Dhyanesh Patel, MD
Gastroenterology · Nashville, TNNPI 1659647899
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $78,357 of the $97,759 with a category attached, or 80.2%. Sanofi accounts for 71.8% of it on its own, with 4 other manufacturers making up the rest. 2025 is the largest year on record at $57,032, more than ten times the $341 reported in 2022. Among gastroenterology clinicians in TN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 58 payments — averaging $1685.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$70K
- Regeneron Healthcare Solutions, Inc.$27K
- Steris Corporation$217
- Medtronic$124
- Cook Medical LLC$111
Across 6 payments — averaging $35,058 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.
- AstraZeneca$210K
What the payments were for
- Consulting fees$12,56613%
- Speaking & faculty fees$78,35780%
- Travel & lodging$5,3305%
- Food & beverage$1,5072%
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 |
|---|---|---|
| Sanofi | 38 | $70,216 |
| Regeneron Healthcare Solutions, Inc. | 16 | $27,091 |
| Steris Corporation | 1 | $217 |
| Medtronic | 1 | $124 |
| Cook Medical LLC | 2 | $111 |
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.
How this compares
$97,759 in reported general payments places this provider in the 95th percentile of 336 gastroenterology providers in Tennessee.
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 |
|---|---|---|
| LinzessLinaclotide | 63 | $59,291 |
| Lansoprazole | 30 | $4,501 |
| Omeprazole | 223 | $4,407 |
| Dexlansoprazole DrDexlansoprazole | 11 | $2,023 |
| Famotidine | 108 | $1,631 |
| Pantoprazole Sodium | 63 | $1,509 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 101 | $1,498 |
| Esomeprazole Magnesium | 31 | $1,310 |
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 34 | $705 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 39 | $670 |
| Fluconazole | 16 | $280 |
| Ondansetron OdtOndansetron | 16 | $212 |
| Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl | 11 | $175 |
| Promethazine Hcl | 16 | $145 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in Nashville
- David SchwartzNashville$1.3M
- Dawn Borromeo BeaulieuNashville$421K
- Sara HorstNashville$246K
- Rishi NaikNashville$136K
- Michael VaeziNashville$78K
- Baldeep PablaNashville$55K
- Robin DalalNashville$27K
- Howard MertzNashville$26K
- Dawn AdamsNashville$20K
- Matthew NeffNashville$19K
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.