Andrew Krystal, MD
Psychiatry · Durham, NCNPI 1568546620
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $194,440 of the $233,747 with a category attached, or 83.2%. 20 manufacturers reported payments, led by Janssen Research & Development, LLC at 33.0% of the total. Reporting peaked in 2019 at $116,647 and has fallen 80.3% since, to $22,994 in 2025. Among psychiatry clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 198 payments — averaging $1180.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Janssen Research & Development, LLC$77K
- Eisai Inc.$38K
- Janssen Global Services, LLC$33K
- Jazz Pharmaceuticals Inc.$14K
- Idorsia Pharmaceuticals US Inc$11K
- Sage Therapeutics, LLC$10K
- plus $50K from 14 others
Across 239 payments — averaging $2218.31 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Alkermes, Inc.$319K
- Janssen Research & Development, LLC$129K
- Eisai Inc.$65K
- Idorsia Pharmaceuticals US Inc$10K
- Harmony Biosciences LLC$7K
- Jazz Pharmaceuticals Inc.$413
What the payments were for
- Consulting fees$194,44083%
- Speaking & faculty fees$14,9506%
- Travel & lodging$20,5739%
- Food & beverage$3,7842%
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 |
|---|---|---|
| Janssen Research & Development, LLC | 54 | $77,252 |
| Eisai Inc. | 32 | $38,184 |
| Janssen Global Services, LLC | 24 | $33,091 |
| Jazz Pharmaceuticals Inc. | 20 | $13,880 |
| Idorsia Pharmaceuticals US Inc | 6 | $10,827 |
| Sage Therapeutics, LLC | 13 | $10,275 |
| Lilly USA, LLC | 19 | $9,492 |
| Pernix Therapeutics Holdings, Inc. | 1 | $5,950 |
| Angelini Pharma Inc. | 1 | $5,500 |
| Eisai CO., LTD. | 2 | $5,363 |
| AbbVie | 12 | $4,894 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 3 | $4,860 |
| Janssen Scientific Affairs, LLC | 2 | $3,815 |
| H. Lundbeck A S | 1 | $3,500 |
| Sanofi US Services Inc. | 1 | $2,196 |
| Acadia Pharmaceuticals Inc | 1 | $1,800 |
| Alkermes, Inc. | 3 | $1,700 |
| Merck | 1 | $1,125 |
| Lundbeck LLC | 1 | $23 |
| Resmed Corp | 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
$233,747 in reported general payments places this provider in the 95th percentile of 1,108 psychiatry providers in North Carolina.
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 |
|---|---|---|
| DayvigoLemborexant | 13 | $6,956 |
| Pregabalin | 11 | $648 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Eisai Inc.Dayvigo | $38,184 | $6,95613 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 1,108 psychiatry providers in North Carolina.
Other psychiatry in Durham
- Mark ReynoldsDurham$3.2M
- Steven SzaboDurham$360K
- Ranjan SudanDurham$81K
- Caleb WhitenackDurham$68K
- Paolo MannelliDurham$38K
- P DoraiswamyDurham$35K
- David JarrettDurham$28K
- Steven PrakkenDurham$22K
- Mustafa HusainDurham$20K
- Damon TweedyDurham$20K
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.