Fred Hurst, MD
Family Medicine · Knoxville, TNNPI 1700821949
Payments from drug & device makers
Across 367 payments — averaging $13.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AbbVie$921
- GSK$513
- Novartis$359
- Pfizer$305
- Astellas Pharma US Inc$292
- plus $2K from 30 others
What the payments were for
- Food & beverage$5,069100%
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 |
|---|---|---|
| Novo Nordisk | 73 | $1,051 |
| AbbVie(2 entities) | 89 | $921 |
| GSK | 36 | $513 |
| Novartis | 24 | $359 |
| Pfizer | 25 | $305 |
| Astellas Pharma US Inc | 13 | $292 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 18 | $273 |
| Abbott | 11 | $182 |
| Amgen | 7 | $131 |
| Boehringer Ingelheim | 7 | $128 |
| E.r. Squibb & Sons, L.L.C. | 6 | $84 |
| Regeneron Healthcare Solutions, Inc. | 6 | $83 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $79 |
| AstraZeneca | 6 | $75 |
| Amarin Pharma, Inc. | 4 | $66 |
| Johnson & Johnson | 4 | $54 |
| Lilly USA, LLC | 4 | $53 |
| Axsome Therapeutics, Inc. | 2 | $39 |
| Zyla Life Sciences, Inc. | 3 | $38 |
| Dexcom, Inc. | 2 | $33 |
| Medtronic | 2 | $30 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $29 |
| Inspire Medical Systems, Inc. | 1 | $28 |
| Idorsia Pharmaceuticals US Inc | 2 | $26 |
| Xeris Pharmaceuticals, Inc. | 1 | $25 |
| Bayer | 1 | $21 |
| Otsuka America Pharmaceutical, Inc. | 1 | $18 |
| Phathom Pharmaceuticals, Inc. | 1 | $18 |
| Corcept Therapeutics | 1 | $17 |
| Antares Pharma, Inc. | 1 | $16 |
| Biohaven Pharmaceuticals, Inc. | 1 | $15 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $15 |
| Amphastar Pharmaceuticals, Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Spinefrontier, Inc. | 1 | $12 |
| Sanofi-aventis U.S. LLC | 1 | $12 |
How this compares
$5,069 in reported general payments places this provider in the 80th percentile of 2,087 family medicine providers in Tennessee.
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 |
|---|---|---|
| JardianceEmpagliflozin | 116 | $111,795 |
| EliquisApixaban | 91 | $91,316 |
| JanuviaSitagliptin Phosphate | 40 | $46,263 |
| XareltoRivaroxaban | 24 | $38,070 |
| OzempicSemaglutide | 29 | $36,588 |
| RybelsusSemaglutide | 25 | $23,131 |
| Breo ElliptaFluticasone/Vilanterol | 25 | $20,092 |
| FarxigaDapagliflozin Propanediol | 15 | $14,893 |
| MyrbetriqMirabegron | 19 | $13,243 |
| MounjaroTirzepatide | 11 | $11,225 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 34 | $7,646 |
| LinzessLinaclotide | 11 | $7,546 |
| NexiumEsomeprazole Magnesium | 14 | $7,121 |
| Tresiba Flextouch U-100Insulin Degludec | 12 | $5,759 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 11 | $5,578 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Stiolto Respimat | $128 | $117,373127 claims |
| PfizerEliquis | $305 | $91,31691 claims |
| Novo NordiskOzempic, Rybelsus | $1,051 | $59,71954 claims |
| Johnson & JohnsonXarelto | $54 | $38,07024 claims |
| GSKBreo Ellipta, Shingrix | $513 | $27,73859 claims |
| AstraZenecaFarxiga, Nexium, Symbicort | $75 | $27,25344 claims |
| Astellas Pharma US IncMyrbetriq | $292 | $13,24319 claims |
| Lilly USA, LLCMounjaro | $53 | $11,22511 claims |
| AbbVieLinzess, Synthroid | $921 | $10,40845 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 80th percentile of 2,087 family medicine providers in Tennessee.
Other family medicine in Knoxville
- Rickey ManningKnoxville$8.1M
- Paul WakefieldKnoxville$4.3M
- Jerry PunchKnoxville$2.1M
- Kymberly MoyerGallatin$5.9M
- Natasha BallardChattanooga$5.7M
- Hina BudhwaniNashville$4.7M
- Emily HubbsKingsport$2.8M
- Bridgette FraneyNashville$2M
- Andrew BrockmyreBristol$1.8M
- Marcus LeeTullahoma$1.5M
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.