Tortoise Turning & Positioning System
Payments companies reported to CMS as associated with Tortoise Turning & Positioning System. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Tortoise Turning & Positioning System, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Tortoise Turning & Positioning System
These are the largest totals companies reported as associated with Tortoise Turning & Positioning System. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Charleen Singh | Roseville, CA | Family | $53,265.60 |
| Gisele Castonguay | Lewiston, ME | Nurse Practitioner | $10,267.86 |
| Nicole Paredes | San Antonio, TX | Family | $697.04 |
| Mary Sandrik | Chicago, IL | Clinical Nurse Specialist | $667.88 |
| Hadar Lev-Tov | Miami, FL | Dermatology | $667.88 |
| Hsin-Ju Lee | New Hyde Park, NY | Adult Health (Nurse Practitioner) | $667.88 |
| Ann Nie | Dayton, OH | Nurse Practitioner | $667.86 |
| Elizabeth Beal | Pulaski, TN | Family | $667.86 |
| Debra Johnson | Norway, ME | Family | $511.60 |
| Liliana Rueda-Castrillon | Houston, TX | Plastic Surgery | $393.32 |
Prescribed Tortoise Turning & Positioning System?
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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.