MYRA D DOWNING-SHERMAN
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family OCALA, FL NPI 1497797344
Browse related groups: Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family FL Novo Nordisk AS All categories
General Payments — all program years on this page
$6,424.51
- Category: General Payments
- Program years: PY2021–2024
- Record count: 243
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $981.23 across 52 records · disputed records: 0
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How this figure is 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
Latest program year (PY2024) · sorted by reported total.
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $981.23 | 52 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk AS | $264.31 | 16 |
| Acerta Pharma LLC | $228.57 | 12 |
| Astellas Pharma US Inc | $88.45 | 4 |
| Lilly USA, LLC | $64.11 | 3 |
| GlaxoSmithKline, LLC. | $54.26 | 3 |
| ABBVIE INC. | $53.57 | 3 |
| PFIZER INC. | $42.97 | 2 |
| Bayer HealthCare Pharmaceuticals Inc. | $39.20 | 2 |
| Phathom Pharmaceuticals, Inc. | $33.06 | 2 |
| Teva Pharmaceuticals USA, Inc. | $28.04 | 1 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $24.15 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $21.05 | 1 |
| Neurocrine BioSciences, Inc. | $20.21 | 1 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $19.28 | 1 |
By program year
Records — PY2024 (52)
Provenance & corrections
- Dataset: CMS Open Payments — General Payments
- Source: CMS Open Payments dataset (bulk file)
- Publisher of source data: Centers for Medicare & Medicaid Services
- 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.