Trystan White
Advanced Practice Midwife · Chattanooga, TNNPI 1720652019
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 108 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 18 manufacturers, the largest accounting for just 18.5% — the pattern of someone who eats at a lot of different presentations. Among advanced practice midwife clinicians in TN 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 108 payments — averaging $19.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mayne Pharma Commercial LLC$392
- Astellas Pharma US Inc$350
- Sage Therapeutics, LLC$285
- Sumitomo Pharma America, Inc.$239
- Exeltis, USA Inc.$186
- Bayer$133
- plus $537 from 12 others
What the payments were for
- Food & beverage$2,123100%
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 |
|---|---|---|
| Mayne Pharma Commercial LLC | 15 | $392 |
| Astellas Pharma US Inc | 16 | $350 |
| Sage Therapeutics, LLC | 16 | $285 |
| Sumitomo Pharma America, Inc. | 12 | $239 |
| Exeltis, USA Inc. | 13 | $186 |
| Bayer | 7 | $133 |
| AbbVie | 7 | $121 |
| Myovant Sciences Inc. | 4 | $83 |
| Organon | 4 | $74 |
| Daiichi Sankyo Inc. | 3 | $54 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $47 |
| Pfizer | 3 | $42 |
| Novo Nordisk | 1 | $34 |
| Supernus Pharmaceuticals, Inc. | 1 | $20 |
| Hologic Sales And Service, LLC | 1 | $19 |
| Millicent US Inc | 1 | $16 |
| Avion Pharmaceuticals | 1 | $14 |
| Therapeuticsmd, Inc. | 1 | $13 |
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.
- ANNOVERA$116
How this compares
$2,123 in reported general payments places this provider in the 95th percentile of 207 advanced practice midwife providers in Tennessee.
Other advanced practice midwife in Chattanooga
- Sarah SmithChattanooga$32K
- Jennifer MercerChattanooga$20K
- Kathleen GarrettChattanooga$3K
- Amy Miller-AndersonChattanooga$2K
- Alicia FoxChattanooga$2K
- Hadlea EubanksChattanooga$1K
- Lydia van DykeChattanooga$1K
- Caroline BerryChattanooga$984
- Michelle HendersonChattanooga$883
- Margaret Fulmer-BraselChattanooga$883
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.