Bryan Kuns, DO
Family Medicine · Castalia, OHNPI 1750384814
Payments from drug & device makers
Across 559 payments — averaging $17.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Novo Nordisk$1K
- GSK$821
- Lilly USA, LLC$767
- Boehringer Ingelheim$736
- Amgen$703
- plus $5K from 28 others
What the payments were for
- Food & beverage$9,53899%
- Education$1001%
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 |
|---|---|---|
| AstraZeneca | 51 | $1,071 |
| Novo Nordisk | 66 | $1,018 |
| GSK | 52 | $821 |
| Lilly USA, LLC | 51 | $767 |
| Boehringer Ingelheim | 27 | $736 |
| Amgen(2 entities) | 59 | $703 |
| AbbVie(2 entities) | 30 | $538 |
| Otsuka America Pharmaceutical, Inc. | 31 | $477 |
| Takeda Pharmaceuticals U.S.A., Inc. | 25 | $363 |
| Axsome Therapeutics, Inc. | 16 | $314 |
| Merck | 22 | $311 |
| Pfizer | 25 | $305 |
| Abbott | 9 | $300 |
| Novartis | 14 | $211 |
| Astellas Pharma US Inc | 9 | $205 |
| Esperion Therapeutics, Inc. | 7 | $194 |
| Exact Sciences | 10 | $181 |
| Lundbeck LLC | 12 | $172 |
| Johnson & Johnson | 9 | $125 |
| Silk Road Medical, Inc. | 2 | $123 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $100 |
| Biohaven Pharmaceuticals, Inc. | 5 | $96 |
| Idorsia Pharmaceuticals US Inc | 2 | $92 |
| Bard Peripheral Vascular, Inc. | 1 | $89 |
| Hydrocision, Inc. | 1 | $77 |
| Teva Pharmaceuticals USA, Inc. | 6 | $75 |
| Bayer | 2 | $42 |
| Eisai Inc. | 2 | $27 |
| Xeris Pharmaceuticals, Inc. | 1 | $24 |
| Medtronic | 1 | $22 |
| Cranial Technologies, Inc | 1 | $15 |
| Shire North American Group Inc | 1 | $15 |
| Amarin Pharma, Inc. | 1 | $14 |
| Daiichi Sankyo Inc. | 1 | $14 |
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
$9,638 in reported general payments places this provider in the 90th 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 | 61 | $80,753 |
| JardianceEmpagliflozin | 58 | $74,425 |
| OzempicSemaglutide | 41 | $65,766 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 68 | $63,423 |
| EliquisApixaban | 26 | $40,398 |
| MounjaroTirzepatide | 25 | $39,418 |
| XareltoRivaroxaban | 11 | $17,450 |
| FarxigaDapagliflozin Propanediol | 11 | $11,107 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 13 | $8,048 |
| Rosuvastatin Calcium | 311 | $5,724 |
| Olmesartan Medoxomil | 196 | $5,392 |
| Omeprazole | 214 | $3,606 |
| Atorvastatin Calcium | 271 | $3,593 |
| Potassium Chloride | 113 | $3,353 |
| Levothyroxine Sodium | 289 | $3,332 |
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 |
|---|---|---|
| MerckJanuvia | $311 | $80,75361 claims |
| Boehringer IngelheimJardiance | $736 | $74,42558 claims |
| Novo NordiskOzempic | $1,018 | $65,76641 claims |
| GSKTrelegy Ellipta | $821 | $63,42368 claims |
| PfizerEliquis | $305 | $40,39826 claims |
| Lilly USA, LLCMounjaro | $767 | $39,41825 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $1,071 | $19,15624 claims |
| Johnson & JohnsonXarelto | $125 | $17,45011 claims |
| AbbVieSynthroid | $538 | $1,35642 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 3,983 family medicine providers in Ohio.
Other family medicine in Castalia
- Michael ButcherCincinnati$18.3M
- William RandallKettering$7.5M
- Paul NugentCincinnati$4.9M
- Steve ChoiDayton$4.8M
- Martin SchearDayton$2.2M
- Rajesh DavitCincinnati$2M
- Kwabena OtengSpringdale$2M
- Blaise GattoMoraine$1.8M
- Cathy GreiweColumbus$1.4M
- Brian BeesleyColumbus$1.4M
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.