Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Nelli Perkins

Neurology San Francisco, CA Medical Doctor

NPI 1740592112 CMS profile 1392050

2100 Webster St Ste 115, San Francisco, CA 94115

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General payments

$3,774

110 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Nelli Perkins of San Francisco, CA is reported in the CMS Open Payments database as having received $3,774 across 110 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 62nd percentile of Neurology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $564 20
2024 General $258 9
2023 General $1,710 24
2022 General $110 5
2021 General $196 9
2020 General $214 11
2019 General $723 32

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Nelli Perkins
  • Neurology median
  • Middle half of Neurology
  • National median

In program year 2025, general payments to Nelli Perkins were reported at $564. Among 11,022 Neurology profiles paid that year, the median was $457 and the middle half received between $118 and $2,344.

Show as a table
Year Nelli Perkins Neurology median Middle half National median
2019 $723 $474 $118–$2,177 $163
2020 $214 $367 $82–$2,309 $114
2021 $196 $438 $104–$2,547 $132
2022 $110 $442 $103–$2,388 $149
2023 $1,710 $464 $119–$2,312 $160
2024 $258 $468 $119–$2,323 $164
2025 $564 $457 $118–$2,344 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Teva Pharmaceuticals USA, Inc. $1,279 3 payments
  2. AbbVie, Inc. $927 36 payments
  3. Impel Pharmaceuticals Inc. $305 14 payments
  4. Lilly USA, LLC $266 13 payments
  5. Allergan Inc. $170 9 payments
  6. Amgen Inc. $149 5 payments
  7. UCB, Inc. $98 4 payments
  8. SK Life Science, Inc. $69 3 payments
  9. Eisai Inc. $69 2 payments
  10. Bausch Health US, LLC $63 4 payments
  11. Other $380 17 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $2,495 106 payments
  2. Consulting Fee $1,230 1 payment
  3. Education $49 3 payments
Products named General payments · program years 2019–2025
  1. AJOVY $1,230 1 payment
  2. UBRELVY $553 19 payments
  3. QULIPTA $351 13 payments
  4. Trudhesa $281 13 payments
  5. BOTOX Botox Therapeutic $263 12 payments
  6. EMGALITY $243 12 payments
  7. AIMOVIG $206 8 payments
  8. BOTOX Neuroscience $144 7 payments
  9. BOTOX Hyperhydrosis $119 6 payments
  10. Briviact $78 3 payments
  11. Other $756 33 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 · 20 drugs

Part D claims

1,068

Median for Neurology: 833

Drug cost

$340,584

Median for Neurology: $202,670

Branded share of claims

42.6%

Median for Neurology: 25.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Qulipta Atogepant Brand 77 $97,409
Ubrelvy Ubrogepant Brand 42 $79,270
Nurtec Odt Rimegepant Sulfate Brand 44 $58,089
Emgality Pen Galcanezumab-Gnlm Brand 64 $56,015
Aimovig Autoinjector Erenumab-Aooe Brand 34 $31,233
Sumatriptan Succinate Generic 56 $2,936
Memantine Hcl Generic 173 $2,814
Zolmitriptan Odt Zolmitriptan Brand 14 $2,093
Gabapentin Generic 153 $2,076
Almotriptan Malate Generic 18 $1,785

The 10 drugs with the highest cost, of 20 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 13,695 Part D prescribers listed as Neurology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 13 billing codes

Paid by Medicare

$242,045

Of which drugs: $178,549

Medicare patients

130

Average age 69

Services billed

37,076

97 women, 33 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 55%
Arthritis 48%
Depression 31%
Osteoporosis 20%
Ischemic heart disease 17%
Diabetes 16%
Cancer 15%
Atrial fibrillation 12%
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, onabotulinumtoxina, 1 unit J0585 Office 50 36,380 $178,549

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 7 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
QULIPTA
  • AbbVie, Inc. $77
$77 77 —
UBRELVY
  • AbbVie, Inc. $62
$62 42 —
BOTOX
  • AbbVie, Inc. $31
$31 — 36,380
NURTEC ODT
  • PFIZER INC. $30
$30 44 —
ZAVZPRET
  • PFIZER INC. $30
$30 — —

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 7 in the dashboard with a free account

Records

110 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 Neurology in California

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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