Gayland Hethcoat, MD
Internal Medicine · Winchester, VANPI 1669434379
Payments from drug & device makers
Across 5 payments — averaging $25.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$66
- Genentech USA, Inc.$27
- Abbott$19
- Medtronic$14
What the payments were for
- Food & beverage$126100%
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 1 | $66 |
| Genentech USA, Inc. | 2 | $27 |
| Abbott | 1 | $19 |
| Medtronic | 1 | $14 |
How this compares
$126 in reported general payments places this provider in the 45th percentile of 2,724 internal medicine providers in Virginia.
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 | 153 | $143,553 |
| JardianceEmpagliflozin | 122 | $123,713 |
| OzempicSemaglutide | 51 | $60,043 |
| TrulicityDulaglutide | 36 | $44,682 |
| JanuviaSitagliptin Phosphate | 23 | $29,670 |
| TradjentaLinagliptin | 23 | $17,596 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 33 | $16,794 |
| RybelsusSemaglutide | 11 | $10,111 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 13 | $8,379 |
| Tresiba Flextouch U-200Insulin Degludec | 14 | $7,844 |
| Levothyroxine Sodium | 606 | $5,218 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 23 | $5,080 |
| Nebivolol Hcl | 82 | $5,066 |
| Pravastatin Sodium | 436 | $4,813 |
| Valsartan | 210 | $4,479 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Winchester
- Leroy VaughanRichmond$20.8M
- James ClarkCharlottesville$16.2M
- Nabil AndrawisBurke$8.5M
- Mary BlumbergNorfolk$6.5M
- David RamstadSuffolk$5.8M
- Andrew PoklepovicRichmond$4.6M
- Nashwa GabraBurke$4.3M
- Michael DevittCharlottesville$3.5M
- Richard JacksonRichmond$2.5M
- Sue BrownCharlottesville$2.4M
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.