Payment overview · 2025
General Payments
$1,627.39
66 reported records · 21 companies
Healthcare provider profile · identity verified
Toni Lynette Clark, APRN
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · HERNANDO, FL · NPI 1851808190
Verified facts
What the public records show
CMS Open Payments records show Toni Lynette Clark, APRN received $1,627.39 in general payments during 2025 across 66 reported records.
Insmed, Inc. accounted for 14.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 34 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Pifeltro, Rukobia.
Gilead Sciences, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Biktarvy as an associated drug or biological on 8065 records involving 2759 distinct recipient NPIs. Public Medicare Part D data also shows 28 claims for Biktarvy by this doctor in 2024.
Merck Sharp & Dohme LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported PIFELTRO as an associated drug or biological on 7921 records involving 2912 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Pifeltro by this doctor in 2024.
ViiV Healthcare Company reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported RUKOBIA as an associated drug or biological on 3367 records involving 1303 distinct recipient NPIs. Public Medicare Part D data also shows 26 claims for Rukobia by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Insmed, Inc. | Unresolved — no canonical attribution shown | $232.74 | 14.3% | 12 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $201.00 | 12.3% | 9 | 2025 |
| Averitas Pharma Inc. | Unresolved — no canonical attribution shown | $179.94 | 11.1% | 5 | 2025 |
| Theratechnologies Inc. | Unresolved — no canonical attribution shown | $160.28 | 9.8% | 4 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $134.11 | 8.2% | 6 | 2025 |
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $118.01 | 7.2% | 4 | 2025 |
| ViiV Healthcare Company | Unresolved — no canonical attribution shown | $110.64 | 6.8% | 4 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $61.03 | 3.8% | 2 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $58.67 | 3.6% | 2 | 2025 |
| Smith+Nephew, Inc. | Unresolved — no canonical attribution shown | $56.39 | 3.5% | 2 | 2025 |
| MIMEDX Group, Inc. | Unresolved — no canonical attribution shown | $48.26 | 3.0% | 3 | 2025 |
| Reprise Biomedical, Inc. | Unresolved — no canonical attribution shown | $43.06 | 2.6% | 2 | 2025 |
| Shionogi Inc | Unresolved — no canonical attribution shown | $39.98 | 2.5% | 2 | 2025 |
| Tactile Systems Technology Inc | Unresolved — no canonical attribution shown | $30.37 | 1.9% | 1 | 2025 |
| Cumberland Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $30.17 | 1.9% | 1 | 2025 |
| Paratek Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $29.32 | 1.8% | 2 | 2025 |
| Melinta Therapeutics, LLC | Unresolved — no canonical attribution shown | $22.65 | 1.4% | 1 | 2025 |
| ConvaTec Inc. | Unresolved — no canonical attribution shown | $22.40 | 1.4% | 1 | 2025 |
| Cipher Pharmaceuticals US LLC | Unresolved — no canonical attribution shown | $19.07 | 1.2% | 1 | 2025 |
| HARTMANN USA, INC. | Unresolved — no canonical attribution shown | $15.75 | 1.0% | 1 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $13.55 | 0.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,605.69 | 64 |
| Education | $21.70 | 2 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Arikayce Normalized: arikayce |
Drug | Insmed, Inc. | $232.74 | 12 | 2025 |
Source payment records
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| QUTENZA Normalized: qutenza |
Drug | Averitas Pharma Inc. | $179.94 | 5 | 2025 |
Source payment records
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| EGRIFTA Normalized: egrifta |
Drug | Theratechnologies Inc. | $160.28 | 4 | 2025 |
Source payment records
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| TROGARZO Normalized: trogarzo |
Drug | Theratechnologies Inc. | $160.28 | 4 | 2025 |
Source payment records
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| ZERBAXA Normalized: zerbaxa |
Drug | Merck Sharp & Dohme LLC | $135.90 | 7 | 2025 |
Source payment records
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| RUKOBIA Normalized: rukobia |
Drug | ViiV Healthcare Company | $96.75 | 3 | 2025 |
Source payment records
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| VOWST Normalized: vowst |
Biological | Aimmune Therapeutics, Inc. | $86.77 | 3 | 2025 |
Source payment records
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| Brinsupri Normalized: brinsupri |
Drug | Insmed, Inc. | $78.28 | 3 | 2025 |
Source payment records
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| DALVANCE Normalized: dalvance |
Drug | ABBVIE INC. | $68.35 | 3 | 2025 |
Source payment records
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| EMBLAVEO Normalized: emblaveo |
Drug | ABBVIE INC. | $68.35 | 3 | 2025 |
Source payment records
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| MAVYRET Normalized: mavyret |
Drug | ABBVIE INC. | $65.76 | 3 | 2025 |
Source payment records
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| PIFELTRO Normalized: pifeltro |
Drug | Merck Sharp & Dohme LLC | $65.10 | 2 | 2025 |
Source payment records
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| COLLAGENASE SANTYL Normalized: collagenase santyl |
Drug | Smith+Nephew, Inc. | $56.39 | 2 | 2025 |
Source payment records
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| AVYCAZ Normalized: avycaz |
Drug | ABBVIE INC. | $49.50 | 2 | 2025 |
Source payment records
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| Miro3D Normalized: miro3d |
Device | Reprise Biomedical, Inc. | $43.06 | 2 | 2025 |
Source payment records
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| Fetroja Normalized: fetroja |
Drug | Shionogi Inc | $39.98 | 2 | 2025 |
Source payment records
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $32.58 | 1 | 2025 |
Source payment records
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| HYQVIA Normalized: hyqvia |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $31.34 | 1 | 2025 |
Source payment records
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| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $31.24 | 1 | 2025 |
Source payment records
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| Flexitouch Plus Normalized: flexitouch plus |
Device | Tactile Systems Technology Inc | $30.37 | 1 | 2025 |
Source payment records
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| Nimbl Normalized: nimbl |
Device | Tactile Systems Technology Inc | $30.37 | 1 | 2025 |
Source payment records
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| VIBATIV Normalized: vibativ |
Drug | Cumberland Pharmaceuticals, Inc. | $30.17 | 1 | 2025 |
Source payment records
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| NUZYRA Normalized: nuzyra |
Drug | Paratek Pharmaceuticals, Inc. | $29.32 | 2 | 2025 |
Source payment records
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| CUVITRU Normalized: cuvitru |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $27.33 | 1 | 2025 |
Source payment records
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| TEFLARO Normalized: teflaro |
Drug | ABBVIE INC. | $23.52 | 1 | 2025 |
Source payment records
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| Kimyrsa Normalized: kimyrsa |
Drug | Melinta Therapeutics, LLC | $22.65 | 1 | 2025 |
Source payment records
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| Orbactiv Normalized: orbactiv |
Drug | Melinta Therapeutics, LLC | $22.65 | 1 | 2025 |
Source payment records
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| Rezzayo Normalized: rezzayo |
Drug | Melinta Therapeutics, LLC | $22.65 | 1 | 2025 |
Source payment records
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| AQUACEL AG+ Normalized: aquacel ag |
Device | ConvaTec Inc. | $22.40 | 1 | 2025 |
Source payment records
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| CONVATEC INC. Normalized: convatec inc |
Medical Supply | ConvaTec Inc. | $22.40 | 1 | 2025 |
Source payment records
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| Natroba Normalized: natroba |
Drug | Cipher Pharmaceuticals US LLC | $19.07 | 1 | 2025 |
Source payment records
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| Spinosad Normalized: spinosad |
Drug | Cipher Pharmaceuticals US LLC | $19.07 | 1 | 2025 |
Source payment records
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| ZETUVIT PLUS 10X10 P10 Normalized: zetuvit plus 10x10 p10 |
Device | HARTMANN USA, INC. | $15.75 | 1 | 2025 |
Source payment records
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| DOVATO Normalized: dovato |
Drug | ViiV Healthcare Company | $13.89 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| PIFELTRO pifeltro |
2025 | Pifeltro | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| RUKOBIA rukobia |
2025 | Rukobia | 2024 | 26 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Gilead Sciences, Inc. Exact reporting entity; no affiliate inference |
2025 | Biktarvy open payments reported associated product |
CMS Open Payments — General Payments 8065 supporting records · 2759 recipient NPIs · example record 1234350766 |
Biktarvy · 2024 Exact normalized brand match · 1 Part D row |
28 | suppressed by CMS |
| Merck Sharp & Dohme LLC Exact reporting entity; no affiliate inference |
2025 | PIFELTRO open payments reported associated product |
CMS Open Payments — General Payments 7921 supporting records · 2912 recipient NPIs · example record 1237992198 |
Pifeltro · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| ViiV Healthcare Company Exact reporting entity; no affiliate inference |
2025 | RUKOBIA open payments reported associated product |
CMS Open Payments — General Payments 3367 supporting records · 1303 recipient NPIs · example record 1189508926 |
Rukobia · 2024 Exact normalized brand match · 1 Part D row |
26 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Doxycycline Hyclate | Doxycycline Hyclate | 160 | 79 |
| Daptomycin | Daptomycin | 123 | 17 |
| Cephalexin | Cephalexin | 102 | 48 |
| Cefepime Hcl | Cefepime Hcl | 70 | 15 |
| Vancomycin Hcl | Vancomycin Hcl | 59 | 18 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 52 | 32 |
| Ceftriaxone | Ceftriaxone Sodium | 44 | suppressed |
| Methenamine Hippurate | Methenamine Hippurate | 43 | 20 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 33 | 18 |
| Fluconazole | Fluconazole | 32 | 17 |
| Meropenem | Meropenem | 32 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 29 | 18 |
| Biktarvy | Bictegrav/Emtricit/Tenofov Ala | 28 | suppressed |
| Micafungin | Micafungin Sodium | 27 | suppressed |
| Rukobia | Fostemsavir Tromethamine | 26 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 25 | 19 |
| Aztreonam | Aztreonam | 23 | suppressed |
| Cefdinir | Cefdinir | 23 | 18 |
| Tramadol Hcl | Tramadol Hcl | 20 | suppressed |
| Gentamicin Sulfate | Gentamicin Sulfate | 18 | 15 |
| Clindamycin Hcl | Clindamycin Hcl | 16 | suppressed |
| Amoxicillin | Amoxicillin | 15 | suppressed |
| Mupirocin | Mupirocin | 15 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 14 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 14 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 13 | suppressed |
| Azithromycin | Azithromycin | 12 | suppressed |
| Juluca | Dolutegravir/Rilpivirine | 12 | suppressed |
| Nystatin | Nystatin | 12 | suppressed |
| Pifeltro | Doravirine | 12 | suppressed |
| Prednisone | Prednisone | 12 | suppressed |
| Triumeq | Abacavir/Dolutegravir/Lamivudi | 12 | suppressed |
| Gabapentin | Gabapentin | 11 | suppressed |
| Metronidazole | Metronidazole | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $1,627.39 · 66 records | Insmed, Inc. | AQUACEL AG+, AVYCAZ, Arikayce, Brinsupri, CAPVAXIVE, COLLAGENASE SANTYL, CONVATEC INC., CUVITRU, DALVANCE, DOVATO, EGRIFTA, EMBLAVEO, Fetroja, Flexitouch Plus, HYQVIA, Kimyrsa, MAVYRET, Miro3D, NUZYRA, Natroba, Nimbl, Orbactiv, PIFELTRO, QUTENZA, RUKOBIA, Rezzayo, Spinosad, TEFLARO, TROGARZO, VIBATIV, VOWST, ZENPEP, ZERBAXA, ZETUVIT PLUS 10X10 P10 | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Pifeltro play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Gilead Sciences, Inc.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error