Physician profile

Michelle L Libretti

Adult Health (Nurse Practitioner) · Palm Coast, FL

NPI 1609316595

$788.13

in general payments reported to CMS, 2019-2025

12 companies · $210 in 2025

The $210 reported for 2025 was more than what a typical Adult Health (Nurse Practitioner) provider received nationally (typical 2025 total: $182).

See the full distribution for Adult Health (Nurse Practitioner)

Payments by year

General payments by program year, as reported to CMS.

What the payments were for

Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.

View as a table
Payment typeAmount (2023-2025)
Food and Beverage$479.28

Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.

Who reported paying

General payments only, as reported to CMS. Product names cover 2023-2025.

CompanyGeneral paymentsYearsTop products
Exeltis, USA INC. $221.06 2021-2024 Slynd
Astellas Pharma US INC $95.10 2021-2025 Veozah, Myrbetriq
Bayer Healthcare Pharmaceuticals INC. $93.44 2025
Mayne Pharma Commercial LLC $64.43 2023-2025
Millicent US INC $56.40 2024-2025 Intrarosa, Femlyv, Femring
Pfizer INC. $54.79 2021-2022
Mycovia Pharmaceuticals, INC. $54.45 2022-2023 Vivjoa
Hologic Sales and Service, LLC $42.82 2021-2023 Aptima
Exact Sciences Corporation $39.40 2023-2025 The Cologuard Plus Collection Kit, Cologuard Collection Kit
Agile Therapeutics, INC. $27.59 2021-2024 Twirla
Urovant Sciences INC $23.32 2021
Therapeuticsmd, INC. $15.33 2022

Drugs and devices associated with these payments

CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.

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Payment summary

Michelle L Libretti

$788.13

in general payments reported 2019-2025

Years
2021-2025
Top company
Exeltis, USA INC.
Context
The $210 reported for 2025 was more than what a typical Adult Health (Nurse Practitioner) provider received nationally (typical 2025 total: $182).

https://glasscript.com/doctor/10591971/michelle-l-libretti

Source: CMS Open Payments, program years 2019-2025. Payments are legal and often routine.

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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.