Gilbert Custer
Psychiatry · Austin, TXNPI 1376554196
Payments from drug & device makers
Across 291 payments — averaging $15.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$841
- AbbVie$688
- Takeda Pharmaceuticals U.S.A., Inc.$411
- Arbor Pharmaceuticals, Inc.$318
- Sunovion Pharmaceuticals Inc.$276
- Vanda Pharmaceuticals Inc.$262
- plus $2K from 19 others
What the payments were for
- Food & beverage$4,373100%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 48 | $841 |
| AbbVie(2 entities) | 68 | $688 |
| Takeda Pharmaceuticals U.S.A., Inc. | 22 | $411 |
| Arbor Pharmaceuticals, Inc. | 21 | $318 |
| Sunovion Pharmaceuticals Inc. | 22 | $276 |
| Vanda Pharmaceuticals Inc. | 16 | $262 |
| Ironshore Pharmaceuticals Inc. | 15 | $220 |
| Lundbeck LLC | 8 | $157 |
| Shire North American Group Inc | 10 | $156 |
| Adlon Therapeutics L.p. | 8 | $140 |
| Neos Therapeutics, LP | 8 | $125 |
| Jazz Pharmaceuticals Inc. | 7 | $116 |
| Eisai Inc. | 6 | $105 |
| Bausch Health US, LLC | 4 | $96 |
| Johnson & Johnson | 5 | $85 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 4 | $72 |
| Avanir Pharmaceuticals, Inc. | 5 | $72 |
| Supernus Pharmaceuticals, Inc. | 3 | $61 |
| Neurocrine Biosciences, Inc. | 3 | $50 |
| Alkermes, Inc. | 2 | $42 |
| Tris Pharma Inc | 2 | $35 |
| Validus Pharmaceuticals LLC | 1 | $13 |
| Teva Pharmaceuticals USA, Inc. | 1 | $12 |
| Merck | 1 | $12 |
| OWP Pharmaceuticals, Inc. | 1 | $12 |
How this compares
$4,373 in reported general payments places this provider in the 80th percentile of 2,238 psychiatry providers in Texas.
Other psychiatry in Austin
- David BrownAustin$15.8M
- Divyansu PatelAustin$2.8M
- Donald GarciaAustin$2.8M
- Arvinder Pal WaliaAustin$2.5M
- Charles SweetAustin$520K
- Charles NemeroffAustin$429K
- Scott BartleyDallas$42.7M
- Rajinder ShiwachDesoto$15.4M
- Darin OkudaDallas$14.7M
- Jason MensahBeaumont$10.3M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.