Donald Graham, MD
Pulmonary Disease · Boone, NCNPI 1497737621
Payments from drug & device makers
Across 177 payments — averaging $20.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$1K
- AstraZeneca$989
- Regeneron Healthcare Solutions, Inc.$320
- Boehringer Ingelheim$222
- Sanofi$99
- CSL Behring$81
- plus $852 from 18 others
What the payments were for
- Food & beverage$3,50396%
- Education$1344%
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 |
|---|---|---|
| GSK | 63 | $1,073 |
| AstraZeneca | 40 | $989 |
| Regeneron Healthcare Solutions, Inc. | 17 | $320 |
| Boehringer Ingelheim | 10 | $222 |
| Sanofi | 4 | $99 |
| CSL Behring | 4 | $81 |
| Sanofi-aventis U.S. LLC | 1 | $79 |
| Insmed, Inc. | 3 | $74 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $74 |
| Mallinckrodt Hospital Products Inc. | 3 | $70 |
| Mylan Specialty L.p. | 3 | $68 |
| Verona Pharma, Inc. | 3 | $67 |
| Grifols USA, LLC | 3 | $64 |
| Gilead | 3 | $62 |
| Shire North American Group Inc | 3 | $51 |
| United Therapeutics Corporation | 2 | $46 |
| Actelion Pharmaceuticals US, Inc. | 2 | $41 |
| Novo Nordisk | 2 | $36 |
| Mallinckrodt Enterprises LLC | 2 | $27 |
| ANI Pharmaceuticals, Inc. | 1 | $26 |
| Viatris Specialty LLC | 1 | $20 |
| Novartis | 1 | $18 |
| Pulmonx Corporation | 1 | $16 |
| Advanced Respiratory, Inc | 1 | $14 |
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.
- TAGRISSO$143
- FARXIGA$143
- FASENRA$143
- BREZTRI$143
- TRELEGY ELLIPTA$141
How this compares
$3,637 in reported general payments places this provider in the 60th percentile of 393 pulmonary disease providers in North Carolina.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 349 | $326,306 |
| Breo ElliptaFluticasone/Vilanterol | 251 | $125,046 |
| Fasenra PenBenralizumab | 17 | $95,870 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 113 | $78,692 |
| SymbicortBudesonide/Formoterol Fumarate | 219 | $72,067 |
| NucalaMepolizumab | 16 | $68,497 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 82 | $46,875 |
| Spiriva HandihalerTiotropium Bromide | 47 | $35,054 |
| Bevespi AerosphereGlycopyrrolate/Formoterol Fum | 52 | $26,567 |
| Spiriva RespimatTiotropium Bromide | 38 | $25,293 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 157 | $23,875 |
| Pirfenidone | 28 | $19,685 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 32 | $17,322 |
| Arnuity ElliptaFluticasone Furoate | 36 | $11,805 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 317 | $10,155 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Nucala, Anoro Ellipta, Arnuity Ellipta | $1,073 | $582,593747 claims |
| AstraZenecaBreztri Aerosphere, Symbicort, Bevespi Aerosphere | $989 | $177,325384 claims |
| Boehringer IngelheimSpiriva Respimat, Combivent Respimat, Stiolto Respimat | $222 | $52,64083 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 393 pulmonary disease providers in North Carolina.
Other pulmonary disease in Boone
- Selwyn SpangenthalCharlotte$7M
- Thomas SternHuntersville$5.2M
- Laurie SnyderDurham$3.8M
- Scott PalmerDurham$3.8M
- Michael PritchettPinehurst$2.2M
- Anup BanerjeeGastonia$2.1M
- Hubert FordChapel Hill$2M
- Murali RamaswamyGreensboro$2M
- Mikell JarrattGastonia$1.7M
- Lake MorrisonDurham$1.6M
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.