Arnold Smith, MD
Radiation Oncology · Fayetteville, ARNPI 1346213311
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.8% of the total across 146 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 42 manufacturers, the largest accounting for just 12.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,065 and has fallen 81.2% since, to $200 in 2025.
Across 146 payments — averaging $19.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$346
- Johnson & Johnson$224
- Amgen$186
- Bayer$154
- Medtronic$145
- Takeda Pharmaceuticals U.S.A., Inc.$118
- plus $2K from 36 others
What the payments were for
- Speaking & faculty fees$2007%
- Food & beverage$2,59593%
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 |
|---|---|---|
| Sanofi | 10 | $346 |
| Johnson & Johnson(2 entities) | 11 | $224 |
| Amgen | 12 | $186 |
| Bayer | 10 | $154 |
| Medtronic | 1 | $145 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $118 |
| Palette Life Sciences, Inc. | 2 | $111 |
| Regeneron Healthcare Solutions, Inc. | 6 | $103 |
| Novartis | 6 | $101 |
| Eisai Inc. | 7 | $96 |
| Elekta, Inc. | 2 | $90 |
| EMD Serono, Inc. | 5 | $78 |
| AstraZeneca | 5 | $77 |
| Bristol Myers Squibb | 5 | $72 |
| Pharmacyclics LLC, An Abbvie Company | 5 | $63 |
| Boston Scientific | 1 | $63 |
| Array Biopharma Inc | 4 | $56 |
| Viewray Technologies Inc | 1 | $54 |
| Incyte Corporation | 4 | $54 |
| Ipsen Biopharmaceuticals, Inc | 3 | $48 |
| Merck | 3 | $45 |
| Siemens Medical Solutions USA, Inc. | 2 | $44 |
| Seagen Inc. | 3 | $43 |
| Exelixis Inc. | 3 | $41 |
| Tesaro, Inc. | 2 | $32 |
| Lexicon Pharmaceuticals, Inc. | 2 | $30 |
| Beigene USA, Inc. | 2 | $28 |
| Alnylam Pharmaceuticals Inc. | 2 | $28 |
| Daiichi Sankyo Inc. | 2 | $27 |
| Bsn Medical Inc | 2 | $27 |
| Reflexion Medical, Inc. | 1 | $27 |
| Visionrt, Inc. | 1 | $25 |
| Novocure Inc. | 2 | $24 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $20 |
| Sobi, Inc | 1 | $19 |
| Clovis Oncology, Inc. | 2 | $18 |
| Puma Biotechnology, Inc. | 1 | $15 |
| Boehringer Ingelheim | 1 | $15 |
| Kyowa Kirin, Inc. | 1 | $11 |
| Agios Pharmaceuticals, Inc. | 1 | $11 |
| Brainlab, Inc. | 1 | $11 |
| Heron Therapeutics, Inc. | 1 | $11 |
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
$2,795 in reported general payments places this provider in the 80th percentile of 45 radiation oncology providers in Arkansas.
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 |
|---|---|---|
| Dexamethasone | 13 | $324 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $215 |
| Tamsulosin Hcl | 16 | $108 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Fayetteville
- Foster LasleyFayetteville$8K
- Chris McClintonFayetteville$4K
- Wesley GarnerFayetteville$3K
- Hershel GarnerFayetteville$2K
- Matthew MalloryFayetteville$898
- Joshua AndersonFayetteville$98
- Joseph RossFayetteville$61
- Scarlett Acklin-WehnertFayetteville$14
- Matthew McKeeverFort Smith$5K
- Fen XiaLittle Rock$4K
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.