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

Michele Nobs

Nurse Practitioner, Adult Health Saint Louis, MO Nurse Practitioner

NPI 1386619138 CMS profile 11074192

607 S New Ballas Rd, Suite 3300, Saint Louis, MO 63141

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General payments

$15,097

686 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, Michele Nobs of Saint Louis, MO is reported in the CMS Open Payments database as having received $15,097 across 686 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, Adult Health 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 $3,889 184
2024 General $3,843 184
2023 General $4,316 174
2022 General $2,721 131
2021 General $327 13

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Michele Nobs
  • Nurse Practitioner, Adult Health median
  • Middle half of Nurse Practitioner, Adult Health
  • National median

In program year 2025, general payments to Michele Nobs were reported at $3,889. Among 12,696 Nurse Practitioner, Adult Health profiles paid that year, the median was $184 and the middle half received between $59 and $580.

Show as a table
Year Michele Nobs Nurse Practitioner, Adult Health median Middle half National median
2019 $0 — — $163
2020 $0 — — $114
2021 $327 $138 $43–$438 $132
2022 $2,721 $165 $54–$494 $149
2023 $4,316 $178 $61–$549 $160
2024 $3,843 $186 $62–$575 $164
2025 $3,889 $184 $59–$580 $169

Breakdown

Who paid General payments · program years 2021–2025
  1. Seattle Genetics, Inc. $1,535 36 payments
  2. Janssen Biotech, Inc. $976 37 payments
  3. Novartis Pharmaceuticals Corporation $973 55 payments
  4. Merck Sharp & Dohme Corporation $931 45 payments
  5. Daiichi Sankyo Inc. $740 30 payments
  6. Pfizer Inc. $591 32 payments
  7. AstraZeneca Pharmaceuticals LP $568 29 payments
  8. E.R. Squibb & Sons, L.L.C. $533 35 payments
  9. EMD Serono, Inc. $508 33 payments
  10. Eisai Inc. $466 18 payments
  11. Other $7,275 336 payments

Every payment, record by record

What the payments were for General payments · program years 2021–2025
  1. Food and Beverage $13,768 671 payments
  2. Education $1,329 15 payments
Products named General payments · program years 2021–2025
  1. KEYTRUDA $931 45 payments
  2. TUKYSA $558 21 payments
  3. ENHERTU $490 24 payments
  4. KISQALI $481 27 payments
  5. Lenvima $466 18 payments
  6. LIBTAYO $370 17 payments
  7. Nubeqa $368 15 payments
  8. DARZALEX $366 16 payments
  9. OPDIVO $335 21 payments
  10. REBLOZYL $314 18 payments
  11. Other $12,405 617 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 · 3 drugs

Part D claims

37

Median for Nurse Practitioner: 389

Drug cost

$429

Median for Nurse Practitioner: $21,885

Branded share of claims

40.5%

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
Lidocaine Hcl Viscous Lidocaine Hcl Brand 15 $335
Letrozole Generic 11 $58
Potassium Chloride Generic 11 $36

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 · 6 billing codes

Paid by Medicare

$10,472

Medicare's payments for the services billed

Medicare patients

130

Average age 73

Services billed

166

75 women, 55 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
Cancer 65%
High blood pressure 63%
Arthritis 52%
Chronic kidney disease 33%
Ischemic heart disease 25%
Osteoporosis 25%
Depression 24%
Diabetes 21%

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 79 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
KEYTRUDA
  • Merck Sharp & Dohme Corporation $238
$238 — —
Lenvima
  • Eisai Inc. $192
$192 — —
ENHERTU
  • Daiichi Sankyo Inc. $102
  • AstraZeneca Pharmaceuticals LP $71
$173 — —
ERLEADA
  • Janssen Biotech, Inc. $106
$106 — —
KISQALI
  • Novartis Pharmaceuticals Corporation $105
$105 — —

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 more in the dashboard: 25 with a free account, all 79 with Patron

Records

686 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.

Other Nurse Practitioner, Adult Health in Missouri

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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