Christine Macomber
Pediatrics · Cary, NCNPI 1346239522
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.3% of the total across 98 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 30 manufacturers reported payments, led by Novo Nordisk at 25.9% of the total. Reporting peaked in 2019 at $547 and has fallen 95.4% since, to $25 in 2025. Among pediatrics clinicians in NC 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 98 payments — averaging $17.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$440
- Amgen$151
- Tris Pharma Inc$112
- Abbott$109
- AbbVie$74
- Boehringer Ingelheim$66
- plus $748 from 24 others
What the payments were for
- Food & beverage$1,65397%
- Other$463%
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 | 29 | $440 |
| Amgen | 10 | $151 |
| Tris Pharma Inc | 1 | $112 |
| Abbott | 4 | $109 |
| AbbVie(2 entities) | 4 | $74 |
| Boehringer Ingelheim | 4 | $66 |
| AstraZeneca | 4 | $57 |
| Johnson & Johnson | 4 | $54 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $50 |
| Bausch Health US, LLC | 2 | $48 |
| Eisai Inc. | 3 | $48 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $46 |
| Baxter Healthcare | 1 | $46 |
| Merck | 4 | $46 |
| Pfizer | 3 | $45 |
| Amarin Pharma, Inc. | 3 | $44 |
| Grifols USA, LLC | 1 | $30 |
| Shire North American Group Inc | 2 | $29 |
| Daiichi Sankyo Inc. | 1 | $27 |
| Nestle Healthcare Nutrition Inc. | 2 | $27 |
| IBSA Pharma Inc. | 1 | $19 |
| Sanofi Pasteur Inc. | 1 | $19 |
| Clarus Therapeutics Inc. | 1 | $17 |
| Medtronic | 1 | $16 |
| Astellas Pharma US Inc | 1 | $16 |
| Biohaven Pharmaceuticals, Inc. | 1 | $15 |
| Smith+Nephew | 1 | $12 |
| Amneal Pharmaceuticals LLC | 1 | $12 |
| Genentech USA, Inc. | 1 | $12 |
| Sanofi-aventis U.S. LLC | 1 | $11 |
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.
- Dyanavel XR$112
How this compares
$1,700 in reported general payments places this provider in the 90th percentile of 1,818 pediatrics providers in North Carolina.
Other pediatrics in Cary
- Dwight KoeberlDurham$8.4M
- Priya KishnaniDurham$5.8M
- James AndersonHigh Point$669K
- Joseph MuenzerChapel Hill$237K
- Ifeyinwa OsunkwoCharlotte$218K
- Edward SmithDurham$164K
- Katherine SmithRaleigh$133K
- James StillRaleigh$105K
- Richard BrugmanGastonia$73K
- Daniel LandiDurham$70K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.