RxDoctor Payments Data

Gaurav Nayyar, MD

Internal Medicine · Fort Myers, FLNPI 1558581306

Payments from drug & device makers

$329in general payments, 2019–2025

Across 13 payments — averaging $25.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Supernus Pharmaceuticals, Inc.$191
  • Astellas Pharma US Inc$64
  • Pfizer$28
  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$17
  • Kowa Pharmaceuticals America, Inc.$15
  • Cranial Technologies, Inc$15

What the payments were for

  • Food & beverage$329100%

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

19
21
22

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

$329 in reported general payments places this provider in the 45th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$231,663
Medicare patients
596
Services billed
2,343

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

DrugClaimsCost to plans & patients
EliquisApixaban71$84,000
XareltoRivaroxaban40$44,327
JardianceEmpagliflozin23$35,900
JanuviaSitagliptin Phosphate18$27,979
TrulicityDulaglutide19$25,696
MyrbetriqMirabegron15$17,315
Breo ElliptaFluticasone/Vilanterol17$12,447
OzempicSemaglutide11$10,301
Losartan Potassium648$5,321
Rosuvastatin Calcium429$4,683
Levothyroxine Sodium480$4,647
Atorvastatin Calcium567$4,642
SynthroidLevothyroxine Sodium53$4,593
Gabapentin243$4,460
Diclofenac Sodium52$4,131

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerEliquis$28$84,00071 claims
Astellas Pharma US IncMyrbetriq$64$17,31515 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 45th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Fort Myers

See the full list for Florida

Where these figures come from

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