Alexandra Navarro, MD
Dermatology · Franklin, TNNPI 1598128613
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.7% of the total across 211 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 31 manufacturers, the largest accounting for just 17.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,115, 7.7 times the $146 reported in 2020.
Across 211 payments — averaging $23.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$850
- Merz North America, Inc.$468
- Johnson & Johnson$424
- Regeneron Healthcare Solutions, Inc.$300
- Galderma Laboratories, L.p.$261
- Mayne Pharma Commercial LLC$255
- plus $2K from 25 others
What the payments were for
- Food & beverage$4,84699%
- Education$651%
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 |
|---|---|---|
| AbbVie(2 entities) | 37 | $850 |
| Merz North America, Inc. | 16 | $468 |
| Johnson & Johnson | 21 | $424 |
| Regeneron Healthcare Solutions, Inc. | 9 | $300 |
| Galderma Laboratories, L.p. | 16 | $261 |
| Mayne Pharma Commercial LLC | 12 | $255 |
| Novartis | 10 | $252 |
| Sanofi | 11 | $238 |
| Sun Pharmaceutical Industries Inc. | 12 | $234 |
| Lilly USA, LLC | 11 | $230 |
| E.r. Squibb & Sons, L.L.C. | 5 | $198 |
| Biofrontera Inc. | 4 | $155 |
| Hologic Sales And Service, LLC | 1 | $143 |
| Almirall LLC | 6 | $127 |
| Genentech USA, Inc. | 1 | $104 |
| Pfizer | 7 | $96 |
| Incyte Corporation | 4 | $89 |
| Amgen | 4 | $66 |
| Boehringer Ingelheim | 2 | $57 |
| Organon | 4 | $50 |
| VYNE Pharmaceuticals Inc. | 3 | $49 |
| UCB, Inc. | 3 | $48 |
| EPI Health, LLC | 2 | $44 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $35 |
| Dermavant Sciences, Inc. | 2 | $31 |
| LEO Pharma Inc. | 1 | $22 |
| Botanix SB Inc | 1 | $21 |
| Arcutis Biotherapeutics, Inc. | 1 | $18 |
| LNHC, Inc | 1 | $18 |
| Kyowa Kirin, Inc. | 1 | $16 |
| Verrica Pharmaceuticals Inc. | 1 | $16 |
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.
- BOTOX$149
- THINPREP 2000 PROCESSOR$143
- 3Dimensions$143
- Unifi Workspace$143
- Sotyktu$122
- LIBTAYO$118
- Erivedge$104
- AMELUZ$103
- BF-RhodoLED$103
- XEPI$103
How this compares
$4,911 in reported general payments places this provider in the 55th percentile of 209 dermatology providers in Tennessee.
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 |
|---|---|---|
| Tacrolimus | 11 | $2,252 |
| Metronidazole | 24 | $1,547 |
| Ketoconazole | 86 | $1,523 |
| Clobetasol Propionate | 40 | $1,374 |
| Fluorouracil | 13 | $1,115 |
| Desonide | 15 | $741 |
| Clindamycin Phosphate | 19 | $552 |
| Ciclopirox | 15 | $498 |
| Spironolactone | 13 | $372 |
| Triamcinolone Acetonide | 61 | $319 |
| Doxycycline Hyclate | 14 | $246 |
| Mupirocin | 28 | $202 |
| Terbinafine Hcl | 11 | $105 |
| ValacyclovirValacyclovir Hcl | 12 | $84 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Franklin
- John FoxFranklin$183K
- Marisa BelaidiFranklin$9K
- Kimberly VincentNashville$1.5M
- Adrian RodriguezNashville$1.1M
- Michael GoldNashville$748K
- Joni SagoKingsport$661K
- Jennifer LeeBrentwood$396K
- Christina FeserClarksville$383K
- Emily OverholserMemphis$322K
- James TurnerBartlett$314K
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.