Gurpreet Narula, MD
Internal Medicine · Jacksboro, TNNPI 1619908597
Payments from drug & device makers
Across 1,399 payments — averaging $15.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$3K
- GSK$2K
- Novo Nordisk$1K
- Otsuka America Pharmaceutical, Inc.$1K
- AbbVie$1K
- Johnson & Johnson$852
- plus $10K from 54 others
What the payments were for
- Speaking & faculty fees$960%
- Food & beverage$21,22099%
- Education$1151%
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.
- FARXIGA$1,567
- BREZTRI$1,379
- AIRSUPRA$613
- CeQur Simplicity$289
- Enhertu$269
- BEVESPI AEROSPHERE$237
- BRILINTA$189
- SYMBICORT$189
- XARELTO$100
How this compares
$21,431 in reported general payments places this provider in the 95th percentile of 2,216 internal medicine providers in Tennessee.
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 |
|---|---|---|
| RexultiBrexpiprazole | 123 | $188,603 |
| OzempicSemaglutide | 88 | $129,001 |
| EliquisApixaban | 126 | $121,545 |
| MounjaroTirzepatide | 93 | $116,618 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 125 | $115,539 |
| FarxigaDapagliflozin Propanediol | 150 | $110,285 |
| RybelsusSemaglutide | 69 | $93,962 |
| VraylarCariprazine Hcl | 59 | $90,278 |
| TrintellixVortioxetine Hydrobromide | 125 | $74,997 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 73 | $63,777 |
| JardianceEmpagliflozin | 59 | $43,612 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 53 | $42,768 |
| LinzessLinaclotide | 39 | $41,547 |
| Repatha SureclickEvolocumab | 37 | $39,700 |
| EntrestoSacubitril/Valsartan | 30 | $37,294 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $1,495 | $222,963157 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Brilinta, Symbicort | $3,479 | $201,499274 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $1,484 | $188,603123 claims |
| AbbVieVraylar, Linzess | $1,437 | $131,82598 claims |
| Lilly USA, LLCMounjaro, Trulicity | $81 | $129,926107 claims |
| PfizerEliquis | $631 | $121,545126 claims |
| GSKTrelegy Ellipta | $2,027 | $115,539125 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $115 | $74,997125 claims |
| Boehringer IngelheimJardiance, Stiolto Respimat | $628 | $65,58897 claims |
| NovartisEntresto | $275 | $37,29430 claims |
| Axsome Therapeutics, Inc.Auvelity | $251 | $34,54259 claims |
| Cequr CorporationCequr Simplicity | $289 | $30,88924 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 95th percentile of 2,216 internal medicine providers in Tennessee.
Other internal medicine in Jacksboro
- Mark McKenzieChattanooga$11.9M
- Bernard GrunstraBristol$6.4M
- Jewel WhiteKingsport$5.7M
- Judith WhiteKingsport$5.6M
- Obadias MarquezOoltewah$2.8M
- Amanda Moore MillerKnoxville$2.3M
- Rick WhilesBristol$1.5M
- John AndersonNashville$1.5M
- David MorinKingsport$1.4M
- John KirbyJefferson City$1.2M
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.