James Gardner
Internal Medicine · Manhattan, KSNPI 1497718092
Payments from drug & device makers
Across 150 payments — averaging $16.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$436
- AstraZeneca$333
- Lilly USA, LLC$280
- Pfizer$150
- AbbVie$132
- GSK$121
- plus $1K from 24 others
What the payments were for
- Food & beverage$2,458100%
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 |
|---|---|---|
| Novo Nordisk | 25 | $436 |
| AstraZeneca | 14 | $333 |
| Lilly USA, LLC | 18 | $280 |
| Pfizer | 11 | $150 |
| AbbVie(2 entities) | 8 | $132 |
| GSK | 8 | $121 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $120 |
| Merck | 8 | $108 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $101 |
| Eisai Inc. | 5 | $99 |
| Boehringer Ingelheim | 6 | $82 |
| Biohaven Pharmaceuticals, Inc. | 4 | $67 |
| Sanofi-aventis U.S. LLC | 5 | $64 |
| Amarin Pharma, Inc. | 3 | $51 |
| Sunovion Pharmaceuticals Inc. | 3 | $46 |
| Esperion Therapeutics, Inc. | 2 | $32 |
| Johnson & Johnson | 2 | $26 |
| Kowa Pharmaceuticals America, Inc. | 2 | $26 |
| Lundbeck LLC | 1 | $22 |
| Kyowa Kirin, Inc. | 1 | $19 |
| Bayer | 1 | $17 |
| Novartis | 1 | $16 |
| Otsuka America Pharmaceutical, Inc. | 1 | $16 |
| Biogen | 1 | $15 |
| Collegium Pharmaceutical, Inc. | 1 | $14 |
| Astellas Pharma US Inc | 1 | $14 |
| Tactile Systems Technology Inc | 1 | $14 |
| Mylan Specialty L.p. | 1 | $13 |
| Amgen | 1 | $12 |
| Circassia 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
$2,458 in reported general payments places this provider in the 85th percentile of 705 internal medicine providers in Kansas.
Other internal medicine in Manhattan
- Martin KankamLeavenworth$63.4M
- Mark HamblinKansas City$5.2M
- Katherine WillinghamTopeka$4.8M
- Raed Al RajabiWestwood$4.5M
- Leslie SpikesKansas City$4.5M
- Michael CoxTopeka$3.4M
- James RuhlmannHutchinson$2.8M
- Scott TeeterTopeka$1.2M
- Shadi HamdehKansas City$1.1M
- Kyle WorkKansas City$863K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.