Douglas Puryear, MD
Sleep Medicine · Midlothian, VANPI 1295768521
Payments from drug & device makers
Across 715 payments — averaging $68.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Harmony Biosciences LLC$28K
- Genentech USA, Inc.$9K
- Jazz Pharmaceuticals Inc.$2K
- GSK$2K
- AstraZeneca$1K
- Inspire Medical Systems, Inc.$985
- plus $6K from 37 others
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.
How this compares
$48,627 in reported general payments places this provider in the 90th percentile of 74 sleep medicine providers in Virginia.
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.
Other sleep medicine in Midlothian
- Emory RobinetteAbingdon$1.2M
- William WinterCharlottesville$1.1M
- Richard ParisiWilliamsburg$659K
- Michael PolskyNorth Chesterfield$107K
- Astaad DalalFalls Church$99K
- Marc RaphaelsonLeesburg$47K
- Shahriar ShahzeidiLeesburg$27K
- Pascal NgongmonWoodbridge$25K
- Amit PatelFalls Church$21K
- Vandana DhawanChesapeake$7K
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.