Gilbert Toffol, DO
Payments from drug & device makers
Across 1,564 payments — averaging $20.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$4K
- Biogen$3K
- Novartis$3K
- UCB, Inc.$2K
- EMD Serono, Inc.$2K
- Teva Pharmaceuticals USA, Inc.$1K
- plus $17K from 54 others
What the payments were for
- Consulting fees$4501%
- Speaking & faculty fees$2011%
- Food & beverage$30,97497%
- Education$2271%
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.
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.
- TYSABRI$1,245
- Vumerity$579
- KESIMPTA$376
- UPLIZNA$340
- Mavenclad$338
- MAYZENT$242
- NURTEC ODT$220
- Duopa$214
- Inspire Upper Airway Stimulation System$180
- Superion ISS$144
- ACTIVA$138
- TECFIDERA$130
- AUBAGIO$125
- GENERAL DBS$125
- APTIOM$122
- NUPLAZID$115
- Rebif$113
- QULIPTA$111
- ADLARITY$107
- AUSTEDO$103
How this compares
$31,852 in reported general payments places this provider in the 70th percentile of 388 neurology providers in Arizona.
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 |
|---|---|---|
| OctagamImmun Globg(Igg)/Malt/Iga Ov50 | 17 | $207,405 |
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 17 | $139,080 |
| GilenyaFingolimod Hcl | 11 | $113,140 |
| BotoxOnabotulinumtoxina | 14 | $16,284 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 141 | $5,712 |
| Levetiracetam | 82 | $2,844 |
| Memantine Hcl | 88 | $1,831 |
| Donepezil Hcl | 173 | $1,597 |
| Pyridostigmine Bromide | 13 | $892 |
| Gabapentin | 32 | $784 |
| Primidone | 48 | $757 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 16 | $736 |
| AmantadineAmantadine Hcl | 31 | $712 |
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 25 | $590 |
| Pregabalin | 22 | $535 |
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 |
|---|---|---|
| PfizerOctagam | $959 | $207,40517 claims |
| Grifols USA, LLCGamunex-C | $254 | $139,08017 claims |
| NovartisGilenya | $2,662 | $113,14011 claims |
| AbbVieBotox | $3,857 | $16,28414 claims |
| Amneal Pharmaceuticals LLCPyridostigmine Bromide | $194 | $89213 claims |
| Upsher-smith Laboratories LLCTopiramate | $76 | $24726 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 70th percentile of 388 neurology providers in Arizona.
Other neurology in Mesa
- David WeidmanPhoenix$7.4M
- Hemant PandeyChandler$6.2M
- Stephen FlitmanPhoenix$4.4M
- Barry HendinPhoenix$4.4M
- Jeremy ShefnerPhoenix$3M
- Danielle CabralPhoenix$2.8M
- Suraj MuleyPhoenix$2.8M
- Todd SchwedtPhoenix$2.8M
- Todd LevinePhoenix$2.7M
- Nida LaurinScottsdale$2.3M
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.