Douglas Smith, MD
Rheumatology · Indianapolis, INNPI 1407832025
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (52.5%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 36 manufacturers reported payments, led by Novartis at 28.8% of the total. Reporting peaked in 2019 at $93,974 and has fallen 98.7% since, to $1,182 in 2025. Among rheumatology clinicians in IN 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 456 payments — averaging $322.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$42K
- United Rheumatology$29K
- Lilly USA, LLC$29K
- Johnson & Johnson$14K
- E.r. Squibb & Sons, L.L.C.$9K
- Janssen Scientific Affairs, LLC$5K
- plus $18K from 30 others
What the payments were for
- Consulting fees$48,30333%
- Speaking & faculty fees$77,08052%
- Travel & lodging$8,5346%
- Food & beverage$12,5709%
- Education$4100%
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 |
|---|---|---|
| Novartis | 71 | $42,276 |
| United Rheumatology | 5 | $28,900 |
| Lilly USA, LLC | 50 | $28,589 |
| Johnson & Johnson | 36 | $14,478 |
| E.r. Squibb & Sons, L.L.C. | 30 | $8,949 |
| Janssen Scientific Affairs, LLC | 10 | $5,273 |
| Mallinckrodt Enterprises LLC | 20 | $5,257 |
| AbbVie | 43 | $5,008 |
| Amgen(2 entities) | 74 | $4,045 |
| GSK | 13 | $615 |
| UCB, Inc. | 13 | $595 |
| Mallinckrodt Hospital Products Inc. | 8 | $526 |
| AstraZeneca(2 entities) | 10 | $427 |
| Boehringer Ingelheim | 6 | $375 |
| Aurinia Pharma U.S., Inc. | 4 | $297 |
| Pfizer | 16 | $289 |
| Radius Health, Inc. | 7 | $169 |
| Sobi, Inc | 2 | $165 |
| Regeneron Healthcare Solutions, Inc. | 6 | $123 |
| Bristol Myers Squibb | 5 | $76 |
| Genentech USA, Inc. | 3 | $64 |
| Merck | 3 | $45 |
| Pacira Therapeutics, Inc. | 2 | $44 |
| Organon | 2 | $42 |
| Ferring Pharmaceuticals Inc. | 2 | $34 |
| Gilead | 2 | $32 |
| Kyowa Kirin, Inc. | 1 | $29 |
| Antares Pharma, Inc. | 2 | $27 |
| Orthogenrx Inc. | 2 | $27 |
| Octapharma USA, Inc. | 1 | $25 |
| Fidia Pharma USA Inc. | 2 | $22 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $18 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Scilex Pharmaceuticals Inc. | 1 | $16 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $13 |
| Medexus Pharma, Inc. | 1 | $11 |
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
$146,896 in reported general payments places this provider in the 95th percentile of 106 rheumatology providers in Indiana.
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 |
|---|---|---|
| EnbrelEtanercept | 30 | $283,741 |
| Enbrel SureclickEtanercept | 31 | $239,562 |
| RinvoqUpadacitinib | 23 | $215,807 |
| Humira(Cf) PenAdalimumab | 22 | $162,147 |
| BenlystaBelimumab | 20 | $91,588 |
| Enbrel MiniEtanercept | 13 | $90,310 |
| OrenciaAbatacept | 13 | $71,326 |
| KevzaraSarilumab | 12 | $50,158 |
| Teriparatide | 13 | $31,733 |
| Hydroxychloroquine Sulfate | 413 | $16,484 |
| MethotrexateMethotrexate Sodium | 501 | $13,807 |
| Tramadol Hcl | 470 | $5,333 |
| Celecoxib | 56 | $4,990 |
| Prednisone | 676 | $4,768 |
| Leflunomide | 90 | $4,551 |
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 |
|---|---|---|
| AmgenEnbrel | $4,045 | $283,74130 claims |
| AbbVieRinvoq | $5,008 | $215,80723 claims |
| GSKBenlysta | $615 | $91,58820 claims |
| E.r. Squibb & Sons, L.L.C.Orencia | $8,949 | $71,32613 claims |
| Scilex Pharmaceuticals Inc.Colchicine | $16 | $2,92222 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 95th percentile of 106 rheumatology providers in Indiana.
Other rheumatology in Indianapolis
- David BattIndianapolis$577K
- Inna AroutiounovaIndianapolis$102K
- James CohenIndianapolis$76K
- James EhlichIndianapolis$27K
- Christopher WuIndianapolis$26K
- Methee SrivatanaIndianapolis$10K
- Mary JacobsIndianapolis$9K
- Randall ReedIndianapolis$7K
- Steven NeucksIndianapolis$6K
- Richard LautzenheiserIndianapolis$6K
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.