Sheli Tinkelman, PA
Physician Assistant · Concord, NHNPI 1194717280
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,777 of the $3,358 with a category attached, or 82.7%. It is spread thinly across 18 manufacturers, the largest accounting for just 22.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $973 and has fallen 55.4% since, to $434 in 2025. Among physician assistant clinicians in NH 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 161 payments — averaging $20.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$740
- AbbVie$647
- E.r. Squibb & Sons, L.L.C.$518
- Sun Pharmaceutical Industries Inc.$338
- UCB, Inc.$221
- Novartis$166
- plus $727 from 12 others
What the payments were for
- Food & beverage$2,77783%
- Education$58017%
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 |
|---|---|---|
| Johnson & Johnson | 33 | $740 |
| AbbVie | 31 | $647 |
| E.r. Squibb & Sons, L.L.C. | 27 | $518 |
| Sun Pharmaceutical Industries Inc. | 8 | $338 |
| UCB, Inc. | 15 | $221 |
| Novartis | 8 | $166 |
| LEO Pharma Inc. | 9 | $154 |
| Amgen | 9 | $153 |
| Galderma Laboratories, L.p. | 4 | $82 |
| Dermavant Sciences, Inc. | 4 | $81 |
| Organon | 3 | $56 |
| Incyte Corporation | 2 | $51 |
| Lilly USA, LLC | 3 | $45 |
| Boehringer Ingelheim | 1 | $31 |
| Regeneron Healthcare Solutions, Inc. | 1 | $27 |
| Solta Medical, A Division Of Bausch Health US, LLC | 1 | $18 |
| Pfizer | 1 | $15 |
| Arcutis Biotherapeutics, Inc. | 1 | $15 |
How this compares
$3,358 in reported general payments places this provider in the 95th percentile of 782 physician assistant providers in New Hampshire.
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 |
|---|---|---|
| Clobetasol Propionate | 160 | $5,355 |
| Fluorouracil | 69 | $4,808 |
| Mupirocin | 588 | $3,761 |
| Metronidazole | 41 | $3,206 |
| Clindamycin Phosphate | 37 | $1,499 |
| Ketoconazole | 94 | $1,263 |
| Azelaic Acid | 13 | $1,008 |
| Tacrolimus | 17 | $872 |
| Hydroxyzine Hcl | 73 | $818 |
| Cephalexin | 39 | $615 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 14 | $574 |
| Doxycycline Hyclate | 34 | $521 |
| Triamcinolone Acetonide | 99 | $500 |
| Econazole Nitrate | 12 | $453 |
| Imiquimod | 21 | $450 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Concord
- Lindsay OverkoConcord$29K
- Zoe NikitasConcord$6K
- Alicia SloanConcord$4K
- Garrick JohnsonConcord$4K
- Bernard MacgregorConcord$3K
- Sara CarrierConcord$2K
- Katelyn WatsonConcord$2K
- Joseph ZucchiSalem$40K
- Evelyn SteinPortsmouth$26K
- Shari AshtonManchester$24K
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.