Brett Smith
Public Health & General Preventive Medicine · San Francisco, CANPI 1851657985
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 2 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. That places this record below the midpoint for public health & general preventive medicine clinicians in CA, where the typical reported total is $132.
Across 2 payments — averaging $34.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$39
- Sumitomo Pharma America, Inc.$31
Across 194 payments — averaging $137,616 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.
- Novo Nordisk AS$7.2M
- Amgen$4.9M
- AbbVie$4.9M
- Eli Lilly$3.5M
- E.r. Squibb & Sons, L.L.C.$2.5M
- H. Lundbeck A S$2.3M
- plus $1.4M from 2 others
What the payments were for
- Food & beverage$70100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $39 |
| Sumitomo Pharma America, Inc. | 1 | $31 |
How this compares
$70 in reported general payments places this provider in the 35th percentile of 109 public health & general preventive medicine providers in California.
See all public health & general preventive medicine providers in California →
Other public health & general preventive medicine in San Francisco
- Philp DarneySan Francisco$13K
- George RutherfordSan Francisco$9K
- William MooresSan Francisco$174
- Steven GalsonThousand Oaks$594K
- Ryan ZaneSan Bernardino$97K
- Ross MillerBeverly Hills$65K
- Daniel CosgroveIndian Wells$61K
- Karen StuderLoma Linda$9K
- Kate HaggertySan Marcos$8K
- Serena TonstadLoma Linda$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.