Divijani Puttagunta, MD
Internal Medicine · Dallas, TXNPI 1982815999
Payments from drug & device makers
Across 136 payments — averaging $16.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$398
- AbbVie$292
- Novo Nordisk$251
- Amgen$204
- GSK$148
- Boehringer Ingelheim$142
- plus $848 from 24 others
What the payments were for
- Food & beverage$2,283100%
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 |
|---|---|---|
| Pfizer | 22 | $398 |
| AbbVie(2 entities) | 21 | $292 |
| Novo Nordisk | 15 | $251 |
| Amgen | 12 | $204 |
| GSK | 10 | $148 |
| Boehringer Ingelheim | 7 | $142 |
| AstraZeneca | 9 | $127 |
| Astellas Pharma US Inc | 5 | $106 |
| Abbott | 4 | $95 |
| Sumitomo Pharma America, Inc. | 2 | $50 |
| Madrigal Pharmaceuticals | 2 | $45 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $43 |
| Lilly USA, LLC | 3 | $38 |
| Otsuka America Pharmaceutical, Inc. | 2 | $35 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $29 |
| Inari Medical, Inc. | 1 | $28 |
| Alnylam Pharmaceuticals Inc. | 1 | $25 |
| Merck | 2 | $24 |
| Sanofi Pasteur Inc. | 2 | $22 |
| Scilex Pharmaceuticals Inc. | 1 | $22 |
| Amarin Pharma, Inc. | 1 | $21 |
| Gilead | 1 | $20 |
| Amneal Pharmaceuticals LLC | 1 | $18 |
| Lundbeck LLC | 1 | $17 |
| VBI Vaccine (delaware) Inc. | 1 | $16 |
| Johnson & Johnson | 1 | $14 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $14 |
| Teva Pharmaceuticals USA, Inc. | 1 | $13 |
| Bayer | 1 | $12 |
| Genentech USA, Inc. | 1 | $11 |
How this compares
$2,283 in reported general payments places this provider in the 75th percentile of 7,675 internal medicine providers in Texas.
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 |
|---|---|---|
| JardianceEmpagliflozin | 32 | $40,705 |
| OzempicSemaglutide | 28 | $34,659 |
| EliquisApixaban | 27 | $34,123 |
| JanuviaSitagliptin Phosphate | 22 | $21,392 |
| MounjaroTirzepatide | 19 | $19,759 |
| MyrbetriqMirabegron | 13 | $13,356 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 32 | $7,190 |
| Clonidine | 17 | $4,789 |
| SynthroidLevothyroxine Sodium | 74 | $4,300 |
| Rosuvastatin Calcium | 264 | $2,606 |
| Adacel TdapDiph,pertuss(Acell),tet Vac/Pf | 36 | $2,554 |
| Esomeprazole Magnesium | 27 | $2,366 |
| Levothyroxine Sodium | 233 | $2,280 |
| Lubiprostone | 12 | $2,278 |
| Olmesartan Medoxomil | 130 | $2,268 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $142 | $40,70532 claims |
| Novo NordiskOzempic | $251 | $34,65928 claims |
| PfizerEliquis | $398 | $34,12327 claims |
| MerckJanuvia | $24 | $21,39222 claims |
| Lilly USA, LLCMounjaro | $38 | $19,75919 claims |
| Astellas Pharma US IncMyrbetriq | $106 | $13,35613 claims |
| GSKShingrix | $148 | $7,19032 claims |
| AbbVieSynthroid | $292 | $4,30074 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $18 | $2,280233 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 75th percentile of 7,675 internal medicine providers in Texas.
Other internal medicine in Dallas
- Amit VermaDallas$7.7M
- Valentine EbuhDallas$6.8M
- Gary SinclairDallas$3.4M
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Muhammad IrfanTomball$30.6M
- Aung NaingHouston$30.6M
- Robert BassSan Antonio$25.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
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.