David McGuire
Physician Assistant · Wytheville, VANPI 1255500062
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 59 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 12.5% — the pattern of someone who eats at a lot of different presentations.
Across 59 payments — averaging $15.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$117
- Boehringer Ingelheim$112
- Amgen$97
- GSK$72
- Sanofi-aventis U.S. LLC$64
- Amarin Pharma, Inc.$52
- plus $419 from 16 others
What the payments were for
- Food & beverage$932100%
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.
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 |
|---|---|---|
| Lilly USA, LLC | 7 | $117 |
| Boehringer Ingelheim | 6 | $112 |
| Amgen | 6 | $97 |
| GSK | 5 | $72 |
| Sanofi-aventis U.S. LLC | 4 | $64 |
| Amarin Pharma, Inc. | 4 | $52 |
| Novo Nordisk | 4 | $52 |
| Astellas Pharma US Inc | 3 | $45 |
| Novartis | 3 | $40 |
| Eisai Inc. | 2 | $33 |
| Vyera Pharmaceuticals, LLC | 2 | $33 |
| Pfizer | 2 | $33 |
| Johnson & Johnson | 2 | $29 |
| Xeris Pharmaceuticals, Inc. | 1 | $23 |
| Sunovion Pharmaceuticals Inc. | 1 | $22 |
| Nestle Healthcare Nutrition Inc. | 1 | $22 |
| Dexcom, Inc. | 1 | $18 |
| AstraZeneca | 1 | $16 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Avanir Pharmaceuticals, Inc. | 1 | $14 |
| Ultragenyx Pharmaceutical Inc. | 1 | $13 |
| AbbVie | 1 | $12 |
How this compares
$932 in reported general payments places this provider in the 70th percentile of 3,376 physician assistant providers in Virginia.
Other physician assistant in Wytheville
- John DalessandroSalem$160K
- Jalal AlghabraFredericksburg$119K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
- Robert HigginsonRichmond$66K
- Jameka McElroy-BrooklynArlington$65K
- Hillary HartungNorfolk$62K
- Juliette BeristainVirginia Beach$54K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.