AbbVie | 6 | $117 |
| Shield Therapeutics Inc | 4 | $68 |
| Hologic Sales And Service, LLC | 3 | $65 |
| Smith+Nephew | 3 | $49 |
| Mylan Pharmaceuticals Inc. | 3 | $46 |
| Conmed Corporation | 1 | $22 |
| Daiichi Sankyo Inc. | 1 | $22 |
| Bayer | 1 | $21 |
| Mayne Pharma Commercial LLC | 1 | $19 |
| Exact Sciences | 1 | $19 |
| Johnson & Johnson | 1 | $18 |
| Coopersurgical, Inc. | 1 | $17 |
| Therapeuticsmd, Inc. | 1 | $15 |
| Medtronic | 1 | $15 |
| Avion Pharmaceuticals | 1 | $14 |
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.
- Zurzuvae$1,715
How this compares
$4,303 in reported general payments places this provider in the 95th percentile of 207 advanced practice midwife providers in Tennessee.
Other advanced practice midwife in Nashville
- Carlotta CrawfordNashville$2K
- Miranda MatneyNashville$752
- Stephanie DevaneNashville$750
- Amber AndersonNashville$561
- Lisa BlountNashville$560
- Lauren MixNashville$527
- Tamsin LewisNashville$424
- Diana DowdyNashville$417
- Angela LongNashville$375
- Anna NapierNashville$326
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.