Andrew Vest, DO
Internal Medicine · Tyler, TXNPI 1548899305
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,678 of the $2,707 with a category attached, or 62.0%. 13 manufacturers reported payments, led by Medtronic at 43.5% of the total. 2025 is the largest year on record at $2,674, more than ten times the $13 reported in 2021.
Across 38 payments — averaging $71.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1K
- Abbott$461
- Stryker$334
- Averitas Pharma Inc.$175
- Cerapedics Inc.$155
- Vy Spine LLC$149
- plus $255 from 7 others
What the payments were for
- Travel & lodging$1,02938%
- Food & beverage$1,67862%
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 |
|---|---|---|
| Medtronic | 16 | $1,179 |
| Abbott | 4 | $461 |
| Stryker | 2 | $334 |
| Averitas Pharma Inc. | 4 | $175 |
| Cerapedics Inc. | 1 | $155 |
| Vy Spine LLC | 1 | $149 |
| Bioventus LLC | 4 | $101 |
| Globus Medical | 1 | $42 |
| Nalu Medical, Inc. | 1 | $31 |
| Boston Scientific | 1 | $25 |
| Lundbeck LLC | 1 | $22 |
| Chiesi USA, Inc. | 1 | $20 |
| Lilly USA, LLC | 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.
- INTELLIS ADAPTIVESTIM$448
- PROCLAIM$349
- mild Device Kit$243
- INCEPTIV$170
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$155
- SYNCHROMEDII$135
- Qutenza$126
How this compares
$2,707 in reported general payments places this provider in the 80th percentile of 7,675 internal medicine providers in Texas.
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 |
|---|---|---|
| EliquisApixaban | 21 | $15,679 |
| Spironolactone | 18 | $134 |
| Omeprazole | 13 | $132 |
| ClopidogrelClopidogrel Bisulfate | 11 | $126 |
| Metoprolol Succinate | 11 | $111 |
| Atorvastatin Calcium | 17 | $76 |
| Prednisone | 12 | $29 |
| Amlodipine Besylate | 15 | $13 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Tyler
- Thomas BuzbeeTyler$116K
- Spencer BerthelsenSugar Land$891K
- Hameed AliTemple$773K
- Marc TribbleDallas$693K
- Gary SinclairDallas$599K
- Mohammed Al-NajjarEl Paso$586K
- Han SchmidlyDallas$465K
- Hussein TawbiHouston$365K
- Hans LeeHouston$327K
- Tapan KadiaHouston$311K
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.