Carley Fowler, MD
Dermatology · Knoxville, TNNPI 1619204476
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (55.6%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Novartis accounts for 69.1% of it on its own, with 32 other manufacturers making up the rest. Reporting peaked in 2019 at $18,293 and has fallen 91.1% since, to $1,620 in 2025. Among dermatology clinicians in TN 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 492 payments — averaging $54.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$19K
- AbbVie$2K
- Sun Pharmaceutical Industries Inc.$849
- UCB, Inc.$794
- Lilly USA, LLC$674
- Sanofi$626
- plus $4K from 27 others
What the payments were for
- Speaking & faculty fees$15,00056%
- Travel & lodging$2,1618%
- Food & beverage$9,61636%
- Education$1961%
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 |
|---|---|---|
| Novartis | 72 | $18,630 |
| AbbVie(2 entities) | 101 | $1,719 |
| Sun Pharmaceutical Industries Inc. | 43 | $849 |
| UCB, Inc. | 56 | $794 |
| Lilly USA, LLC | 41 | $674 |
| Sanofi | 19 | $626 |
| Pfizer | 36 | $537 |
| Johnson & Johnson | 23 | $484 |
| E.r. Squibb & Sons, L.L.C. | 13 | $310 |
| Merz North America, Inc. | 2 | $301 |
| Galderma Laboratories, L.p. | 13 | $281 |
| Dermavant Sciences, Inc. | 11 | $212 |
| Amgen | 10 | $182 |
| Incyte Corporation | 5 | $182 |
| Janssen Scientific Affairs, LLC | 1 | $148 |
| Mayne Pharma Commercial LLC | 7 | $139 |
| Genentech USA, Inc. | 6 | $126 |
| Arcutis Biotherapeutics, Inc. | 7 | $123 |
| Almirall LLC | 6 | $120 |
| Boehringer Ingelheim | 4 | $100 |
| Midmark Corporation | 1 | $100 |
| Regeneron Healthcare Solutions, Inc. | 3 | $82 |
| Kyowa Kirin, Inc. | 2 | $36 |
| Mallinckrodt Hospital Products Inc. | 1 | $28 |
| Organon | 1 | $28 |
| Kowa Pharmaceuticals America, Inc. | 1 | $26 |
| Melinta Therapeutics, LLC | 1 | $24 |
| Sientra, Inc. | 1 | $24 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $22 |
| Fidia Pharma USA Inc. | 1 | $20 |
| Biofrontera Inc. | 1 | $19 |
| Verrica Pharmaceuticals Inc. | 1 | $15 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $13 |
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
$26,973 in reported general payments places this provider in the 90th percentile of 209 dermatology providers in Tennessee.
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 |
|---|---|---|
| Taltz AutoinjectorIxekizumab | 15 | $122,154 |
| Dupixent SyringeDupilumab | 11 | $56,758 |
| Dupixent PenDupilumab | 14 | $52,414 |
| Fluorouracil | 91 | $6,012 |
| Betamethasone Dipropionate | 91 | $3,736 |
| Clobetasol Propionate | 41 | $3,387 |
| Metronidazole | 57 | $2,915 |
| Ketoconazole | 104 | $1,592 |
| Triamcinolone Acetonide | 90 | $1,506 |
| Tretinoin | 14 | $1,341 |
| Doxycycline Hyclate | 51 | $1,122 |
| Fluocinonide | 20 | $814 |
| Hydrocortisone | 77 | $685 |
| Azelaic Acid | 12 | $658 |
| Spironolactone | 51 | $638 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Knoxville
- Kimberly GrandeKnoxville$224K
- Matthew DoppeltKnoxville$36K
- Meredith OverholtKnoxville$21K
- Robert GriffithKnoxville$14K
- Robert GriffithKnoxville$14K
- Brittany WareKnoxville$10K
- Elizabeth AndersonKnoxville$8K
- Lee DittrichKnoxville$8K
- Kimberly VincentNashville$1.5M
- Adrian RodriguezNashville$1.1M
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.