Todd Lester, PA
Medical · Huntington, WVNPI 1528009537
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 316 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 36 manufacturers, the largest accounting for just 15.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $1,495 and has fallen 55.9% since, to $659 in 2025. Among medical clinicians in WV with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 316 payments — averaging $15.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$753
- Lilly USA, LLC$614
- Novo Nordisk$527
- AstraZeneca$509
- Esperion Therapeutics, Inc.$405
- E.r. Squibb & Sons, L.L.C.$307
- plus $2K from 30 others
What the payments were for
- Food & beverage$4,984100%
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 |
|---|---|---|
| AbbVie | 44 | $753 |
| Lilly USA, LLC | 43 | $614 |
| Novo Nordisk | 36 | $527 |
| AstraZeneca(2 entities) | 22 | $509 |
| Esperion Therapeutics, Inc. | 30 | $405 |
| E.r. Squibb & Sons, L.L.C. | 22 | $307 |
| GSK | 23 | $304 |
| Johnson & Johnson(2 entities) | 13 | $156 |
| Shield Therapeutics Inc | 3 | $136 |
| Paratek Pharmaceuticals, Inc. | 8 | $131 |
| Teva Pharmaceuticals USA, Inc. | 6 | $102 |
| Dexcom, Inc. | 6 | $91 |
| Pfizer | 6 | $91 |
| Amgen | 6 | $90 |
| Otsuka America Pharmaceutical, Inc. | 5 | $87 |
| Biohaven Pharmaceuticals, Inc. | 4 | $71 |
| Boehringer Ingelheim | 5 | $67 |
| Vifor Pharma, Inc. | 5 | $61 |
| Novartis | 3 | $52 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $45 |
| Xeris Pharmaceuticals, Inc. | 2 | $39 |
| Bayer | 2 | $39 |
| Argenx US, Inc. | 2 | $37 |
| Sunovion Pharmaceuticals Inc. | 3 | $37 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $26 |
| Amarin Pharma, Inc. | 2 | $26 |
| Halozyme Inc | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $23 |
| Merck | 1 | $21 |
| Baxter Healthcare | 1 | $21 |
| Ferring Pharmaceuticals Inc. | 1 | $18 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $18 |
| Abbott | 1 | $17 |
| Astellas Pharma US Inc | 1 | $16 |
| Boston Scientific | 1 | $13 |
| Genentech USA, Inc. | 1 | $11 |
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
$4,984 in reported general payments places this provider in the 90th percentile of 233 medical providers in West Virginia.
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 |
|---|---|---|
| JardianceEmpagliflozin | 109 | $115,740 |
| OzempicSemaglutide | 68 | $91,164 |
| JanuviaSitagliptin Phosphate | 54 | $53,513 |
| FarxigaDapagliflozin Propanediol | 31 | $31,529 |
| MounjaroTirzepatide | 18 | $20,288 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 32 | $20,244 |
| EliquisApixaban | 25 | $20,137 |
| Breo ElliptaFluticasone/Vilanterol | 40 | $15,300 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 11 | $14,995 |
| Potassium Chloride | 44 | $7,862 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 37 | $5,562 |
| MyrbetriqMirabegron | 11 | $4,618 |
| Novolin NInsulin Nph Human Isophane | 12 | $3,696 |
| Omeprazole | 281 | $2,876 |
| Levothyroxine Sodium | 272 | $2,702 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $67 | $115,740109 claims |
| Novo NordiskOzempic | $527 | $91,16468 claims |
| MerckJanuvia | $21 | $53,51354 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $304 | $35,54472 claims |
| AstraZenecaFarxiga | $509 | $31,52931 claims |
| Lilly USA, LLCMounjaro | $614 | $20,28818 claims |
| PfizerEliquis | $91 | $20,13725 claims |
| Astellas Pharma US IncMyrbetriq | $16 | $4,61811 claims |
| AbbVieSynthroid | $753 | $83317 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 90th percentile of 233 medical providers in West Virginia.
Other medical in Huntington
- Katherine BoggsSouth Charleston$46K
- Lowell LarewMorgantown$31K
- Katie CarpenterSouth Charleston$26K
- Lauren DillonBeckley$18K
- Angela HagerFarmington$16K
- Brandon CaragCharleston$16K
- Scott EthridgeCharleston$16K
- Kellie HanselSouth Charleston$12K
- Matthew MaynardElkins$10K
- Mohammad YousafCharleston$9K
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.