Gowthami Arepally, MD
Hematology · Durham, NCNPI 1447349907
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $26,017 of the $36,556 with a category attached, or 71.2%. 6 manufacturers reported payments, led by AstraZeneca at 54.3% of the total. 2025 is the largest year on record at $22,219, 3.8 times the $5,810 reported in 2019.
Across 27 payments — averaging $1353.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$20K
- Novartis$13K
- Sanofi$3K
- Novo Nordisk$91
- Biomarin Pharmaceutical Inc.$60
- W. L. Gore & Associates, Inc.$12
Across 99 payments — averaging $7056.50 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$238K
- Sanofi$237K
- AstraZeneca$148K
- Novartis$75K
What the payments were for
- Consulting fees$26,01771%
- Speaking & faculty fees$6,57218%
- Grants$1,6424%
- Travel & lodging$1,9405%
- Food & beverage$3861%
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 |
|---|---|---|
| AstraZeneca | 11 | $19,845 |
| Novartis | 11 | $13,266 |
| Sanofi | 2 | $3,283 |
| Novo Nordisk | 1 | $91 |
| Biomarin Pharmaceutical Inc. | 1 | $60 |
| W. L. Gore & Associates, Inc. | 1 | $12 |
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
$36,556 in reported general payments places this provider in the 65th percentile of 65 hematology providers in North Carolina.
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 |
|---|---|---|
| DopteletAvatrombopag Maleate | 13 | $167,774 |
| EliquisApixaban | 79 | $81,147 |
| XareltoRivaroxaban | 69 | $53,038 |
| Enoxaparin Sodium | 20 | $8,094 |
| Mycophenolate Mofetil | 18 | $1,553 |
| Warfarin Sodium | 27 | $498 |
| Pantoprazole Sodium | 20 | $90 |
| Prednisone | 20 | $45 |
Paid to pharmacies, not to this prescriber.
Other hematology in Durham
- Alan CarlsonDurham$143K
- Lindsay ReinDurham$73K
- Jadee NeffDurham$71K
- Thomas OrtelDurham$61K
- Sascha TuchmanDurham$25K
- Oluwatoyosi OnwuemeneDurham$19K
- Andrew PeseskiDurham$371
- Charity OyedejiDurham$125
- Ryan JacobsCharlotte$1.5M
- Alan Zausner SkarbnikCharlotte$1.1M
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.