Brian Smith, MD
Gastroenterology · Shelby, NCNPI 1215908272
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $100,698 of the $138,655 with a category attached, or 72.6%. Capsovision, Inc. accounts for 72.6% of it on its own, with 48 other manufacturers making up the rest. 2025 is the largest year on record at $102,782, 5.7 times the $17,917 reported in 2019. Among gastroenterology clinicians in NC 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 1,072 payments — averaging $129.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Capsovision, Inc.$101K
- AbbVie$23K
- Takeda Pharmaceuticals U.S.A., Inc.$3K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$2K
- Gilead$1K
- QOL Medical, LLC$1K
- plus $8K from 43 others
What the payments were for
- Consulting fees$100,69873%
- Speaking & faculty fees$17,80013%
- Travel & lodging$820%
- Food & beverage$19,96814%
- Education$1070%
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.
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.
- CapsoCam Plus$92,378
- LINZESS$14,900
- VIBERZI$11,000
- CapsoCam Colon$8,320
- Sucraid$400
- OMVOH$122
- Epclusa$120
- Skyrizi$118
- REZDIFFRA$104
How this compares
$138,655 in reported general payments places this provider in the 95th percentile of 610 gastroenterology providers in North Carolina.
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 |
|---|---|---|
| LinzessLinaclotide | 53 | $38,410 |
| CreonLipase/Protease/Amylase | 11 | $37,725 |
| Sucralfate | 54 | $3,945 |
| Pantoprazole Sodium | 283 | $3,337 |
| Ursodiol | 12 | $3,298 |
| Budesonide DrBudesonide | 23 | $2,138 |
| ClenpiqSod Picosulf/Mag Ox/Citric Ac | 12 | $2,078 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 27 | $1,647 |
| Omeprazole | 56 | $690 |
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 14 | $671 |
| Ondansetron Hcl | 14 | $562 |
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 24 | $537 |
| Esomeprazole Magnesium | 18 | $384 |
| Ondansetron OdtOndansetron | 17 | $359 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 21 | $345 |
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 |
|---|---|---|
| AbbVieLinzess, Creon | $22,806 | $76,13564 claims |
| Ferring Pharmaceuticals Inc.Clenpiq | $303 | $2,07812 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 95th percentile of 610 gastroenterology providers in North Carolina.
Other gastroenterology in Shelby
- Stephen DealCharlotte$945K
- Fred FowlerCharlotte$932K
- Paul WatkinsChapel Hill$876K
- Nilesh LodhiaCharlotte$735K
- Evan DellonChapel Hill$431K
- Robert ReindollarSalisbury$430K
- Andrew StormWinston Salem$426K
- John PoulosFayetteville$407K
- Manal AbdelmalekDurham$402K
- Christopher McGowanCary$223K
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.