Byron Thomas, DO
Internal Medicine · Whitesburg, KYNPI 1952564502
Payments from drug & device makers
Across 108 payments — averaging $16.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$318
- Grifols USA, LLC$175
- Novo Nordisk$169
- GSK$164
- Lilly USA, LLC$106
- Amgen$103
- plus $766 from 22 others
What the payments were for
- Food & beverage$1,801100%
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(2 entities) | 20 | $318 |
| Grifols USA, LLC | 10 | $175 |
| Novo Nordisk | 10 | $169 |
| GSK | 10 | $164 |
| Lilly USA, LLC | 6 | $106 |
| Amgen | 5 | $103 |
| AstraZeneca | 4 | $83 |
| Boehringer Ingelheim | 5 | $80 |
| Novartis | 4 | $67 |
| Phathom Pharmaceuticals, Inc. | 4 | $58 |
| Supernus Pharmaceuticals, Inc. | 4 | $56 |
| Pfizer | 3 | $48 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $45 |
| Amarin Pharma, Inc. | 3 | $43 |
| Exact Sciences | 2 | $38 |
| Teva Pharmaceuticals USA, Inc. | 2 | $36 |
| Bayer | 2 | $33 |
| Otsuka America Pharmaceutical, Inc. | 1 | $23 |
| Sunovion Pharmaceuticals Inc. | 1 | $19 |
| Kyowa Kirin, Inc. | 1 | $18 |
| Gilead | 1 | $16 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $16 |
| Melinta Therapeutics, LLC | 1 | $16 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $15 |
| Ardelyx, Inc. | 1 | $15 |
| Astellas Pharma US Inc | 1 | $15 |
| Merck | 1 | $14 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
How this compares
$1,801 in reported general payments places this provider in the 70th percentile of 1,284 internal medicine 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 |
|---|---|---|
| MounjaroTirzepatide | 162 | $169,695 |
| EliquisApixaban | 202 | $142,947 |
| FarxigaDapagliflozin Propanediol | 150 | $129,311 |
| OzempicSemaglutide | 107 | $117,006 |
| JardianceEmpagliflozin | 139 | $113,194 |
| TrulicityDulaglutide | 60 | $76,595 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 97 | $72,516 |
| XareltoRivaroxaban | 107 | $64,945 |
| JanuviaSitagliptin Phosphate | 64 | $47,478 |
| LinzessLinaclotide | 48 | $45,623 |
| VascepaIcosapent Ethyl | 82 | $25,307 |
| EntrestoSacubitril/Valsartan | 28 | $24,918 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 19 | $21,833 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 28 | $16,527 |
| Repatha SureclickEvolocumab | 30 | $15,723 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $106 | $246,290222 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Brilinta, Symbicort | $83 | $152,418191 claims |
| PfizerEliquis | $48 | $142,947202 claims |
| Boehringer IngelheimJardiance, Tradjenta, Combivent Respimat | $80 | $136,202176 claims |
| Novo NordiskOzempic, Novolog | $169 | $124,706126 claims |
| GSKTrelegy Ellipta | $164 | $72,51697 claims |
| MerckJanuvia, Lagevrio (Eua) | $14 | $60,28483 claims |
| AbbVieLinzess | $318 | $45,62348 claims |
| NovartisEntresto | $67 | $24,91828 claims |
| Astellas Pharma US IncMyrbetriq | $15 | $9,29013 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 70th percentile of 1,284 internal medicine providers in Kentucky.
Other internal medicine in Whitesburg
- Fares KhaterWhitesburg$412K
- Mark AdamsLondon$15.4M
- Matthew WenkerErlanger$12.8M
- Jason ChesneyLouisville$6.3M
- Neil FarrisLexington$3M
- David JohnsonOwensboro$787K
- Hollis ClarkMurray$780K
- Christopher PhillipsPaducah$315K
- Cynthia Bowman-StroudPaducah$234K
- Bernard BuchananOwensboro$224K
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.