Jeffrey Rehm, MD
Pulmonary Disease · Fredericksburg, VANPI 1548259823
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (54.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 51 manufacturers reported payments, led by Mylan Specialty L.p. at 31.5% of the total. Reporting peaked in 2019 at $49,445 and has fallen 73.5% since, to $13,126 in 2025. Among pulmonary disease clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,221 payments — averaging $81.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mylan Specialty L.p.$31K
- Boehringer Ingelheim$21K
- Sunovion Pharmaceuticals Inc.$14K
- United Therapeutics Corporation$8K
- AstraZeneca$5K
- GSK$4K
- plus $16K from 45 others
What the payments were for
- Consulting fees$7,2927%
- Speaking & faculty fees$54,55655%
- Travel & lodging$9,3199%
- Food & beverage$26,99327%
- Education$1,1531%
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.
- Yupelri$30,598
- LONHALA MAGNAIR$13,526
- TYVASO$6,062
- FASENRA$1,853
- AIRSUPRA$690
- Inspire$683
- NUCALA$590
- TEZSPIRE$560
- BREZTRI$427
- TRELEGY ELLIPTA$373
- SYMBICORT$298
- DUPIXENT$250
- Adempas$250
- CHARTIS CATHETER$167
- ZEPHYR DELIVERY CATHETER$167
- ZEPHYR ENDOBRONCHIAL VALVE$167
- PULMONX CHARTIS TABLET CONSOLE$167
- XYWAV$150
- XYREM$150
- ORENITRAM$125
How this compares
$99,313 in reported general payments places this provider in the 90th percentile of 317 pulmonary disease providers in Virginia.
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 |
|---|---|---|
| OfevNintedanib Esylate | 18 | $228,209 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 218 | $221,791 |
| Breo ElliptaFluticasone/Vilanterol | 140 | $79,030 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 100 | $78,565 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 56 | $70,137 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 115 | $69,888 |
| Spiriva RespimatTiotropium Bromide | 71 | $69,680 |
| Dupixent PenDupilumab | 12 | $44,852 |
| Pirfenidone | 16 | $43,067 |
| Varenicline Tartrate | 119 | $34,966 |
| Ipratropium Bromide | 620 | $27,690 |
| SymbicortBudesonide/Formoterol Fumarate | 60 | $23,990 |
| XareltoRivaroxaban | 15 | $23,816 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 457 | $12,884 |
| Advair HfaFluticasone Propion/Salmeterol | 25 | $11,954 |
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 |
|---|---|---|
| Boehringer IngelheimOfev, Stiolto Respimat, Spiriva Respimat | $21,411 | $376,453189 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta | $4,354 | $370,708473 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $4,632 | $94,127116 claims |
| Johnson & JohnsonXarelto | $342 | $23,81615 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 317 pulmonary disease providers in Virginia.
Other pulmonary disease in Fredericksburg
- Steven NathanFalls Church$1.5M
- Omar MinaiHopewell$1.3M
- Rabih HalabiFalls Church$604K
- Eric LibreAnnandale$302K
- Sujoy GillRichmond$296K
- Imre NothCharlottesville$256K
- Carlos SilvaChesapeake$245K
- Vijay SubramaniamWilliamsburg$228K
- Ellen VolkerCharlottesville$177K
- Himanshu DesaiChesapeake$174K
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.