Thomas Toole, APRN
Family · Conroe, TXNPI 1962081638
Payments from drug & device makers
Across 90 payments — averaging $18.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$329
- Lilly USA, LLC$282
- GSK$159
- Sumitomo Pharma America, Inc.$101
- Exact Sciences$86
- Astellas Pharma US Inc$84
- plus $596 from 18 others
What the payments were for
- Food & beverage$1,638100%
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 | 19 | $329 |
| Lilly USA, LLC | 15 | $282 |
| GSK | 9 | $159 |
| Sumitomo Pharma America, Inc. | 5 | $101 |
| Exact Sciences | 5 | $86 |
| Astellas Pharma US Inc | 4 | $84 |
| Pfizer | 3 | $79 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $74 |
| Otsuka America Pharmaceutical, Inc. | 4 | $68 |
| Novo Nordisk | 3 | $56 |
| Ironshore Pharmaceuticals Inc. | 2 | $43 |
| Corium, LLC | 3 | $40 |
| Axsome Therapeutics, Inc. | 2 | $39 |
| AbbVie | 2 | $28 |
| Itamar Medical Inc | 1 | $23 |
| Noven Therapeutics, LLC | 1 | $19 |
| Acella Pharmaceuticals, LLC | 1 | $18 |
| Medtronic | 1 | $18 |
| Seqirus USA Inc | 1 | $16 |
| Tris Pharma Inc | 1 | $16 |
| Amgen | 1 | $16 |
| Phathom Pharmaceuticals, Inc. | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $15 |
| Dexcom, Inc. | 1 | $14 |
How this compares
$1,638 in reported general payments places this provider in the 75th percentile of 15,456 family providers in Texas.
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 | 91 | $104,767 |
| EliquisApixaban | 73 | $84,850 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 43 | $34,463 |
| JardianceEmpagliflozin | 26 | $31,993 |
| JanuviaSitagliptin Phosphate | 23 | $23,603 |
| XareltoRivaroxaban | 20 | $22,239 |
| MyrbetriqMirabegron | 22 | $19,004 |
| MounjaroTirzepatide | 17 | $17,593 |
| Tresiba Flextouch U-200Insulin Degludec | 14 | $9,856 |
| Tresiba Flextouch U-100Insulin Degludec | 15 | $9,257 |
| Breo ElliptaFluticasone/Vilanterol | 13 | $7,291 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 37 | $6,136 |
| Gabapentin | 174 | $4,663 |
| Levothyroxine Sodium | 327 | $3,660 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 13 | $3,166 |
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 | $56 | $104,76791 claims |
| PfizerEliquis | $79 | $84,85073 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $159 | $41,75456 claims |
| Astellas Pharma US IncMyrbetriq | $84 | $19,00422 claims |
| Lilly USA, LLCMounjaro | $282 | $17,59317 claims |
| AbbVieSynthroid | $28 | $1,49938 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 75th percentile of 15,456 family providers in Texas.
Other family in Conroe
- Lashonda CraneHouston$3.4M
- David WeirDallas$959K
- Luba YammineHouston$479K
- Robin BeachHouston$428K
- Nirupama JeromeAustin$418K
- April LopezMcAllen$417K
- Linda MercadoHouston$211K
- Sarah AguilarHouston$199K
- Sie ThomasDallas$197K
- Anna CastroSan Antonio$184K
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.