Ian Foxall, MD
Internal Medicine · Wilmington, NCNPI 1528008109
Payments from drug & device makers
Across 678 payments — averaging $16.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- AbbVie$1K
- AstraZeneca$1K
- Lilly USA, LLC$1K
- Pfizer$648
- Amgen$609
- plus $4K from 48 others
What the payments were for
- Food & beverage$11,061100%
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.
How this compares
$11,061 in reported general payments places this provider in the 90th percentile of 3,302 internal medicine 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 |
|---|---|---|
| EliquisApixaban | 43 | $56,813 |
| RybelsusSemaglutide | 26 | $56,279 |
| FarxigaDapagliflozin Propanediol | 38 | $53,303 |
| OzempicSemaglutide | 35 | $52,558 |
| JanuviaSitagliptin Phosphate | 31 | $36,328 |
| JardianceEmpagliflozin | 24 | $36,255 |
| InvokanaCanagliflozin | 31 | $30,788 |
| MounjaroTirzepatide | 19 | $29,270 |
| XareltoRivaroxaban | 22 | $25,783 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 16 | $21,538 |
| JanumetSitagliptin Phos/Metformin Hcl | 14 | $19,102 |
| MyrbetriqMirabegron | 11 | $14,491 |
| Breo ElliptaFluticasone/Vilanterol | 13 | $8,229 |
| Atorvastatin Calcium | 552 | $5,451 |
| Wixela InhubFluticasone Propion/Salmeterol | 18 | $5,412 |
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 NordiskRybelsus, Ozempic | $1,835 | $108,83761 claims |
| PfizerEliquis | $648 | $56,81343 claims |
| Johnson & JohnsonInvokana, Xarelto | $66 | $56,57253 claims |
| MerckJanuvia, Janumet | $254 | $55,43045 claims |
| AstraZenecaFarxiga | $1,279 | $53,30338 claims |
| Boehringer IngelheimJardiance | $166 | $36,25524 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $295 | $29,76729 claims |
| Lilly USA, LLCMounjaro | $1,035 | $29,27019 claims |
| Astellas Pharma US IncMyrbetriq | $21 | $14,49111 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $12 | $4,605359 claims |
| AbbVieSynthroid | $1,377 | $4,47251 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 3,302 internal medicine providers in North Carolina.
Other internal medicine in Wilmington
- Brian WebsterWilmington$3.7M
- Hector SanchezWilmington$770K
- Manesh PatelDurham$27.2M
- Saad UsmaniCharlotte$16.2M
- Christina KennellyCharlotte$15.4M
- John RubinoRaleigh$13M
- Adam DevoreDurham$11.8M
- Krishnakumar UdayakumarDurham$11M
- Sylvia ShoffnerCary$7.1M
- Wayne HarperRaleigh$6.7M
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.