Sharon Nickell-Olm, MD
Hospice and Palliative Medicine · Eustis, FLNPI 1407076052
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.8% of the total across 86 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by AstraZeneca at 28.1% of the total. Among hospice and palliative medicine 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 86 payments — averaging $35.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$859
- Lilly USA, LLC$486
- Johnson & Johnson$412
- Novo Nordisk$310
- GSK$296
- Paratek Pharmaceuticals, Inc.$147
- plus $544 from 9 others
What the payments were for
- Food & beverage$3,049100%
- Education$50%
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 |
|---|---|---|
| AstraZeneca | 16 | $859 |
| Lilly USA, LLC | 19 | $486 |
| Johnson & Johnson | 5 | $412 |
| Novo Nordisk | 9 | $310 |
| GSK | 10 | $296 |
| Paratek Pharmaceuticals, Inc. | 4 | $147 |
| Esperion Therapeutics, Inc. | 3 | $145 |
| Pfizer | 5 | $97 |
| Bayer | 3 | $62 |
| Exact Sciences | 3 | $62 |
| Astellas Pharma US Inc | 3 | $58 |
| Abbott | 2 | $43 |
| Boston Scientific | 1 | $37 |
| Novartis | 2 | $26 |
| Idorsia Pharmaceuticals US Inc | 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.
How this compares
$3,054 in reported general payments places this provider in the 95th percentile of 177 hospice and palliative medicine providers in Florida.
See all hospice and palliative medicine 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 | 23 | $41,784 |
| EliquisApixaban | 18 | $20,888 |
| FarxigaDapagliflozin Propanediol | 14 | $16,242 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 25 | $15,765 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 15 | $12,629 |
| JardianceEmpagliflozin | 14 | $10,804 |
| OxycontinOxycodone Hcl | 12 | $7,279 |
| Rosuvastatin Calcium | 343 | $5,466 |
| Mesalamine DrMesalamine | 12 | $3,280 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 12 | $2,916 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 36 | $2,344 |
| Telmisartan | 65 | $1,894 |
| Pantoprazole Sodium | 107 | $1,706 |
| Levothyroxine Sodium | 175 | $1,683 |
| Amlodipine Besylate | 153 | $1,385 |
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 | $310 | $41,78423 claims |
| PfizerEliquis | $97 | $20,88818 claims |
| GSKTrelegy Ellipta, Anoro Ellipta | $296 | $18,68137 claims |
| AstraZenecaFarxiga | $859 | $16,24214 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 177 hospice and palliative medicine providers in Florida.
Other hospice and palliative medicine in Eustis
- Laurence PettyPlant City$140K
- Michael KaragiozisTemple Terrace$21K
- Young Doo ChangTampa$10K
- Joshua SmithTampa$7K
- Lidia OliveiraLake Mary$2K
- William BerkeNorth Miami Beach$2K
- Anthony DardanoBoca Raton$2K
- Diane PortmanTampa$2K
- Armando Linares PerezPinecrest$1K
- Tanveer MirOrlando$1K
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.