Fred McLeod, MD
Sleep Medicine · Alexander City, ALNPI 1356305940
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.7% of the total across 99 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by Harmony Biosciences LLC at 24.4% of the total. That places this record below the midpoint for sleep medicine clinicians in AL, where the typical reported total is $3,427.
Across 99 payments — averaging $31.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Harmony Biosciences LLC$754
- Inspire Medical Systems, Inc.$703
- Optinose US, Inc.$373
- Jazz Pharmaceuticals Inc.$341
- Aroa Biosurgery Incorporated$183
- Regeneron Healthcare Solutions, Inc.$178
- plus $557 from 13 others
Across 22 payments — averaging $4164.04 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- KARL Storz Endoscopy-america$38K
- Aerin Medical Inc.$38K
- Novartis$10K
- UCB SA$5K
- Neurent Medical Limited$2K
What the payments were for
- Food & beverage$2,83492%
- Education$2568%
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 |
|---|---|---|
| Harmony Biosciences LLC | 32 | $754 |
| Inspire Medical Systems, Inc. | 9 | $703 |
| Optinose US, Inc. | 15 | $373 |
| Jazz Pharmaceuticals Inc. | 13 | $341 |
| Aroa Biosurgery Incorporated | 4 | $183 |
| Regeneron Healthcare Solutions, Inc. | 6 | $178 |
| Intersect ENT, Inc. | 3 | $138 |
| Aerin Medical Inc. | 3 | $100 |
| Axsome Therapeutics, Inc. | 2 | $49 |
| 3b Medical, Inc. | 1 | $47 |
| Integra Lifesciences Corporation | 2 | $47 |
| Stryker | 2 | $35 |
| Fisher & Paykel Healthcare Inc | 1 | $26 |
| Pharming Healthcare, Inc. | 1 | $25 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $22 |
| Sanofi | 1 | $21 |
| Amgen | 1 | $19 |
| Kowa Pharmaceuticals America, Inc. | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
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
$3,090 in reported general payments places this provider in the 45th percentile of 28 sleep medicine providers in Alabama.
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 |
|---|---|---|
| Azelastine Hcl | 341 | $12,598 |
| Fluocinolone Acetonide Oil | 145 | $8,722 |
| Montelukast Sodium | 557 | $8,090 |
| Fluticasone Propionate | 319 | $5,353 |
| Epinephrine | 19 | $4,893 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 28 | $3,432 |
| Ipratropium Bromide | 60 | $2,910 |
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 34 | $2,575 |
| Modafinil | 22 | $2,030 |
| Armodafinil | 24 | $1,942 |
| Cimetidine | 51 | $1,511 |
| Eszopiclone | 86 | $1,390 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 18 | $1,203 |
| Omeprazole | 34 | $952 |
| Zolpidem Tartrate | 99 | $719 |
Paid to pharmacies, not to this prescriber.
Other sleep medicine in Alexander City
- James RoyHuntsville$823K
- Michael LedetDaphne$795K
- Gordon WarnerCullman$100K
- James GeyerTuscaloosa$61K
- Ashwin AnanthFoley$57K
- Christopher HopeOpelika$32K
- Bahador TafazoliCullman$26K
- Erin OzgunBirmingham$16K
- Felix MorrisFlorence$15K
- Alan ThomasBirmingham$13K
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.