David Lesch, MD
Neurology · Suwanee, GANPI 1942240932
Payments from drug & device makers
Across 507 payments — averaging $4228.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$1.8M
- Eisai Inc.$193K
- AbbVie$32K
- Otsuka Pharmaceutical Development & Commercialization, Inc.$25K
- Eli Lilly$13K
- GRT US Holding, Inc.$12K
- plus $22K from 45 others
Across 4 payments — averaging $2282.14 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.
- Otsuka Pharmaceutical Development & Commercialization, Inc.$5K
- GRT US Holding, Inc.$3K
- Eli Lilly$1K
What the payments were for
- Speaking & faculty fees$220%
- Food & beverage$7,13299%
- Education$190%
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.
- AJOVY$125
- Amplatzer Cardiac Plug$112
How this compares
$2,144,092 in reported general payments places this provider in the 95th percentile of 506 neurology providers in Georgia.
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 |
|---|---|---|
| GammaplexImmun Glob G(Igg)/Gly/Iga 0-50 | 11 | $225,405 |
| AptiomEslicarbazepine Acetate | 25 | $31,868 |
| TopamaxTopiramate | 12 | $15,114 |
| RytaryCarbidopa/Levodopa | 21 | $14,182 |
| VimpatLacosamide | 12 | $14,101 |
| Aimovig AutoinjectorErenumab-Aooe | 15 | $12,222 |
| Rivastigmine | 53 | $7,123 |
| Divalproex Sodium | 66 | $5,766 |
| Divalproex Sodium ErDivalproex Sodium | 59 | $3,794 |
| Propranolol Hcl ErPropranolol Hcl | 73 | $3,729 |
| Carbamazepine ErCarbamazepine | 12 | $3,712 |
| Memantine Hcl | 158 | $3,642 |
| Gabapentin | 227 | $3,567 |
| CymbaltaDuloxetine Hcl | 13 | $3,415 |
| Midodrine Hcl | 12 | $3,259 |
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 |
|---|---|---|
| Sunovion Pharmaceuticals Inc.Aptiom | $9,658 | $31,86825 claims |
| Amneal Pharmaceuticals LLCRytary, Pyridostigmine Bromide | $266 | $16,73936 claims |
| UCB, Inc.Vimpat | $405 | $14,10112 claims |
| Lilly USA, LLCCymbalta | $311 | $3,41513 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 95th percentile of 506 neurology providers in Georgia.
Other neurology in Suwanee
- Jonathan LissColumbus$25M
- Marshall NashDecatur$13.6M
- James LahAtlanta$6.8M
- Jonathan GlassAtlanta$5.1M
- Sandeep VaidLawrenceville$4.2M
- Allan LeveyAtlanta$4.2M
- Ben ThrowerAtlanta$3.7M
- Jeffrey EnglishAtlanta$3.1M
- Dennis LaceyAtlanta$2.8M
- Julio FlaminiAtlanta$1.6M
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.