Vivian Appiarius, NP
Nurse Practitioner · Fort Wayne, INNPI 1275806663
Payments from drug & device makers
Across 137 payments — averaging $30.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- UCB, Inc.$1K
- SK Life Science, Inc.$758
- AbbVie$666
- Jazz Pharmaceuticals Inc.$290
- Catalyst Pharmaceuticals, Inc.$204
- Neurocrine Biosciences, Inc.$180
- plus $1K from 17 others
What the payments were for
- Food & beverage$4,185100%
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 |
|---|---|---|
| UCB, Inc. | 43 | $1,067 |
| SK Life Science, Inc. | 9 | $758 |
| AbbVie | 38 | $666 |
| Jazz Pharmaceuticals Inc. | 7 | $290 |
| Catalyst Pharmaceuticals, Inc. | 4 | $204 |
| Neurocrine Biosciences, Inc. | 4 | $180 |
| Livanova USA, Inc. | 5 | $153 |
| Eisai Inc. | 3 | $151 |
| PTC Therapeutics, Inc. | 2 | $150 |
| Pfizer | 5 | $100 |
| Acadia Pharmaceuticals Inc | 1 | $91 |
| Lundbeck LLC | 4 | $86 |
| E.r. Squibb & Sons, L.L.C. | 1 | $69 |
| Lilly USA, LLC | 2 | $30 |
| Otter Pharmaceuticals, LLC | 1 | $29 |
| Kyowa Kirin, Inc. | 1 | $27 |
| Neurelis, Inc. | 1 | $23 |
| AstraZeneca | 1 | $22 |
| Aucta Pharmaceuticals, Inc. | 1 | $22 |
| Alcresta Therapeutics, Inc. | 1 | $21 |
| Biogen | 1 | $18 |
| Teva Pharmaceuticals USA, Inc. | 1 | $14 |
| Resmed Corp | 1 | $14 |
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
$4,185 in reported general payments places this provider in the 90th percentile of 2,724 nurse practitioner providers in Indiana.
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 |
|---|---|---|
| Nurtec OdtRimegepant Sulfate | 64 | $100,964 |
| UbrelvyUbrogepant | 64 | $73,964 |
| BriviactBrivaracetam | 41 | $54,713 |
| FycompaPerampanel | 33 | $53,483 |
| Aimovig AutoinjectorErenumab-Aooe | 50 | $52,153 |
| OnfiClobazam | 14 | $49,270 |
| Emgality PenGalcanezumab-Gnlm | 45 | $41,714 |
| QuliptaAtogepant | 37 | $41,505 |
| VimpatLacosamide | 26 | $39,504 |
| Lacosamide | 215 | $34,649 |
| Rufinamide | 16 | $29,992 |
| XcopriCenobamate | 22 | $26,830 |
| Levetiracetam | 264 | $10,905 |
| Ajovy SyringeFremanezumab-Vfrm | 12 | $10,324 |
| Ajovy AutoinjectorFremanezumab-Vfrm | 13 | $9,377 |
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 |
|---|---|---|
| AbbVieUbrelvy, Qulipta | $666 | $115,470101 claims |
| PfizerNurtec Odt, Dilantin | $100 | $104,87680 claims |
| UCB, Inc.Briviact, Vimpat | $1,067 | $94,21667 claims |
| Eisai Inc.Fycompa | $151 | $53,48333 claims |
| Lundbeck LLCOnfi | $86 | $49,27014 claims |
| SK Life Science, Inc.Xcopri | $758 | $26,83022 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 2,724 nurse practitioner providers in Indiana.
Other nurse practitioner in Fort Wayne
- Sean GoddardFort Wayne$180K
- Kristine TaylorFort Wayne$69K
- Mary BullisFort Wayne$27K
- Nathan MinerFort Wayne$21K
- Joel NagelFort Wayne$20K
- Gabriela NorthFort Wayne$18K
- Karen LothamerFort Wayne$12K
- Pamela ShodaFort Wayne$11K
- Sara CoburnFort Wayne$9K
- Marlise FletterFort Wayne$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.