Sandra Werbel, MD
Endocrinology, Diabetes & Metabolism · Gainesville, FLNPI 1801976360
Payments from drug & device makers
Across 425 payments — averaging $16.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$4K
- Amgen$556
- Boehringer Ingelheim$512
- Sanofi-aventis U.S. LLC$368
- Dexcom, Inc.$341
- Lilly USA, LLC$314
- plus $1K from 24 others
What the payments were for
- Food & beverage$7,00498%
- Education$1122%
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 | 266 | $3,695 |
| Amgen(2 entities) | 24 | $556 |
| Boehringer Ingelheim | 24 | $512 |
| Sanofi-aventis U.S. LLC | 17 | $368 |
| Dexcom, Inc. | 13 | $341 |
| Lilly USA, LLC | 15 | $314 |
| Tandem Diabetes Care, Inc. | 6 | $189 |
| AbbVie | 11 | $165 |
| Abbott | 9 | $139 |
| Insulet Corporation | 4 | $139 |
| AstraZeneca | 9 | $130 |
| Astellas Pharma US Inc | 2 | $114 |
| Xeris Pharmaceuticals, Inc. | 5 | $83 |
| Bayer | 2 | $34 |
| Sequel Med Tech, LLC | 1 | $34 |
| Radius Health, Inc. | 2 | $33 |
| Rhythm Pharmaceuticals, Inc. | 1 | $33 |
| Medtronic | 2 | $27 |
| Optinose US, Inc. | 1 | $25 |
| Antares Pharma, Inc. | 1 | $20 |
| Pharming Healthcare, Inc. | 1 | $20 |
| Companion Medical, Inc. | 1 | $20 |
| Stryker | 1 | $19 |
| Corcept Therapeutics | 1 | $18 |
| Amryt Pharma Holdings Ltd | 1 | $17 |
| Ipsen Biopharmaceuticals, Inc | 1 | $17 |
| Ascensia Diabetes Care US Inc. | 1 | $15 |
| Novartis | 1 | $14 |
| Kyowa Kirin, Inc. | 1 | $13 |
| Merck | 1 | $12 |
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.
- Repatha$124
- DEXCOM G7 GSS (161)$120
- JARDIANCE$110
- t-slim insulin pump$104
- Ozempic$102
How this compares
$7,116 in reported general payments places this provider in the 60th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
See all endocrinology, diabetes & metabolism providers in Florida →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 139 | $195,884 |
| MounjaroTirzepatide | 56 | $65,587 |
| TrulicityDulaglutide | 27 | $49,546 |
| JardianceEmpagliflozin | 30 | $48,943 |
| FarxigaDapagliflozin Propanediol | 63 | $45,258 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 25 | $27,710 |
| Tresiba Flextouch U-100Insulin Degludec | 37 | $23,814 |
| Humulin R U-500Insulin Regular, Human | 13 | $18,296 |
| Tresiba Flextouch U-200Insulin Degludec | 22 | $16,678 |
| SynthroidLevothyroxine Sodium | 111 | $11,896 |
| Humalog Kwikpen U-200Insulin Lispro | 13 | $10,735 |
| GenotropinSomatropin | 12 | $10,303 |
| Humalog Kwikpen U-100Insulin Lispro | 26 | $8,384 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 13 | $6,627 |
| Levothyroxine Sodium | 634 | $6,313 |
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 |
|---|---|---|
| Novo NordiskOzempic | $3,695 | $195,884139 claims |
| Lilly USA, LLCMounjaro, Trulicity | $314 | $115,13383 claims |
| Boehringer IngelheimJardiance, Synjardy Xr | $512 | $76,65455 claims |
| AstraZenecaFarxiga | $130 | $45,25863 claims |
| AbbVieSynthroid, Armour Thyroid | $165 | $13,747132 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 60th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
Other endocrinology, diabetes & metabolism in Gainesville
- Kenneth CusiGainesville$1.9M
- Peter StacpooleGainesville$301K
- Richard PratleyOrlando$9.2M
- Jose MandryOcoee$9.1M
- Steven SmithOrlando$7.9M
- Barry HorowitzWest Palm Beach$7.1M
- Tina ThethiOrlando$3.8M
- David SuttonJacksonville$3.1M
- Lorena Lewy-AlterbaumHollywood$3.1M
- Mae Sheikh AliJacksonville$2.9M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.