Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

RACHAEL ALINE TOOTLE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1114235199
CMS profile
10716709
Location
RICHMOND, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2024 · Entire year

$451.60

29 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2024 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $451.60 29

By paying entity

PY2024 · entire year · sorted by reported total

Paying entityAmountRecords
Novo Nordisk Inc $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

Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

RACHAEL ALINE TOOTLE

NPI 1114235199 · CMS profile ID 10716709

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Family

RICHMOND, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1114235199?year=2024&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
RACHAEL ALINE TOOTLE, NPI 1114235199, CMS profile ID 10716709. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1114235199?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
APA 7
IndustryPayments. (2026). RACHAEL ALINE TOOTLE, NPI 1114235199, CMS profile ID 10716709. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1114235199?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
Bluebook
RACHAEL ALINE TOOTLE, NPI 1114235199, CMS profile ID 10716709, IndustryPayments, General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff. https://industrypayments.org/provider/npi-1114235199?year=2024&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2024

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

29 matching records · $451.60 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 29 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–29 of 29.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Novo Nordisk Inc $5.3812/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100485525 CMS
Novo Nordisk Inc $1.7212/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100497717 CMS
Antares Pharma, Inc. $17.7112/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1146525578 CMS
Novo Nordisk Inc $5.7011/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100446879 CMS
PFIZER INC. $22.6211/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1131653667 CMS
Novo Nordisk Inc $6.9911/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100497973 CMS
Novo Nordisk Inc $7.0610/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100378505 CMS
Gilead Sciences, Inc. $15.8610/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1133692544 CMS
Currax Pharmaceuticals LLC $14.5210/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1089524631 CMS
Novo Nordisk Inc $4.8210/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100440859 CMS
Novo Nordisk Inc $8.7510/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100531661 CMS
Novo Nordisk Inc $3.6110/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100616245 CMS
Amgen Inc. $16.0609/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117702516 CMS
Novo Nordisk Inc $4.8109/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100547880 CMS
Novo Nordisk Inc $111.2809/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100619702 CMS
Novo Nordisk Inc $6.4109/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100452224 CMS
Novo Nordisk Inc $5.3109/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100492521 CMS
SHIELD THERAPEUTICS INC $13.7809/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1150145524 CMS
Novo Nordisk Inc $5.9609/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100326190 CMS
Amgen Inc. $19.1208/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117702514 CMS
Novo Nordisk Inc $5.8207/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100520789 CMS
Amgen Inc. $18.0406/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117702512 CMS
Tolmar, Inc. $17.9305/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1138721244 CMS
PFIZER INC. $21.6804/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1131653654 CMS
Antares Pharma, Inc. $14.9903/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1146525574 CMS
Neurocrine Biosciences, Inc. $25.0903/01/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1150954751 CMS
SHIELD THERAPEUTICS INC $13.4501/31/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1150119119 CMS
Novo Nordisk Inc $6.1601/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100235676 CMS
GlaxoSmithKline, LLC. $30.9701/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1116250976 CMS

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
PY2025 $521.87 30

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.