Physician profile
Melanie Custer
NPI 1053686493
$1,006.89
in general payments reported to CMS, 2019-2025
16 companies · $96.71 in 2025
The $96.71 reported for 2025 was less than what a typical Pediatrics provider received nationally (typical 2025 total: $96.93).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $13.43 · 2020: $14.22 · 2021: $123 · 2022: $212 · 2023: $332 · 2024: $215 · 2025: $96.71.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $644.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $644.06 |
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 |
|---|---|---|---|
| Corium, LLC | $153.44 | 2023-2024 | Azstarys |
| Glaxosmithkline, LLC. | $145.60 | 2022-2023 | Shingrix, Arexvy, Bexsero |
| Ironshore Pharmaceuticals INC. | $120.54 | 2022-2024 | Jornay Pm |
| Merck Sharp & Dohme LLC | $100.54 | 2021-2023 | Vaxneuvance, Vaxelis, Rotateq |
| Takeda Pharmaceuticals U.S.A., INC. | $91.53 | 2021-2023 | Trintellix |
| Sanofi Pasteur INC. | $83.81 | 2022-2023 | |
| Collegium Pharmaceutical, INC. | $66.20 | 2025 | Jornay Pm |
| Amgen INC. | $52.91 | 2022-2024 | Repatha, Otezla |
| Novo Nordisk INC | $43.99 | 2021-2023 | |
| Pfizer INC. | $41.49 | 2019-2023 | |
| Inspire Medical Systems, INC. | $31.39 | 2024-2025 | Inspire |
| Otsuka America Pharmaceutical, INC. | $20.48 | 2023 | Rexulti |
| Vertical Pharmaceuticals, LLC | $18.22 | 2024 | Relexxii |
| Lundbeck LLC | $13.61 | 2025 | Rexulti |
| Boehringer Ingelheim Pharmaceuticals, INC. | $11.61 | 2021 |
Show all 16 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Janssen Pharmaceuticals, INC | $11.53 | 2021 |
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 Melanie Custer 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.