William Pauley
Nurse Practitioner · Roanoke, VANPI 1770002172
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 339 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 32 manufacturers reported payments, led by Novo Nordisk at 25.9% of the total. Reporting peaked in 2023 at $1,838 and has fallen 55.8% since, to $812 in 2025. Among nurse practitioner clinicians in VA 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 339 payments — averaging $18.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- AbbVie$1K
- Lilly USA, LLC$641
- Abbott$507
- Amgen$334
- Pfizer$278
- plus $2K from 26 others
What the payments were for
- Food & beverage$6,190100%
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 |
|---|---|---|
| Novo Nordisk | 72 | $1,603 |
| AbbVie | 58 | $1,005 |
| Lilly USA, LLC | 54 | $641 |
| Abbott | 35 | $507 |
| Amgen | 20 | $334 |
| Pfizer | 17 | $278 |
| Johnson & Johnson | 8 | $260 |
| Otsuka America Pharmaceutical, Inc. | 9 | $181 |
| AstraZeneca | 5 | $170 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 9 | $149 |
| Boston Scientific | 1 | $123 |
| GSK | 6 | $95 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $86 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $85 |
| Biohaven Pharmaceuticals, Inc. | 4 | $79 |
| Lundbeck LLC | 4 | $78 |
| Boehringer Ingelheim | 2 | $54 |
| Merck | 2 | $47 |
| Idorsia Pharmaceuticals US Inc | 3 | $46 |
| Alkermes, Inc. | 2 | $45 |
| E.r. Squibb & Sons, L.L.C. | 3 | $45 |
| Amarin Pharma, Inc. | 2 | $39 |
| Exact Sciences | 2 | $38 |
| Astellas Pharma US Inc | 2 | $36 |
| Dexcom, Inc. | 2 | $32 |
| Teva Pharmaceuticals USA, Inc. | 2 | $28 |
| Baxter Healthcare | 1 | $23 |
| Jazz Pharmaceuticals Inc. | 1 | $20 |
| Dynavax Technologies Corporation | 1 | $18 |
| Novartis | 1 | $17 |
| Hologic Sales And Service, LLC | 1 | $14 |
| Almatica Pharma LLC | 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.
How this compares
$6,190 in reported general payments places this provider in the 95th percentile of 2,166 nurse practitioner providers in 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 |
|---|---|---|
| OzempicSemaglutide | 58 | $75,484 |
| TrulicityDulaglutide | 26 | $38,355 |
| FarxigaDapagliflozin Propanediol | 37 | $30,802 |
| JardianceEmpagliflozin | 24 | $26,402 |
| RybelsusSemaglutide | 18 | $24,521 |
| EliquisApixaban | 18 | $24,184 |
| MounjaroTirzepatide | 14 | $24,036 |
| VraylarCariprazine Hcl | 13 | $19,009 |
| MyrbetriqMirabegron | 34 | $18,171 |
| JanuviaSitagliptin Phosphate | 12 | $13,252 |
| XareltoRivaroxaban | 17 | $11,706 |
| Tresiba Flextouch U-100Insulin Degludec | 18 | $9,705 |
| SymbicortBudesonide/Formoterol Fumarate | 18 | $8,936 |
| Breo ElliptaFluticasone/Vilanterol | 18 | $8,019 |
| Advair HfaFluticasone Propion/Salmeterol | 22 | $7,662 |
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, Rybelsus | $1,603 | $100,00576 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $641 | $62,39240 claims |
| AstraZenecaFarxiga, Symbicort | $170 | $39,73855 claims |
| Boehringer IngelheimJardiance | $54 | $26,40224 claims |
| PfizerEliquis | $278 | $24,18418 claims |
| AbbVieVraylar, Synthroid | $1,005 | $19,94827 claims |
| Astellas Pharma US IncMyrbetriq | $36 | $18,17134 claims |
| MerckJanuvia | $47 | $13,25212 claims |
| Johnson & JohnsonXarelto | $260 | $11,70617 claims |
| GSKBreo Ellipta | $95 | $8,01918 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 95th percentile of 2,166 nurse practitioner providers in Virginia.
Other nurse practitioner in Roanoke
- Maria PhillipsRoanoke$7K
- Samantha FoxGate City$207K
- Mikel GrayCharlottesville$174K
- Kevin BrigleRichmond$166K
- Denese GomesRichmond$126K
- Ashley CarmenAlexandria$99K
- Rachel AndersonCharlottesville$90K
- Megan FrancisArlington$81K
- Elizabeth WilletteNorfolk$58K
- Lacey LyleSuffolk$50K
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.