Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RACHAEL ALINE TOOTLE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1114235199
CMS profile
10716709
Location
KATY, TX

General Payments · PY2021–2024

$2,438.27

  • Reported across 108 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$451.60

29 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $451.60 29

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $189.78 15
Amgen Inc. $53.22 3
PFIZER INC. $44.30 2
Antares Pharma, Inc. $32.70 2
GlaxoSmithKline, LLC. $30.97 1
SHIELD THERAPEUTICS INC $27.23 2
Neurocrine BioSciences, Inc. $25.09 1
TOLMAR, INC. $17.93 1
Gilead Sciences, Inc. $15.86 1
Currax Pharmaceuticals LLC $14.52 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $591.93 24
PY2022 $867.37 36
PY2023 $527.37 19
PY2024 $451.60 29

Payment records · PY2024 (29)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $18.04 06/06/2024 Food and Beverage Undisputed 01/23/2026 1117702512 CMS
Amgen Inc. $19.12 08/02/2024 Food and Beverage Undisputed 01/23/2026 1117702514 CMS
Amgen Inc. $16.06 09/26/2024 Food and Beverage Undisputed 01/23/2026 1117702516 CMS
Antares Pharma, Inc. $14.99 03/11/2024 Food and Beverage Undisputed 01/23/2026 1146525574 CMS
Antares Pharma, Inc. $17.71 12/11/2024 Food and Beverage Undisputed 01/23/2026 1146525578 CMS
Currax Pharmaceuticals LLC $14.52 10/15/2024 Food and Beverage Undisputed 01/23/2026 1089524631 CMS
Gilead Sciences, Inc. $15.86 10/25/2024 Food and Beverage Undisputed 01/23/2026 1133692544 CMS
GlaxoSmithKline, LLC. $30.97 01/15/2024 Food and Beverage Undisputed 01/23/2026 1116250976 CMS
Neurocrine Biosciences, Inc. $25.09 03/01/2024 Food and Beverage Undisputed 01/23/2026 1150954751 CMS
Novo Nordisk Inc $6.16 01/30/2024 Food and Beverage Undisputed 01/23/2026 1100235676 CMS
Novo Nordisk Inc $5.82 07/27/2024 Food and Beverage Undisputed 01/23/2026 1100520789 CMS
Novo Nordisk Inc $5.96 09/07/2024 Food and Beverage Undisputed 01/23/2026 1100326190 CMS
Novo Nordisk Inc $6.41 09/12/2024 Food and Beverage Undisputed 01/23/2026 1100452224 CMS
Novo Nordisk Inc $5.31 09/12/2024 Food and Beverage Undisputed 01/23/2026 1100492521 CMS
Novo Nordisk Inc $4.81 09/26/2024 Food and Beverage Undisputed 01/23/2026 1100547880 CMS
Novo Nordisk Inc $111.28 09/26/2024 Food and Beverage Undisputed 01/23/2026 1100619702 CMS
Novo Nordisk Inc $3.61 10/03/2024 Food and Beverage Undisputed 01/23/2026 1100616245 CMS
Novo Nordisk Inc $8.75 10/08/2024 Food and Beverage Undisputed 01/23/2026 1100531661 CMS
Novo Nordisk Inc $4.82 10/09/2024 Food and Beverage Undisputed 01/23/2026 1100440859 CMS
Novo Nordisk Inc $7.06 10/30/2024 Food and Beverage Undisputed 01/23/2026 1100378505 CMS
Novo Nordisk Inc $6.99 11/06/2024 Food and Beverage Undisputed 01/23/2026 1100497973 CMS
Novo Nordisk Inc $5.70 11/20/2024 Food and Beverage Undisputed 01/23/2026 1100446879 CMS
Novo Nordisk Inc $5.38 12/16/2024 Food and Beverage Undisputed 01/23/2026 1100485525 CMS
Novo Nordisk Inc $1.72 12/16/2024 Food and Beverage Undisputed 01/23/2026 1100497717 CMS
PFIZER INC. $21.68 04/30/2024 Food and Beverage Undisputed 01/23/2026 1131653654 CMS
PFIZER INC. $22.62 11/18/2024 Food and Beverage Undisputed 01/23/2026 1131653667 CMS
SHIELD THERAPEUTICS INC $13.45 01/31/2024 Food and Beverage Undisputed 01/23/2026 1150119119 CMS
SHIELD THERAPEUTICS INC $13.78 09/10/2024 Food and Beverage Undisputed 01/23/2026 1150145524 CMS
Tolmar, Inc. $17.93 05/10/2024 Food and Beverage Undisputed 01/23/2026 1138721244 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.