Hector Asuncion, MD
Family Medicine · Poolesville, MDNPI 1407848823
Payments from drug & device makers
Across 176 payments — averaging $29.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biohaven Pharmaceuticals, Inc.$1K
- Novo Nordisk$552
- Amgen$385
- Lilly USA, LLC$384
- AstraZeneca$355
- Pfizer$293
- plus $2K from 23 others
What the payments were for
- Consulting fees$1,20023%
- Food & beverage$3,96675%
- Education$1002%
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 |
|---|---|---|
| Biohaven Pharmaceuticals, Inc. | 5 | $1,272 |
| Novo Nordisk | 25 | $552 |
| Amgen(2 entities) | 11 | $385 |
| Lilly USA, LLC | 21 | $384 |
| AstraZeneca | 17 | $355 |
| Pfizer | 17 | $293 |
| Exact Sciences | 11 | $234 |
| Boehringer Ingelheim | 8 | $218 |
| Astellas Pharma US Inc | 7 | $208 |
| Abbott | 4 | $179 |
| Esperion Therapeutics, Inc. | 3 | $164 |
| Johnson & Johnson | 4 | $131 |
| AbbVie | 5 | $113 |
| Amarin Pharma, Inc. | 5 | $95 |
| GSK | 4 | $89 |
| Merck | 5 | $82 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $70 |
| Nevro Corp. | 1 | $61 |
| Arbor Pharmaceuticals, Inc. | 3 | $55 |
| Biogen | 3 | $53 |
| Boston Scientific | 2 | $44 |
| Daiichi Sankyo Inc. | 2 | $41 |
| Optinose US, Inc. | 2 | $38 |
| Bayer | 2 | $35 |
| Lifescan, Inc. | 1 | $31 |
| Sanofi Pasteur Inc. | 1 | $27 |
| Kvk-tech, Inc. | 1 | $22 |
| Hikma Pharmaceuticals USA | 1 | $18 |
| Seqirus USA Inc | 1 | $17 |
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.
- NURTEC ODT$1,200
- NEXLIZET$124
- NEXLETOL$124
- FREESTYLE LIBRE 3$113
- PENNSAID$111
- RYBELSUS$107
- Repatha$105
How this compares
$5,266 in reported general payments places this provider in the 90th percentile of 1,193 family medicine providers in Maryland.
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 |
|---|---|---|
| JanuviaSitagliptin Phosphate | 43 | $66,203 |
| JanumetSitagliptin Phos/Metformin Hcl | 39 | $62,748 |
| JardianceEmpagliflozin | 24 | $41,082 |
| FarxigaDapagliflozin Propanediol | 33 | $35,111 |
| RybelsusSemaglutide | 20 | $23,599 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 11 | $17,822 |
| JentaduetoLinagliptin/Metformin Hcl | 12 | $11,585 |
| Atorvastatin Calcium | 250 | $4,462 |
| Dutasteride-TamsulosinDutasteride/Tamsulosin Hcl | 17 | $3,109 |
| Amlodipine-OlmesartanAmlodipine Bes/Olmesartan Med | 23 | $2,382 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 21 | $2,172 |
| Levothyroxine Sodium | 165 | $2,084 |
| Olmesartan-Amlodipine-HctzOlmesartan/Amlodipin/Hcthiazid | 21 | $1,732 |
| Rosuvastatin Calcium | 93 | $1,690 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 84 | $1,497 |
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 |
|---|---|---|
| MerckJanuvia, Janumet, Janumet Xr | $82 | $146,77393 claims |
| Boehringer IngelheimJardiance, Jentadueto | $218 | $52,66636 claims |
| AstraZenecaFarxiga | $355 | $35,11133 claims |
| Novo NordiskRybelsus | $552 | $23,59920 claims |
| AbbVieSynthroid | $113 | $1,16718 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 90th percentile of 1,193 family medicine providers in Maryland.
Other family medicine in Poolesville
- Stephen OngOxon Hill$5.9M
- Stephan BartWoodstock$1.7M
- Karen DonaldsonBaltimore$899K
- Rajiv DuaColumbia$765K
- Greg TampusLutherville Timonium$735K
- Louis JacquesBaltimore$522K
- Stephanie MellerOxon Hill$518K
- Sharon ChungGlen Burnie$333K
- Michael ObiefuneBaltimore$291K
- Thomas LawrenceBerlin$254K
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.