David Macleod, MD
Anesthesiology · Durham, NCNPI 1689684169
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (53.6%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Pacira Pharmaceuticals Incorporated accounts for 88.0% of it on its own, with 3 other manufacturers making up the rest. Among anesthesiology clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 10 payments — averaging $261.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$2K
- Avanos Medical$166
- Acacia Pharma Inc$112
- Covidien LP$35
Across 188 payments — averaging $25,725 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.
- Medtronic$2.3M
- Pacira Pharmaceuticals Incorporated$847K
- Edwards Lifesciences$660K
- Zynex Monitoring Solutions$477K
- Masimo Corporation$451K
- Covidien LP$57K
- plus $2K from 1 others
What the payments were for
- Consulting fees$1,40054%
- Travel & lodging$66926%
- Food & beverage$54221%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 7 | $2,297 |
| Avanos Medical | 1 | $166 |
| Acacia Pharma Inc | 1 | $112 |
| Covidien LP | 1 | $35 |
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.
- EXPAREL$1,525
- Iovera$794
- ON-Q* PUMP AND ACCESSORIES$166
- Zilretta$125
- BYFAVO$112
How this compares
$2,611 in reported general payments places this provider in the 90th percentile of 1,149 anesthesiology providers in North Carolina.
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.
Other anesthesiology in Durham
- Jeffrey GadsdenDurham$821K
- Jerrold LevyDurham$305K
- Alicia WarlickDurham$127K
- William BullockDurham$126K
- Karthik RaghunathanDurham$123K
- Scott RunyonDurham$123K
- Neel ThomasDurham$83K
- Timothy MillerDurham$77K
- Lance RoyDurham$60K
- Christopher YoungDurham$49K
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.