David Duncan
Family Medicine · Blacksburg, VANPI 1427041656
Payments from drug & device makers
Across 82 payments — averaging $20.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$314
- GSK$309
- Lilly USA, LLC$244
- Grifols USA, LLC$197
- Boehringer Ingelheim$144
- Medtronic$129
- plus $330 from 10 others
What the payments were for
- Food & beverage$1,64098%
- Education$282%
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 |
|---|---|---|
| Amgen(2 entities) | 16 | $314 |
| GSK | 9 | $309 |
| Lilly USA, LLC | 20 | $244 |
| Grifols USA, LLC | 6 | $197 |
| Boehringer Ingelheim | 10 | $144 |
| Medtronic | 1 | $129 |
| Novo Nordisk | 4 | $81 |
| Nalpropion Pharmaceuticals LLC | 3 | $55 |
| Currax Pharmaceuticals LLC | 3 | $36 |
| Amarin Pharma, Inc. | 2 | $29 |
| Sanofi-aventis U.S. LLC | 2 | $29 |
| AbbVie | 1 | $28 |
| Genentech USA, Inc. | 2 | $25 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $19 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
| AstraZeneca | 1 | $12 |
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.
- TRELEGY ELLIPTA$211
- VenaSeal$129
- Prolastin-C$123
How this compares
$1,668 in reported general payments places this provider in the 75th percentile of 2,553 family medicine providers in Virginia.
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 |
|---|---|---|
| Metoprolol Succinate | 28 | $298 |
| Potassium Chloride | 13 | $271 |
| Atorvastatin Calcium | 52 | $248 |
| Losartan Potassium | 21 | $225 |
| Rosuvastatin Calcium | 16 | $221 |
| Amlodipine Besylate | 31 | $200 |
| Lisinopril | 37 | $178 |
| Fluticasone Propionate | 11 | $152 |
| ClopidogrelClopidogrel Bisulfate | 18 | $134 |
| Methylprednisolone | 13 | $98 |
| Metformin Hcl | 14 | $69 |
| Hydrochlorothiazide | 11 | $62 |
| Meloxicam | 16 | $48 |
| Furosemide | 11 | $22 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Blacksburg
- Aaron HartmanMidlothian$17.4M
- John ScottGlen Allen$16.7M
- Banu MyneniPortsmouth$12.8M
- Patricia HouserWinchester$3.5M
- Stephan JannachDanville$3M
- Linda SchneiderHampton$2.1M
- Jennifer BrownMidlothian$1.3M
- Brian McCormickHampton$793K
- Jerome DanielNorth Chesterfield$779K
- Samir AbdelshaheedChesapeake$642K
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.