Bret Adams, MD
Radiation Oncology · Roanoke, VANPI 1891056495
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 15 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Novartis at 36.1% of the total. Reporting peaked in 2022 at $270 and has fallen 65.9% since, to $92 in 2025.
Across 15 payments — averaging $36.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$195
- Progenics Pharmaceuticals, Inc.$97
- Tactile Systems Technology Inc$88
- Beone Medicines USA, Inc.$27
- Novocure Inc.$24
- Daiichi Sankyo Inc.$22
- plus $86 from 5 others
What the payments were for
- Food & beverage$540100%
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 |
|---|---|---|
| Novartis | 4 | $195 |
| Progenics Pharmaceuticals, Inc. | 1 | $97 |
| Tactile Systems Technology Inc | 2 | $88 |
| Beone Medicines USA, Inc. | 1 | $27 |
| Novocure Inc. | 1 | $24 |
| Daiichi Sankyo Inc. | 1 | $22 |
| Array Biopharma Inc | 1 | $20 |
| Astellas Pharma US Inc | 1 | $18 |
| AstraZeneca | 1 | $16 |
| Seagen Inc. | 1 | $16 |
| Puma Biotechnology, Inc. | 1 | $15 |
How this compares
$540 in reported general payments places this provider in the 55th percentile of 121 radiation oncology providers in Virginia.
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 |
|---|---|---|
| Lidocaine Hcl ViscousLidocaine Hcl | 65 | $1,760 |
| Mometasone Furoate | 91 | $1,738 |
| Tamsulosin Hcl | 55 | $645 |
| Oxycodone Hcl | 47 | $577 |
| Sucralfate | 12 | $558 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $475 |
| Gabapentin | 17 | $408 |
| Memantine Hcl | 16 | $294 |
| Oxybutynin Chloride | 19 | $274 |
| Olanzapine | 11 | $265 |
| Pentoxifylline | 16 | $250 |
| Levetiracetam | 27 | $246 |
| Nystatin | 12 | $190 |
| Methylprednisolone | 20 | $167 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 13 | $120 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Roanoke
- David BuckRoanoke$13K
- Daniel KimFairfax$406K
- Samir KananiFairfax$90K
- David PenberthyCharlottesville$67K
- Gopal BajajFairfax$23K
- Ashish ChawlaFairfax$14K
- Kara RomanoCharlottesville$11K
- Gregory SibleyFairfax$10K
- Anthony CrimaldiCulpeper$10K
- Kevin ChoeFairfax$8K
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.