Alan Gasner
Internal Medicine · Winter Haven, FLNPI 1225006638
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 95 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 15.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $606 and has fallen 58.8% since, to $250 in 2023.
Across 95 payments — averaging $20.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$302
- Biohaven Pharmaceutical Holding Company Ltd.$228
- Johnson & Johnson$219
- Novo Nordisk$199
- Boston Scientific$149
- Novartis$105
- plus $725 from 16 others
What the payments were for
- Food & beverage$1,922100%
- Education$50%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AstraZeneca | 16 | $302 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $228 |
| Johnson & Johnson | 36 | $219 |
| Novo Nordisk | 6 | $199 |
| Boston Scientific | 2 | $149 |
| Novartis | 1 | $105 |
| Amgen | 6 | $103 |
| Sanofi-aventis U.S. LLC | 1 | $97 |
| Dexcom, Inc. | 2 | $96 |
| Pfizer | 4 | $66 |
| AbbVie | 3 | $64 |
| Lilly USA, LLC | 3 | $52 |
| Esperion Therapeutics, Inc. | 2 | $43 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $42 |
| GSK | 2 | $33 |
| Paratek Pharmaceuticals, Inc. | 1 | $23 |
| Dynavax Technologies Corporation | 1 | $22 |
| Idorsia Pharmaceuticals US Inc | 1 | $22 |
| Sunovion Pharmaceuticals Inc. | 1 | $20 |
| Daiichi Sankyo Inc. | 1 | $14 |
| GRT US Holding, Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- NURTEC ODT$228
- WATCHMAN Access System$136
- RYBELSUS$125
- ENTRESTO$105
- XARELTO$105
How this compares
$1,927 in reported general payments places this provider in the 80th percentile of 8,530 internal medicine providers in Florida.
Other internal medicine in Winter Haven
- Haytham ElgammalMiami$2.2M
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
- Quang NguyenOcala$434K
- Luis Correa LunaSanford$412K
- Michael OleksykFort Myers$365K
- Andrew KuykendallTampa$322K
- Howard FederoffCoconut Grove$302K
- Bianka EperjesiovaGainesville$260K
- Julio ConradoFort Myers$247K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.