David Franco
Pulmonary Disease · Birmingham, ALNPI 1326055500
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,561 of the $8,638 with a category attached, or 87.5%. It is spread thinly across 40 manufacturers, the largest accounting for just 14.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $2,988 and has fallen 99.5% since, to $15 in 2024.
Across 380 payments — averaging $22.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$1K
- Inspire Medical Systems, Inc.$1K
- Intuitive Surgical$1K
- AstraZeneca$969
- Regeneron Healthcare Solutions, Inc.$535
- Boehringer Ingelheim$461
- plus $3K from 34 others
Across 10 payments — averaging $1906.46 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Jazz Pharmaceuticals Inc.$17K
- Boehringer Ingelheim$2K
What the payments were for
- Travel & lodging$1,05912%
- Food & beverage$7,56188%
- Education$180%
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.
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
$8,638 in reported general payments places this provider in the 70th percentile of 215 pulmonary disease providers in Alabama.
Other pulmonary disease in Birmingham
- Tejaswini KulkarniBirmingham$134K
- Amanda DenhamBirmingham$45K
- Bryan GarciaBirmingham$29K
- Steven RoweBirmingham$27K
- Peter MorrisBirmingham$25K
- Russell BeatyBirmingham$24K
- Jay HeideckerBirmingham$21K
- Jennifer TrevorBirmingham$19K
- Jason FainBirmingham$18K
- Jeffrey GarnerBirmingham$14K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.