Ephraim Ayoola, MD
Internal Medicine · Dover, DENPI 1962463398
Payments from drug & device makers
Across 5 payments — averaging $34.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$125
- Sunovion Pharmaceuticals Inc.$32
- Integra Lifesciences Corporation$16
What the payments were for
- Food & beverage$173100%
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 |
|---|---|---|
| Smith+Nephew | 2 | $125 |
| Sunovion Pharmaceuticals Inc. | 2 | $32 |
| Integra Lifesciences Corporation | 1 | $16 |
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.
- GRAFIX PL$101
How this compares
$173 in reported general payments places this provider in the 60th percentile of 477 internal medicine providers in Delaware.
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 |
|---|---|---|
| EliquisApixaban | 94 | $42,003 |
| XareltoRivaroxaban | 19 | $9,197 |
| FarxigaDapagliflozin Propanediol | 13 | $8,665 |
| NamzaricMemantine Hcl/Donepezil Hcl | 12 | $6,892 |
| MyrbetriqMirabegron | 28 | $6,473 |
| TradjentaLinagliptin | 17 | $4,467 |
| Atorvastatin Calcium | 215 | $2,648 |
| Memantine Hcl | 21 | $2,536 |
| Midodrine Hcl | 21 | $2,235 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 20 | $1,992 |
| Potassium Chloride | 47 | $1,684 |
| Mirtazapine | 55 | $1,482 |
| Autoshield Duo Pen NeedlePen Needle,dual Safety,diabetc | 14 | $1,427 |
| Metoprolol Succinate | 64 | $1,270 |
| Amiodarone Hcl | 30 | $1,244 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Dover
- Natwarlal RamaniDover$10K
- Adeniyi AjenifujaDover$9K
- Sandeep MannDover$6K
- Theodore Conrad TanDover$6K
- Abimbola OsunkoyaDover$5K
- Michael SweeneyDover$4K
- Vineet PuriDover$3K
- Seth IvinsNewark$384K
- Beshara HelouGeorgetown$143K
- Tabassum SalamNewark$62K
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.