Douglas Bretzing, DO
Internal Medicine · Temple, TXNPI 1013365105
Payments from drug & device makers
Across 110 payments — averaging $21.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$581
- Vifor Pharma, Inc.$255
- Inari Medical, Inc.$246
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$226
- Pfizer$188
- AstraZeneca$126
- plus $787 from 16 others
What the payments were for
- Food & beverage$2,409100%
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 |
|---|---|---|
| Johnson & Johnson | 34 | $581 |
| Vifor Pharma, Inc. | 12 | $255 |
| Inari Medical, Inc. | 8 | $246 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 7 | $226 |
| Pfizer | 9 | $188 |
| AstraZeneca(2 entities) | 5 | $126 |
| Paratek Pharmaceuticals, Inc. | 7 | $121 |
| Boehringer Ingelheim | 4 | $109 |
| RGH Enterprises LLC | 1 | $92 |
| Novartis | 3 | $71 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $69 |
| Astellas Pharma US Inc | 3 | $58 |
| Ferring Pharmaceuticals Inc. | 3 | $55 |
| Bioxcel Therapeutics, Inc. | 2 | $43 |
| Dexcom, Inc. | 2 | $35 |
| Bayer | 1 | $26 |
| Merck | 1 | $22 |
| Shionogi Inc | 1 | $21 |
| Esperion Therapeutics, Inc. | 1 | $20 |
| Janssen Scientific Affairs, LLC | 1 | $18 |
| Novo Nordisk | 1 | $14 |
| Pharmacosmos Therapeutics Inc. | 1 | $14 |
How this compares
$2,409 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| Ciprofloxacin Hcl | 12 | $69 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Temple
- 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
- Hernan SalazarSan Antonio$18.5M
- Nicholas ShortHouston$17.6M
- Salma SaigerMesquite$16.1M
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.