Kari Spaeth, LICSW, PMHNP-BC

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Arbour Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 20 clinicians in the practice; 12 are shown here.

• Dr. Joseph I Acra, MD Psychiatry Physician · Chelsea, MA
• Anmir Agresar-Donate, MD Psychiatry Physician · Boston, MA
• Alasdair Simon Donald, MD Psychiatry Physician · San Francisco, CA
• Dr. Laurence Evans Ducomb, MD Addiction Psychiatry Physician · Jamaica Plain, MA
• MS. Judith Ellman, LICSW Clinical Social Worker · Jamaica Plain, MA
• Byron Garcia, MD Child & Adolescent Psychiatry Physician · Boston, MA
• Dr. Medhat Migeed, MD Psychiatry Physician · Westwood, MA
• Mr. Jonathan Joel Nathan, MSWLICSW Clinical Social Worker · Cambridge, MA
• Desry Skerrett-Parker, RNCS Psychiatric/Mental Health Registered Nurse · Quincy, MA
• Richard Spiro, MD Psychiatry Physician · Milton, MA
• Beatrice Szeto, MD Psychiatry Physician · Lynn, MA
• Zelda Videlefsky, MD Psychiatry Physician · Brighton, MA

Other providers in Dorchester

• Brianne R Fitzgerald, NP-C

  Individual Psychiatric/Mental Health Nurse Practitioner · NPI 1346373362

  79 Van Winkle St Apt 2, Dorchester, MA 02124-4939 · (617) 947-1980

• Health Through Healing Psychiatric Services

  Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1710695879

  554 Washington St # 748, Dorchester, MA 02124-6947 · (617) 461-6070

• Barbara Jane Hyde, RNPC

  Individual Psychiatric/Mental Health Nurse Practitioner · NPI 1760454102

  250 Mount Vernon St, Dorchester, MA 02125 · (617) 288-1140

• Mindwell Meds

  Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1760291447

  70 Train St, Dorchester, MA 02122 · (617) 690-7880