David Mangels
Gastroenterology · Cincinnati, OHNPI 1528057437
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 115 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by AbbVie at 45.8% of the total. Reporting peaked in 2022 at $621 and has fallen 73.4% since, to $165 in 2023. That places this record below the midpoint for gastroenterology clinicians in OH, where the typical reported total is $2,203.
Across 115 payments — averaging $14.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$772
- Takeda Pharmaceuticals U.S.A., Inc.$213
- Gilead$158
- Ferring Pharmaceuticals Inc.$78
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$72
- Pfizer$70
- plus $324 from 10 others
What the payments were for
- Food & beverage$1,687100%
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 |
|---|---|---|
| AbbVie(2 entities) | 57 | $772 |
| Takeda Pharmaceuticals U.S.A., Inc. | 14 | $213 |
| Gilead | 9 | $158 |
| Ferring Pharmaceuticals Inc. | 5 | $78 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $72 |
| Pfizer | 4 | $70 |
| Johnson & Johnson | 4 | $60 |
| Daiichi Sankyo Inc. | 4 | $59 |
| Merck | 3 | $49 |
| Bristol Myers Squibb | 2 | $39 |
| UCB, Inc. | 2 | $35 |
| Ironwood Pharmaceuticals, Inc | 2 | $33 |
| Shionogi Inc | 1 | $16 |
| Nestle Healthcare Nutrition Inc. | 1 | $15 |
| Intercept Pharmaceuticals, Inc. | 1 | $13 |
| Micro-tech Endoscopy USA, Inc. | 1 | $5 |
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.
- Rinvoq$125
How this compares
$1,687 in reported general payments places this provider in the 40th percentile of 657 gastroenterology providers in Ohio.
Other gastroenterology in Cincinnati
- Anita AfzaliCincinnati$798K
- Kara de FeliceCincinnati$427K
- Allan PeckCincinnati$391K
- Ravi RavinuthalaCincinnati$302K
- Robert IsfortCincinnati$162K
- Luis LaraCincinnati$146K
- Vidhya KunnathurCincinnati$96K
- Moamen GabrCincinnati$70K
- Lisa LestinaCincinnati$59K
- Naim AlkhouriWestlake$1.9M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.