Ashley Fields, MD
Family Medicine · Durham, NCNPI 1891050522
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 59 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 15 manufacturers, the largest accounting for just 21.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $390 and has fallen 72.3% since, to $108 in 2024.
Across 59 payments — averaging $17.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$223
- Pfizer$161
- Amarin Pharma, Inc.$139
- Lilly USA, LLC$104
- Sanofi-aventis U.S. LLC$96
- Johnson & Johnson$78
- plus $242 from 9 others
What the payments were for
- Food & beverage$1,042100%
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 |
|---|---|---|
| Novo Nordisk | 14 | $223 |
| Pfizer | 9 | $161 |
| Amarin Pharma, Inc. | 12 | $139 |
| Lilly USA, LLC | 6 | $104 |
| Sanofi-aventis U.S. LLC | 1 | $96 |
| Johnson & Johnson | 4 | $78 |
| Biohaven Pharmaceuticals, Inc. | 3 | $53 |
| AbbVie | 2 | $48 |
| Esperion Therapeutics, Inc. | 2 | $35 |
| Gilead | 1 | $25 |
| Viiv Healthcare Company | 1 | $22 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $19 |
| Sonex Health, Inc. | 1 | $15 |
| Surmodics, Inc. | 1 | $12 |
| Irhythm Technologies, Inc. | 1 | $12 |
How this compares
$1,042 in reported general payments places this provider in the 70th percentile of 3,444 family medicine 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 |
|---|---|---|
| Atorvastatin Calcium | 15 | $229 |
| Amlodipine Besylate | 22 | $126 |
| Losartan Potassium | 16 | $94 |
| Lisinopril | 11 | $82 |
| Hydrochlorothiazide | 12 | $68 |
| Zolpidem Tartrate | 14 | $51 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Durham
- Margie SanderDurham$63K
- Devdutta SangvaiDurham$31K
- Linda BissonnetteDurham$21K
- John Ragsdale IiiDurham$20K
- William CromwellRaleigh$879K
- Steve VacalisGastonia$693K
- David DundeeWinston Salem$633K
- Kevin SodenCharlotte$558K
- Brian ForrestApex$398K
- Joseph KonenCharlotte$322K
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.