George Duvall, MD
Gastroenterology · Tyler, TXNPI 1073526604
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 40 manufacturers reported payments, led by Genentech, Inc. at 46.8% of the total. Reporting peaked in 2020 at $22,540 and has fallen 89.4% since, to $2,390 in 2025. Among gastroenterology clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 943 payments — averaging $45.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Genentech, Inc.$20K
- AbbVie$7K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$3K
- Takeda Pharmaceuticals U.S.A., Inc.$3K
- Merck$2K
- Janssen Research & Development, LLC$2K
- plus $7K from 34 others
Across 3,322 payments — averaging $5257.95 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.
- Janssen Research & Development, LLC$8.3M
- AbbVie$1.8M
- Teva Pharmaceuticals USA, Inc.$1.5M
- Genentech, Inc.$902K
- E.r. Squibb & Sons, L.L.C.$883K
- Takeda Pharmaceuticals U.S.A., Inc.$881K
- plus $3.2M from 9 others
What the payments were for
- Consulting fees$20,59448%
- Travel & lodging$3,9839%
- Food & beverage$18,15942%
- Education$180%
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.
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
$42,753 in reported general payments places this provider in the 90th percentile of 1,350 gastroenterology providers in Texas.
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 |
|---|---|---|
| ZeposiaOzanimod Hydrochloride | 23 | $162,153 |
| CreonLipase/Protease/Amylase | 11 | $45,189 |
| Mesalamine | 72 | $41,798 |
| XifaxanRifaximin | 22 | $39,102 |
| LinzessLinaclotide | 31 | $22,693 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 89 | $5,428 |
| Mesalamine ErMesalamine | 17 | $3,524 |
| Omeprazole | 255 | $2,964 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 190 | $2,832 |
| Dicyclomine Hcl | 111 | $2,823 |
| Budesonide DrBudesonide | 25 | $2,443 |
| Sucralfate | 59 | $2,372 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 121 | $1,908 |
| Colestipol Hcl | 23 | $1,897 |
| Pantoprazole Sodium | 124 | $1,549 |
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C.Zeposia | $85 | $162,15323 claims |
| AbbVieCreon, Linzess | $6,819 | $67,88142 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $2,580 | $39,10222 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 90th percentile of 1,350 gastroenterology providers in Texas.
Other gastroenterology in Tyler
- Feng LiTyler$108K
- John FordtranDallas$9.9M
- Michael BrownDallas$5.5M
- Bincy AbrahamHouston$1.6M
- Mazen NoureddinHouston$1.5M
- Stephen PappasHouston$1.4M
- Anish PatelFort Sam Houston$1.3M
- Timothy RitterSouthlake$961K
- Parvez MantryDallas$958K
- Nadege GunnWaco$933K
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.