Harold Silver, MD
Gastroenterology · Knoxville, TNNPI 1861461899
Payments from drug & device makers
Across 594 payments — averaging $15.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Takeda Pharmaceuticals U.S.A., Inc.$1K
- Pfizer$873
- Johnson & Johnson$814
- Nestle Healthcare Nutrition Inc.$481
- Ironwood Pharmaceuticals, Inc$437
- plus $2K from 24 others
What the payments were for
- Food & beverage$8,94698%
- Education$1341%
- Gifts$270%
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 |
|---|---|---|
| AbbVie(2 entities) | 214 | $3,406 |
| Takeda Pharmaceuticals U.S.A., Inc. | 95 | $1,272 |
| Pfizer | 62 | $873 |
| Johnson & Johnson | 46 | $814 |
| Nestle Healthcare Nutrition Inc. | 34 | $481 |
| Ironwood Pharmaceuticals, Inc | 32 | $437 |
| Ferring Pharmaceuticals Inc. | 14 | $237 |
| Romark Laboratories, LC | 22 | $231 |
| Intra-sana Laboratories | 15 | $215 |
| Boston Scientific | 6 | $186 |
| Phathom Pharmaceuticals, Inc. | 10 | $148 |
| Redhill Biopharma Inc. | 6 | $86 |
| Regeneron Healthcare Solutions, Inc. | 4 | $80 |
| Evoke Pharma, Inc. | 4 | $62 |
| Braintree Laboratories, Inc. | 3 | $62 |
| Madrigal Pharmaceuticals | 2 | $61 |
| Lilly USA, LLC | 3 | $57 |
| Daiichi Sankyo Inc. | 3 | $57 |
| UCB, Inc. | 3 | $53 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $49 |
| Celltrion USA Inc. | 2 | $34 |
| Octapharma USA, Inc. | 2 | $34 |
| Shire North American Group Inc | 2 | $33 |
| Aimmune Therapeutics, Inc. | 1 | $24 |
| Alfasigma USA, Inc. | 1 | $22 |
| Pacira Pharmaceuticals Incorporated | 1 | $20 |
| Medtronic | 1 | $20 |
| Sanofi | 1 | $20 |
| Covidien LP | 1 | $17 |
| Concordia Pharmaceuticals Inc. | 1 | $14 |
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
$9,107 in reported general payments places this provider in the 70th percentile of 336 gastroenterology 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 |
|---|---|---|
| LinzessLinaclotide | 62 | $55,352 |
| CreonLipase/Protease/Amylase | 29 | $39,985 |
| ZenpepLipase/Protease/Amylase | 11 | $24,192 |
| Dexlansoprazole DrDexlansoprazole | 38 | $15,698 |
| ClenpiqSod Picosulf/Mag Ox/Citric Ac | 68 | $11,564 |
| Mesalamine | 38 | $10,268 |
| DexilantDexlansoprazole | 13 | $9,756 |
| Esomeprazole Magnesium | 203 | $8,942 |
| Omeprazole | 531 | $8,699 |
| Sucralfate | 106 | $7,140 |
| Ursodiol | 43 | $5,035 |
| Colesevelam Hcl | 81 | $4,742 |
| Misoprostol | 52 | $3,736 |
| Budesonide DrBudesonide | 22 | $2,997 |
| Colestipol Hcl | 35 | $2,917 |
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 |
|---|---|---|
| AbbVieLinzess, Creon | $3,406 | $95,33791 claims |
| Aimmune Therapeutics, Inc.Zenpep | $24 | $24,19211 claims |
| Ferring Pharmaceuticals Inc.Clenpiq | $237 | $11,56468 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Dexilant | $1,272 | $9,75613 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 336 gastroenterology providers in Tennessee.
Other gastroenterology in Knoxville
- Raj NarayaniKnoxville$216K
- Carlos RollhauserKnoxville$144K
- Jason HuffmanKnoxville$105K
- William ErgenKnoxville$49K
- Meade EdmundsKnoxville$21K
- Thomas YoungKnoxville$20K
- Ziad YounesGermantown$15.6M
- Robert HerringNashville$3.2M
- Dawn Borromeo BeaulieuNashville$2.1M
- David SchwartzNashville$1.4M
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.