David Smith, MD
Family Medicine · Paducah, KYNPI 1912903741
Payments from drug & device makers
Across 79 payments — averaging $17.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$166
- Lilly USA, LLC$144
- Novartis$133
- Gilead$121
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$114
- Aimmune Therapeutics, Inc.$110
- plus $577 from 18 others
What the payments were for
- Food & beverage$1,365100%
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 | 12 | $166 |
| Lilly USA, LLC | 10 | $144 |
| Novartis | 7 | $133 |
| Gilead | 6 | $121 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $114 |
| Aimmune Therapeutics, Inc. | 5 | $110 |
| Axsome Therapeutics, Inc. | 3 | $78 |
| Novo Nordisk | 4 | $56 |
| Bayer | 3 | $52 |
| GSK | 3 | $50 |
| AstraZeneca | 3 | $50 |
| Amgen | 2 | $35 |
| Pfizer | 2 | $30 |
| Johnson & Johnson | 2 | $27 |
| Dexcom, Inc. | 1 | $26 |
| E.r. Squibb & Sons, L.L.C. | 1 | $24 |
| Boehringer Ingelheim | 1 | $22 |
| Tonix Medicines, Inc. | 1 | $21 |
| Astellas Pharma US Inc | 1 | $21 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $17 |
| Insulet Corporation | 1 | $17 |
| Phathom Pharmaceuticals, Inc. | 1 | $15 |
| Exact Sciences | 1 | $15 |
How this compares
$1,365 in reported general payments places this provider in the 60th percentile of 1,559 family medicine providers in Kentucky.
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 |
|---|---|---|
| OzempicSemaglutide | 192 | $221,090 |
| JardianceEmpagliflozin | 130 | $145,011 |
| FarxigaDapagliflozin Propanediol | 79 | $99,924 |
| EliquisApixaban | 89 | $77,063 |
| VraylarCariprazine Hcl | 39 | $53,774 |
| JanuviaSitagliptin Phosphate | 61 | $53,060 |
| XareltoRivaroxaban | 40 | $43,751 |
| TrulicityDulaglutide | 17 | $26,445 |
| Breo ElliptaFluticasone/Vilanterol | 47 | $24,315 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 29 | $21,726 |
| Tresiba Flextouch U-100Insulin Degludec | 15 | $20,187 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 46 | $19,058 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 24 | $17,561 |
| RexultiBrexpiprazole | 11 | $15,646 |
| CreonLipase/Protease/Amylase | 14 | $13,436 |
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 |
|---|---|---|
| Novo NordiskOzempic | $56 | $221,090192 claims |
| Boehringer IngelheimJardiance, Combivent Respimat | $22 | $157,954158 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort, Bevespi Aerosphere | $50 | $136,317155 claims |
| PfizerEliquis, Prempro | $30 | $80,388103 claims |
| AbbVieVraylar, Creon, Synthroid | $166 | $69,44698 claims |
| GSKBreo Ellipta, Trelegy Ellipta, Anoro Ellipta | $50 | $51,01192 claims |
| Johnson & JohnsonXarelto | $27 | $43,75140 claims |
| Lilly USA, LLCTrulicity | $144 | $26,44517 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 60th percentile of 1,559 family medicine providers in Kentucky.
Other family medicine in Paducah
- James TurnboPaducah$124K
- Joseph WigginsPaducah$55K
- Jeffrey RineyPaducah$49K
- James EickholzPaducah$14K
- Brian SmithVersailles$7.7M
- Barbara Fleming-PhillipsLexington$1.4M
- Christopher RhyneLouisville$1M
- Kruti PatelBurlington$463K
- Michael LovelaceLouisville$244K
- John RichardLexington$226K
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.