Cara Douglass, DO
Internal Medicine · Hendersonville, NCNPI 1952567166
Payments from drug & device makers
Across 142 payments — averaging $16.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$499
- Amgen$268
- AbbVie$261
- AstraZeneca$206
- Lilly USA, LLC$184
- GSK$144
- plus $767 from 21 others
What the payments were for
- Food & beverage$2,330100%
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 |
|---|---|---|
| Novo Nordisk | 27 | $499 |
| Amgen | 19 | $268 |
| AbbVie | 15 | $261 |
| AstraZeneca | 14 | $206 |
| Lilly USA, LLC | 11 | $184 |
| GSK | 9 | $144 |
| Novartis | 5 | $85 |
| Eisai Inc. | 5 | $80 |
| Pfizer | 5 | $78 |
| Bayer | 5 | $75 |
| Boehringer Ingelheim | 5 | $67 |
| Johnson & Johnson | 3 | $44 |
| Dexcom, Inc. | 2 | $41 |
| Abiomed | 2 | $38 |
| Merck | 2 | $32 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $30 |
| Shionogi Inc | 1 | $22 |
| Esperion Therapeutics, Inc. | 1 | $21 |
| Globus Medical | 1 | $21 |
| Xeris Pharmaceuticals, Inc. | 1 | $21 |
| Astellas Pharma US Inc | 1 | $19 |
| Sumitomo Pharma America, Inc. | 1 | $18 |
| Edwards Lifesciences | 1 | $18 |
| Abbott | 1 | $16 |
| Exact Sciences | 1 | $15 |
| Boston Scientific | 1 | $14 |
| Phathom Pharmaceuticals, Inc. | 1 | $12 |
How this compares
$2,330 in reported general payments places this provider in the 80th percentile of 3,302 internal medicine 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 |
|---|---|---|
| OzempicSemaglutide | 52 | $67,437 |
| EliquisApixaban | 58 | $52,651 |
| MounjaroTirzepatide | 38 | $39,210 |
| TrulicityDulaglutide | 20 | $20,425 |
| JardianceEmpagliflozin | 16 | $19,064 |
| Tresiba Flextouch U-200Insulin Degludec | 18 | $16,003 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 15 | $11,838 |
| JanumetSitagliptin Phos/Metformin Hcl | 11 | $9,565 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 12 | $5,843 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $4,473 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 100 | $4,008 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 21 | $2,897 |
| Atorvastatin Calcium | 277 | $2,690 |
| Rosuvastatin Calcium | 170 | $2,323 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 27 | $2,155 |
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 | $499 | $67,43752 claims |
| Lilly USA, LLCMounjaro, Trulicity | $184 | $59,63558 claims |
| PfizerEliquis | $78 | $52,65158 claims |
| Boehringer IngelheimJardiance | $67 | $19,06416 claims |
| GSKTrelegy Ellipta | $144 | $11,83815 claims |
| MerckJanumet | $32 | $9,56511 claims |
| AbbVieSynthroid | $261 | $82918 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 80th percentile of 3,302 internal medicine providers in North Carolina.
Other internal medicine in Hendersonville
- Manesh PatelDurham$27.2M
- Saad UsmaniCharlotte$16.2M
- Christina KennellyCharlotte$15.4M
- John RubinoRaleigh$13M
- Adam DevoreDurham$11.8M
- Krishnakumar UdayakumarDurham$11M
- Sylvia ShoffnerCary$7.1M
- Wayne HarperRaleigh$6.7M
- Joseph MoranStatesville$6.7M
- April SalamaDurham$6.5M
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.