Brett Toward, MD
Family Medicine · Mansfield, OHNPI 1003804329
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $37,830 of the $41,359 with a category attached, or 91.5%. Alkermes, Inc. accounts for 99.1% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2021 at $14,441 and has fallen 99.9% since, to $14 in 2025. Among family medicine clinicians in OH 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 76 payments — averaging $544.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$41K
- Gilead$91
- Indivior Inc.$54
- AbbVie$51
- GSK$46
- MDD US Operations, LLC$26
- plus $116 from 8 others
What the payments were for
- Speaking & faculty fees$37,83091%
- Travel & lodging$1,8574%
- Food & beverage$1,6604%
- Education$130%
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 |
|---|---|---|
| Alkermes, Inc. | 56 | $40,976 |
| Gilead | 1 | $91 |
| Indivior Inc. | 3 | $54 |
| AbbVie(2 entities) | 3 | $51 |
| GSK | 3 | $46 |
| MDD US Operations, LLC | 2 | $26 |
| Otsuka America Pharmaceutical, Inc. | 1 | $19 |
| Teva Pharmaceuticals USA, Inc. | 1 | $18 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $17 |
| Medtronic | 1 | $14 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $13 |
| Dexcom, Inc. | 1 | $12 |
| Amgen | 1 | $12 |
| Pfizer | 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.
- VIVITROL$39,793
How this compares
$41,359 in reported general payments places this provider in the 95th percentile of 3,983 family medicine providers in Ohio.
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 |
|---|---|---|
| JanuviaSitagliptin Phosphate | 17 | $12,112 |
| RybelsusSemaglutide | 12 | $11,689 |
| JardianceEmpagliflozin | 13 | $11,422 |
| Advair HfaFluticasone Propion/Salmeterol | 17 | $6,411 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $3,949 |
| Novolog Mix 70-30 FlexpenInsulin Aspart Prot/Insuln Asp | 12 | $3,248 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 69 | $2,496 |
| Atorvastatin Calcium | 83 | $558 |
| Gabapentin | 29 | $419 |
| Lisinopril | 62 | $404 |
| Levothyroxine Sodium | 42 | $388 |
| Metoprolol Succinate | 19 | $318 |
| Duloxetine Hcl | 20 | $247 |
| Quetiapine Fumarate | 16 | $240 |
| Amlodipine Besylate | 61 | $234 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Mansfield
- Kwabena OtengSpringdale$2M
- Brian BeesleyColumbus$1.4M
- Darshana PatelBeachwood$648K
- Thomas GraceFindlay$503K
- Susan RatayAshtabula$379K
- Shannon TrotterSpringfield$348K
- Michael HeileCincinnati$272K
- Bradley EverlyMaumee$266K
- Tricia BedrickCuyahoga Falls$259K
- David NeidhardtLima$248K
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.