Brian Garland, MD
Family Medicine · Fort Smith, ARNPI 1811551039
Payments from drug & device makers
Across 394 payments — averaging $14.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Pfizer$691
- AstraZeneca$668
- Novo Nordisk$607
- Bayer$453
- Lilly USA, LLC$319
- plus $2K from 27 others
What the payments were for
- Food & beverage$5,840100%
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 |
|---|---|---|
| AbbVie | 99 | $1,193 |
| Pfizer | 67 | $691 |
| AstraZeneca | 24 | $668 |
| Novo Nordisk | 37 | $607 |
| Bayer | 27 | $453 |
| Lilly USA, LLC | 26 | $319 |
| Otsuka America Pharmaceutical, Inc. | 16 | $302 |
| GSK | 17 | $268 |
| Amgen | 13 | $212 |
| Astellas Pharma US Inc | 9 | $146 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 8 | $129 |
| Boehringer Ingelheim | 5 | $95 |
| Averitas Pharma Inc. | 3 | $85 |
| Johnson & Johnson | 5 | $75 |
| Sumitomo Pharma America, Inc. | 4 | $61 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $58 |
| Merck | 3 | $52 |
| Almatica Pharma LLC | 2 | $45 |
| Exact Sciences | 3 | $45 |
| Sanofi-aventis U.S. LLC | 2 | $44 |
| Axsome Therapeutics, Inc. | 2 | $33 |
| Antares Pharma, Inc. | 2 | $32 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $29 |
| Corium, LLC | 4 | $29 |
| Dynavax Technologies Corporation | 2 | $28 |
| Lundbeck LLC | 1 | $22 |
| BETA Bionics, Inc. | 1 | $19 |
| Idorsia Pharmaceuticals US Inc | 1 | $19 |
| Dexcom, Inc. | 1 | $17 |
| Novartis | 1 | $17 |
| Phathom Pharmaceuticals, Inc. | 1 | $16 |
| Neurocrine Biosciences, Inc. | 1 | $16 |
| Boston Scientific | 1 | $15 |
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.
How this compares
$5,840 in reported general payments places this provider in the 85th percentile of 1,347 family medicine providers in Arkansas.
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 |
|---|---|---|
| OzempicSemaglutide | 138 | $194,521 |
| JardianceEmpagliflozin | 99 | $116,516 |
| EliquisApixaban | 64 | $65,399 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 84 | $55,245 |
| FarxigaDapagliflozin Propanediol | 63 | $53,945 |
| TrulicityDulaglutide | 27 | $37,990 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 15 | $27,817 |
| XareltoRivaroxaban | 28 | $18,569 |
| Tresiba Flextouch U-200Insulin Degludec | 21 | $16,385 |
| MyrbetriqMirabegron | 21 | $16,045 |
| MounjaroTirzepatide | 14 | $13,174 |
| Tresiba Flextouch U-100Insulin Degludec | 27 | $9,649 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 14 | $9,001 |
| RestasisCyclosporine | 11 | $8,201 |
| Dexlansoprazole DrDexlansoprazole | 22 | $6,850 |
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 |
|---|---|---|
| Novo NordiskOzempic | $607 | $194,521138 claims |
| Boehringer IngelheimJardiance | $95 | $116,51699 claims |
| PfizerEliquis | $691 | $65,39964 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $668 | $62,94677 claims |
| GSKTrelegy Ellipta | $268 | $55,24584 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $319 | $51,16441 claims |
| Johnson & JohnsonXarelto | $75 | $18,56928 claims |
| Astellas Pharma US IncMyrbetriq | $146 | $16,04521 claims |
| AbbVieRestasis | $1,193 | $8,20111 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 85th percentile of 1,347 family medicine providers in Arkansas.
Other family medicine in Fort Smith
- Glenn GibbonsFort Smith$179K
- Thinh NguyenFort Smith$28K
- Allen BeachyFort Smith$21K
- Michael CallawayFort Smith$15K
- George KonisLittle Rock$26.6M
- Kevin RobertsLittle Rock$2.5M
- Derek LewisLittle Rock$1.7M
- Jodi SansonHot Springs$1.7M
- Senthil RaghavanLittle Rock$496K
- Broderick EatonWynne$442K
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.