Physician profile
Alfreda Shields
NPI 1497021810
$5,975.87
in general payments reported to CMS, 2019-2025
13 companies · $1,889 in 2025
The $1,889 reported for 2025 was more than what 93% of Nurse Practitioner providers received nationally (typical 2025 total: $174).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2021: $470 · 2022: $1,194 · 2023: $624 · 2024: $1,798 · 2025: $1,889.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $4,163 · Education: $148.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $4,163.24 |
| Education | $148.44 |
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.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Teva Pharmaceuticals USA, INC. | $1,178.43 | 2023-2025 | Austedo Xr, Uzedy, Austedo Xr |
| Janssen Pharmaceuticals, INC | $1,098.51 | 2021-2025 | Invega Sustenna |
| E.R. Squibb & Sons, L.L.C. | $849.94 | 2024-2025 | Cobenfy |
| Otsuka America Pharmaceutical, INC. | $836.76 | 2021-2025 | Abilify Asimtufii, Abilify Maintena, Rexulti |
| Alkermes, INC. | $567.83 | 2021-2025 | Aristada, Lybalvi, Aristada Initio |
| Neurocrine Biosciences, INC. | $559.00 | 2021-2025 | Ingrezza |
| Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) | $398.35 | 2021-2023 | |
| Abbvie INC. | $241.06 | 2021-2025 | |
| Otsuka Pharmaceutical Development & Commercialization, INC. | $129.22 | 2022-2023 | |
| Indivior INC. | $51.44 | 2022-2023 | Perseris |
| Takeda Pharmaceuticals U.S.A., INC. | $24.57 | 2024 | Trintellix |
| Lundbeck LLC | $23.65 | 2022 | |
| Vanda Pharmaceuticals INC. | $17.11 | 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.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Alfreda Shields listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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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.