Donna Culton, MD
Dermatology · Chapel Hill, NCNPI 1487876223
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $67,398 of the $106,250 with a category attached, or 63.4%. 11 manufacturers reported payments, led by Regeneron at 34.8% of the total. 2025 is the largest year on record at $48,163, more than ten times the $1,800 reported in 2021. Among dermatology clinicians in NC 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 85 payments — averaging $1250.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron$37K
- Sanofi$29K
- Argenx US, Inc.$22K
- Regeneron Healthcare Solutions, Inc.$14K
- Janssen Global Services, LLC$2K
- Grifols, S.A.$2K
- plus $308 from 5 others
Across 106 payments — averaging $3649.60 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.
- Regeneron$82K
- Incyte Corporation$69K
- Lilly USA, LLC$69K
- Pfizer$58K
- Principia Biopharma Inc.$55K
- GSK$21K
- plus $32K from 2 others
What the payments were for
- Consulting fees$67,39863%
- Speaking & faculty fees$32,76531%
- Travel & lodging$4,3234%
- Food & beverage$1,7642%
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 |
|---|---|---|
| Regeneron | 39 | $36,979 |
| Sanofi | 14 | $28,691 |
| Argenx US, Inc. | 13 | $22,287 |
| Regeneron Healthcare Solutions, Inc. | 8 | $14,166 |
| Janssen Global Services, LLC | 1 | $2,020 |
| Grifols, S.A. | 3 | $1,800 |
| Johnson & Johnson | 1 | $118 |
| Journey Medical Corporation | 2 | $85 |
| LEO Pharma Inc. | 2 | $71 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $31 |
| Pfizer | 1 | $3 |
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
$106,250 in reported general payments places this provider in the 95th percentile of 475 dermatology 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 |
|---|---|---|
| Dupixent PenDupilumab | 17 | $84,572 |
| Metronidazole | 35 | $6,143 |
| Dapsone | 31 | $3,772 |
| Mycophenolate Mofetil | 30 | $3,509 |
| MethotrexateMethotrexate Sodium | 80 | $2,108 |
| Hydroxychloroquine Sulfate | 51 | $1,543 |
| Clobetasol Propionate | 32 | $1,152 |
| ValacyclovirValacyclovir Hcl | 14 | $640 |
| Clotrimazole | 15 | $632 |
| Dexamethasone | 12 | $429 |
| Prednisone | 61 | $410 |
| Fluconazole | 18 | $266 |
| Folic Acid | 13 | $115 |
| Triamcinolone Acetonide | 14 | $102 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Chapel Hill
- Christopher SayedChapel Hill$690K
- Sue Ellen CoxChapel Hill$180K
- Chris AdigunChapel Hill$71K
- Priyanka VedakChapel Hill$25K
- David DevriesChapel Hill$17K
- David RubensteinChapel Hill$16K
- Steven FeldmanWinston Salem$3.4M
- Nicole SeminaraHuntersville$1.4M
- Andrew LeeElkin$702K
- William HooverConcord$594K
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.