Alan Tesson, MD
Sleep Medicine · Fairfax, VANPI 1902063662
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,919 of the $2,436 with a category attached, or 78.8%. Inspire Medical Systems, Inc. accounts for 83.9% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $1,894 and has fallen 92.1% since, to $149 in 2025.
Across 20 payments — averaging $121.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$2K
- Teva Pharmaceuticals USA, Inc.$168
- Avadel CNS Pharmaceuticals, LLC$103
- Harmony Biosciences LLC$40
- AbbVie$37
- Resmed Corp$22
- plus $22 from 1 others
What the payments were for
- Travel & lodging$51721%
- Food & beverage$1,91979%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 5 | $2,044 |
| Teva Pharmaceuticals USA, Inc. | 8 | $168 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $103 |
| Harmony Biosciences LLC | 2 | $40 |
| AbbVie(2 entities) | 2 | $37 |
| Resmed Corp | 1 | $22 |
| Novartis | 1 | $22 |
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.
How this compares
$2,436 in reported general payments places this provider in the 65th percentile of 74 sleep medicine providers in Virginia.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| NeuproRotigotine | 25 | $20,245 |
| Modafinil | 33 | $3,995 |
| Doxepin Hcl | 16 | $2,347 |
| Gabapentin | 107 | $1,093 |
| Pregabalin | 23 | $1,075 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 17 | $778 |
| Memantine Hcl | 26 | $477 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 30 | $377 |
| Donepezil Hcl | 23 | $375 |
| Mirtazapine | 22 | $336 |
| Duloxetine Hcl | 12 | $284 |
| Prazosin Hcl | 12 | $164 |
| Sumatriptan Succinate | 15 | $146 |
| Trazodone Hcl | 31 | $124 |
| Clonazepam | 20 | $93 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Fairfax
- Aarthi VemanaFairfax$792
- William WinterCharlottesville$1.1M
- Michael PolskyNorth Chesterfield$99K
- Astaad DalalFalls Church$99K
- Douglas PuryearMidlothian$49K
- Marc RaphaelsonLeesburg$47K
- Shahriar ShahzeidiLeesburg$27K
- Pascal NgongmonWoodbridge$25K
- Amit PatelFalls Church$14K
- Richard ParisiWilliamsburg$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.