Brian McDowell, PA
Medical · Cynthiana, KYNPI 1962815787
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.0% of the total across 376 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 14.5% — the pattern of someone who eats at a lot of different presentations. Among medical clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 376 payments — averaging $18.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$994
- Novartis$889
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$801
- Amgen$680
- Esperion Therapeutics, Inc.$427
- Bayer$341
- plus $3K from 23 others
What the payments were for
- Food & beverage$6,81299%
- Education$481%
- Gifts$210%
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 |
|---|---|---|
| Johnson & Johnson(2 entities) | 73 | $994 |
| Novartis | 62 | $889 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 41 | $801 |
| Amgen | 35 | $680 |
| Esperion Therapeutics, Inc. | 16 | $427 |
| Bayer | 15 | $341 |
| Merck | 20 | $340 |
| Novo Nordisk | 21 | $337 |
| Abbott | 8 | $247 |
| Endotronix, Inc. | 1 | $245 |
| Pfizer | 14 | $234 |
| AstraZeneca | 8 | $228 |
| Amarin Pharma, Inc. | 13 | $175 |
| Sanofi-aventis U.S. LLC | 10 | $173 |
| E.r. Squibb & Sons, L.L.C. | 5 | $168 |
| Atricure, Inc. | 6 | $98 |
| Boehringer Ingelheim | 5 | $80 |
| Edwards Lifesciences | 2 | $70 |
| Boston Scientific | 4 | $66 |
| Chiesi USA, Inc. | 3 | $50 |
| Astellas Pharma US Inc | 3 | $48 |
| Biotronik Inc. | 3 | $41 |
| Regeneron Healthcare Solutions, Inc. | 2 | $38 |
| Abiomed | 1 | $33 |
| Vital Connect, Inc | 1 | $20 |
| Daiichi Sankyo Inc. | 1 | $17 |
| Octapharma USA, Inc. | 1 | $13 |
| Amryt Pharma Holdings Ltd | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
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
$6,881 in reported general payments places this provider in the 90th percentile of 222 medical providers in Kentucky.
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 |
|---|---|---|
| EntrestoSacubitril/Valsartan | 79 | $55,131 |
| EliquisApixaban | 67 | $51,401 |
| XareltoRivaroxaban | 56 | $49,455 |
| JardianceEmpagliflozin | 52 | $43,007 |
| OzempicSemaglutide | 27 | $25,910 |
| Repatha SureclickEvolocumab | 42 | $23,008 |
| BrilintaTicagrelor | 18 | $13,830 |
| FarxigaDapagliflozin Propanediol | 12 | $8,798 |
| Varenicline Tartrate | 27 | $5,312 |
| Ranolazine ErRanolazine | 43 | $2,847 |
| Valsartan | 59 | $1,886 |
| Amiodarone Hcl | 26 | $1,604 |
| Bisoprolol Fumarate | 67 | $1,283 |
| Bumetanide | 31 | $1,009 |
| Metoprolol Succinate | 95 | $972 |
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 |
|---|---|---|
| NovartisEntresto | $889 | $55,13179 claims |
| PfizerEliquis | $234 | $51,40167 claims |
| Johnson & JohnsonXarelto | $994 | $49,45556 claims |
| Boehringer IngelheimJardiance | $80 | $43,00752 claims |
| Novo NordiskOzempic | $337 | $25,91027 claims |
| AstraZenecaBrilinta, Farxiga | $228 | $22,62730 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 90th percentile of 222 medical providers in Kentucky.
Other medical in Cynthiana
- Mikal BaileyPaducah$84K
- Kyle HeraldBowling Green$65K
- Chasity HesterLexington$16K
- Alexandra HuettLouisville$13K
- Danny ThackerFrankfort$11K
- Jessica FrizzellPaducah$10K
- Terry SmithHazard$10K
- Ashley HenegarGeorgetown$10K
- Rachel CrowleyPaducah$8K
- Allison ScottLexington$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.