David Gremse
Pediatric Gastroenterology · Mobile, ALNPI 1750369468
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.3%), food and beverage and education — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Takeda Pharmaceuticals U.S.A., Inc. at 53.7% of the total. Reporting peaked in 2024 at $1,740 and has fallen 78.4% since, to $376 in 2025.
Across 60 payments — averaging $48.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$2K
- Sanofi$270
- Regeneron Healthcare Solutions, Inc.$217
- AbbVie$160
- Sanofi-aventis U.S. LLC$120
- Phathom Pharmaceuticals, Inc.$115
- plus $478 from 12 others
Across 317 payments — averaging $1741.22 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.
- Takeda Pharmaceuticals U.S.A., Inc.$336K
- Ferring International Pharmascience Center US$147K
- QOL Medical, LLC$42K
- Phathom Pharmaceuticals, Inc.$24K
- Astrazeneca AB$4K
What the payments were for
- Consulting fees$1,50651%
- Food & beverage$1,40948%
- Education$211%
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
$2,936 in reported general payments places this provider in the 85th percentile of 29 pediatric gastroenterology providers in Alabama.
Other pediatric gastroenterology in Mobile
- Osman AltunMobile$1K
- Jenelle FernandezMobile$1K
- Kathryn WilliamsMobile$1K
- Ananthasekar PonnambalamMobile$401
- Daniel Preud HommeMobile$81
- Karen CrissingerMobile$19
- Sandeep GuptaBirmingham$52K
- Traci JesterBirmingham$6K
- Meredith HitchDothan$6K
- David WillcuttsBirmingham$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.