Nurse Practitioner Program year 2025 Reported 2021–2025 Source: CMS Open Payments, 2026 publication

Lori Middleton

Nurse Practitioner, Pediatrics Knoxville, TN Nurse Practitioner

NPI 1922340371 CMS profile 10491140

7417 Kingston Pike, Knoxville, TN 37919

Open in the dashboard

General payments

$4,768

154 records reported · program years 2021–2025

Research payments

$0

Paid to them · None reported · program years 2021–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Lori Middleton of Knoxville, TN is reported in the CMS Open Payments database as having received $4,768 across 154 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 98th percentile of Nurse Practitioner, Pediatrics profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

5 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,252 47
2024 General $1,041 38
2023 General $936 29
2022 General $930 26
2021 General $610 14

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Lori Middleton
  • Nurse Practitioner, Pediatrics median
  • Middle half of Nurse Practitioner, Pediatrics
  • National median

In program year 2025, general payments to Lori Middleton were reported at $1,252. Among 7,458 Nurse Practitioner, Pediatrics profiles paid that year, the median was $93 and the middle half received between $35 and $201.

Show as a table
Year Lori Middleton Nurse Practitioner, Pediatrics median Middle half National median
2019 $0 — — $163
2020 $0 — — $114
2021 $610 $60 $23–$142 $132
2022 $930 $72 $27–$161 $149
2023 $936 $89 $35–$185 $160
2024 $1,041 $93 $34–$199 $164
2025 $1,252 $93 $35–$201 $169

Breakdown

Who paid General payments · program years 2021–2025
  1. AstraZeneca Pharmaceuticals LP $1,028 28 payments
  2. Regeneron Healthcare Solutions, Inc. $913 22 payments
  3. Genzyme Corporation $766 28 payments
  4. CSL Behring $705 33 payments
  5. Genentech USA, Inc. $471 19 payments
  6. Amgen Inc. $207 6 payments
  7. Sanofi-Aventis U.S. LLC $180 2 payments
  8. Hospira, Inc. $140 5 payments
  9. Teva Pharmaceuticals USA, Inc. $117 1 payment
  10. Takeda Pharmaceuticals U.S.A., Inc. $67 3 payments
  11. Other $175 7 payments

Every payment, record by record

What the payments were for General payments · program years 2021–2025
  1. Food and Beverage $4,406 148 payments
  2. Education $362 6 payments
Products named General payments · program years 2021–2025
  1. DUPIXENT Immunology $1,356 49 payments
  2. TEZSPIRE Respiratory $865 20 payments
  3. DUPIXENT Inflammation And Immunology $745 19 payments
  4. Haegarda $510 20 payments
  5. Xolair $450 18 payments
  6. AIRSUPRA $314 8 payments
  7. TEZSPIRE Inflammation $173 5 payments
  8. DUPIXENT Immunology And Inflammation $168 3 payments
  9. Hizentra $155 10 payments
  10. CUTAQUIG $140 5 payments
  11. Other $817 28 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 15 drugs

Part D claims

392

Median for Nurse Practitioner: 389

Drug cost

$238,595

Median for Nurse Practitioner: $21,885

Branded share of claims

31.9%

Median for Nurse Practitioner: 19.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Xolair Omalizumab Brand 24 $121,991
Tezspire Tezepelumab-Ekko Brand 14 $57,231
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 20 $22,404
Breo Ellipta Fluticasone/Vilanterol Brand 18 $15,341
Breztri Aerosphere Budesonide/Glycopyr/Formoterol Brand 15 $14,097
Hydroxychloroquine Sulfate Generic 36 $1,899
Fluticasone Propionate Generic 67 $1,295
Azelastine Hcl Generic 28 $1,231
Theophylline Er Theophylline Anhydrous Brand 11 $1,080
Montelukast Sodium Generic 62 $713

The 10 drugs with the highest cost, of 15 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 229,976 Part D prescribers listed as Nurse Practitioner; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 25 billing codes

Paid by Medicare

$273,077

Of which drugs: $220,020

Medicare patients

293

Average age 73

Services billed

9,571

195 women, 98 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 71%
Arthritis 48%
Ischemic heart disease 25%
Depression 23%
Diabetes 22%
Chronic kidney disease 18%
Osteoporosis 16%
Atrial fibrillation 15%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 Office 20 95 $73

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 11 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
DUPIXENT
  • GENZYME CORPORATION $136
  • Regeneron Healthcare Solutions, Inc. $99
$234 — —
Haegarda
  • CSL Behring $191
$191 — —
Xolair
  • Genentech USA, Inc. $178
$178 24 —
TEZSPIRE
  • AstraZeneca Pharmaceuticals LP $117
  • Amgen Inc. $17
$134 14 —
Austedo XR
  • Teva Pharmaceuticals USA, Inc. $117
$117 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 11 in the dashboard with a free account

Records

154 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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