David Franzus, MD
Internal Medicine · Kingsport, TNNPI 1366425498
Payments from drug & device makers
Across 189 payments — averaging $17.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$802
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$393
- Johnson & Johnson$234
- AstraZeneca$200
- Bayer$182
- Novo Nordisk$176
- plus $1K from 21 others
What the payments were for
- Food & beverage$3,337100%
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 | 37 | $802 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 24 | $393 |
| Johnson & Johnson | 15 | $234 |
| AstraZeneca | 10 | $200 |
| Bayer | 10 | $182 |
| Novo Nordisk | 11 | $176 |
| Sanofi-aventis U.S. LLC | 12 | $172 |
| Merck | 10 | $167 |
| Novartis | 11 | $156 |
| Boehringer Ingelheim | 7 | $109 |
| AbbVie(2 entities) | 7 | $104 |
| Abbott | 4 | $82 |
| GSK | 5 | $72 |
| Bausch Health US, LLC | 4 | $68 |
| Teva Pharmaceuticals USA, Inc. | 3 | $64 |
| E.r. Squibb & Sons, L.L.C. | 3 | $60 |
| Lilly USA, LLC | 3 | $53 |
| Corcept Therapeutics | 2 | $36 |
| Pfizer | 2 | $35 |
| Dexcom, Inc. | 1 | $33 |
| Alfasigma USA, Inc. | 2 | $33 |
| Exact Sciences | 1 | $23 |
| Azurity Pharmaceuticals, Inc. | 1 | $19 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $18 |
| Organogenesis Inc. | 1 | $17 |
| Mylan Specialty L.p. | 1 | $15 |
| Arbor Pharmaceuticals, Inc. | 1 | $14 |
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.
- EVENITY$345
How this compares
$3,337 in reported general payments places this provider in the 80th percentile of 2,216 internal medicine 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 |
|---|---|---|
| EliquisApixaban | 158 | $140,353 |
| Tresiba Flextouch U-200Insulin Degludec | 37 | $61,354 |
| ProliaDenosumab | 32 | $54,213 |
| JanuviaSitagliptin Phosphate | 49 | $48,226 |
| OzempicSemaglutide | 29 | $37,283 |
| XareltoRivaroxaban | 36 | $26,361 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 34 | $22,980 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 27 | $22,548 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 36 | $16,244 |
| TrulicityDulaglutide | 14 | $15,491 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 63 | $11,101 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 21 | $10,344 |
| MyrbetriqMirabegron | 16 | $9,865 |
| Novolog FlexpenInsulin Aspart | 39 | $9,607 |
| Spiriva RespimatTiotropium Bromide | 13 | $9,263 |
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 |
|---|---|---|
| PfizerEliquis | $35 | $140,353158 claims |
| AmgenProlia | $802 | $54,21332 claims |
| MerckJanuvia | $167 | $48,22649 claims |
| Novo NordiskOzempic | $176 | $37,28329 claims |
| Johnson & JohnsonXarelto | $234 | $26,36136 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus | $172 | $24,48446 claims |
| GSKAnoro Ellipta | $72 | $16,24436 claims |
| Lilly USA, LLCTrulicity | $53 | $15,49114 claims |
| AbbVieLinzess, Synthroid | $104 | $9,87036 claims |
| Boehringer IngelheimSpiriva Respimat | $109 | $9,26313 claims |
| AstraZenecaFarxiga | $200 | $8,11511 claims |
| Arbor Pharmaceuticals, Inc.Edarbi | $14 | $3,18713 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 2,216 internal medicine providers in Tennessee.
Other internal medicine in Kingsport
- Jewel WhiteKingsport$5.7M
- Judith WhiteKingsport$5.6M
- David MorinKingsport$1.4M
- Mark McKenzieChattanooga$11.9M
- Bernard GrunstraBristol$6.4M
- Obadias MarquezOoltewah$2.8M
- Amanda Moore MillerKnoxville$2.3M
- Rick WhilesBristol$1.5M
- John AndersonNashville$1.5M
- John KirbyJefferson City$1.2M
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.