Valerie Garland, NP
Family · Falmouth, MANPI 1497195713
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 58 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Johnson & Johnson accounts for 61.0% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2021 at $1,318 and has fallen 54.7% since, to $598 in 2025. Among family clinicians in MA 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 58 payments — averaging $46.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$2K
- Stryker$270
- Boehringer Ingelheim$214
- AstraZeneca$125
- Lilly USA, LLC$125
- Gilead$90
- plus $227 from 5 others
What the payments were for
- Food & beverage$2,691100%
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 | 39 | $1,641 |
| Stryker | 2 | $270 |
| Boehringer Ingelheim | 2 | $214 |
| AstraZeneca | 1 | $125 |
| Lilly USA, LLC | 1 | $125 |
| Gilead | 1 | $90 |
| Pfizer | 4 | $85 |
| E.r. Squibb & Sons, L.L.C. | 4 | $78 |
| Novartis | 2 | $26 |
| Merck | 1 | $21 |
| Janssen Scientific Affairs, LLC | 1 | $17 |
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.
- XARELTO$1,046
- FlowTriever$270
- JARDIANCE$214
- BREZTRI$125
How this compares
$2,691 in reported general payments places this provider in the 90th percentile of 2,320 family providers in Massachusetts.
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 |
|---|---|---|
| Cefazolin Sodium | 13 | $299 |
| Prednisone | 48 | $246 |
| Cefdinir | 25 | $232 |
| CefuroximeCefuroxime Axetil | 36 | $222 |
| Pantoprazole Sodium | 14 | $144 |
| Metoprolol Succinate | 13 | $143 |
| Atorvastatin Calcium | 15 | $111 |
| Azithromycin | 29 | $90 |
| Doxycycline Hyclate | 16 | $82 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $80 |
| Metoprolol Tartrate | 11 | $72 |
| Furosemide | 14 | $69 |
| ClopidogrelClopidogrel Bisulfate | 12 | $68 |
| Levofloxacin | 17 | $59 |
| Dexamethasone | 12 | $52 |
Paid to pharmacies, not to this prescriber.
Other family in Falmouth
- Paul GouldLakeville$343K
- Brittany MurrayBoston$141K
- Jennifer FlemingLawrence$80K
- Naomi AmudalaBoston$79K
- Geoffrey WhitleyCharlestown$66K
- Katherine O'BrienWinthrop$58K
- Kristy SmithActon$57K
- Leslie StefanowiczDartmouth$56K
- Marissa CasilloFoxborough$31K
- Rochelle NazarianDanvers$31K
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.