Barry Jarnagin, MD
Urogynecology and Reconstructive Pelvic Surgery · Franklin, TNNPI 1194806323
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (47.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. It is spread thinly across 32 manufacturers, the largest accounting for just 22.0%. Among urogynecology and reconstructive pelvic surgery clinicians in TN 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 447 payments — averaging $128.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Caldera Medical, Inc$13K
- Boston Scientific$12K
- Inspire Medical Systems, Inc.$7K
- Astellas Pharma US Inc$6K
- AbbVie$4K
- Duchesnay USA Incorporated$3K
- plus $12K from 26 others
Across 193 payments — averaging $909.09 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.
- Axonics, Inc.$65K
- Cytyc Surgical Products, LLC$53K
- AMAG Pharmaceuticals, Inc.$26K
- Integra Lifesciences Corporation$11K
- Acell, Inc.$10K
- Boston Scientific$9K
- plus $2K from 1 others
What the payments were for
- Consulting fees$16,10328%
- Speaking & faculty fees$27,51648%
- Travel & lodging$3,0875%
- Food & beverage$10,11818%
- Education$3251%
- Gifts$2730%
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 |
|---|---|---|
| Caldera Medical, Inc | 22 | $12,653 |
| Boston Scientific | 54 | $12,271 |
| Inspire Medical Systems, Inc. | 6 | $7,440 |
| Astellas Pharma US Inc | 44 | $6,005 |
| AbbVie(2 entities) | 57 | $3,726 |
| Duchesnay USA Incorporated | 10 | $3,346 |
| Celularity Inc. | 11 | $3,235 |
| Coopersurgical, Inc. | 5 | $3,071 |
| Axonics, Inc. | 53 | $2,518 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 35 | $628 |
| Pfizer | 28 | $416 |
| Sumitomo Pharma America, Inc. | 30 | $352 |
| Carbon Medical Technologies, Inc. | 1 | $300 |
| Ironwood Pharmaceuticals, Inc | 12 | $245 |
| AMAG Pharmaceuticals, Inc. | 34 | $170 |
| Laborie Medical Technologies Corp. | 11 | $154 |
| Coloplast | 2 | $152 |
| Stryker | 1 | $113 |
| Urovant Sciences Inc | 5 | $98 |
| Therapeuticsmd, Inc. | 5 | $85 |
| Medtronic(2 entities) | 3 | $81 |
| Millicent US Inc | 4 | $70 |
| Hologic Sales And Service, LLC | 2 | $59 |
| Rochester Medical Corporation | 2 | $51 |
| Baxter Healthcare | 1 | $38 |
| Bioventus LLC | 2 | $31 |
| Olympus America Inc. | 2 | $27 |
| Mayne Pharma Commercial LLC | 1 | $23 |
| Acell, Inc. | 1 | $19 |
| Covidien LP | 1 | $17 |
| 180 Medical, Inc. | 1 | $16 |
| Dysis Medical, Inc. | 1 | $14 |
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.
- Desara$12,250
- Inspire$7,359
- Veozah$5,306
- SOLYX$5,180
- Osphena$3,243
- Uterine Manipulators & Injectors$3,032
- CAPIO$2,775
- Orilissa$2,625
- OBTRYX$2,255
- Axonics r-SNM System$1,224
- Biovance$923
- Interfyl$923
- Bulkamid$868
- ADVANTAGE FIT$750
- InjecSure$300
- Axonics$269
- GENERAL FEMALE SUI$226
- Bulkamid - Bulkamid Urethral Bulking Pack 2mL (OUS)$174
- AXIS$133
- Solyx SIS System$121
How this compares
$57,422 in reported general payments places this provider in the 95th percentile of 24 urogynecology and reconstructive pelvic surgery providers in Tennessee.
See all urogynecology and reconstructive pelvic surgery 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 |
|---|---|---|
| GemtesaVibegron | 37 | $22,752 |
| MyrbetriqMirabegron | 36 | $17,952 |
| LinzessLinaclotide | 18 | $9,075 |
| Estradiol | 56 | $3,345 |
| OsphenaOspemifene | 12 | $2,877 |
| NitrofurantoinNitrofurantoin Macrocrystal | 21 | $903 |
| Solifenacin Succinate | 39 | $837 |
| Methenamine Hippurate | 26 | $750 |
| Amitriptyline Hcl | 26 | $488 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 11 | $154 |
| Trospium Chloride | 13 | $135 |
| Doxycycline Hyclate | 22 | $82 |
| Promethazine Hcl | 28 | $58 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $49 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $44 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $352 | $22,75237 claims |
| Astellas Pharma US IncMyrbetriq | $6,005 | $17,95236 claims |
| AbbVieLinzess | $3,726 | $9,07518 claims |
| Duchesnay USA IncorporatedOsphena | $3,346 | $2,87712 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 24 urogynecology and reconstructive pelvic surgery providers in Tennessee.
Other urogynecology and reconstructive pelvic surgery in Franklin
- Jennifer TatalovichFranklin$5K
- Tara AllenNashville$100K
- C BowlingKnoxville$52K
- Rena AzarSouth Pittsburg$23K
- Marcy AbelNashville$22K
- Roland HuffakerJohnson City$17K
- Henry OkaforChattanooga$13K
- Carson KaeserChattanooga$10K
- Jeffrey McQuearyBristol$9K
- Val VogtGermantown$6K
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.