Jennifer Rymer
Internal Medicine · Durham, NCNPI 1134410566
Payments from drug & device makers
Across 86 payments — averaging $1890.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Chiesi USA, Inc.$131K
- Abiomed$11K
- E.r. Squibb & Sons, L.L.C.$7K
- Medtronic$7K
- Abbott$4K
- Idorsia Pharmaceuticals US Inc$979
- plus $2K from 11 others
What the payments were for
- Consulting fees$18,76226%
- Speaking & faculty fees$17,77024%
- Grants$6,5009%
- Travel & lodging$26,51736%
- Food & beverage$3,7055%
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 |
|---|---|---|
| Chiesi USA, Inc. | 31 | $130,506 |
| Abiomed | 13 | $11,265 |
| E.r. Squibb & Sons, L.L.C. | 1 | $6,875 |
| Medtronic(2 entities) | 3 | $6,652 |
| Abbott | 13 | $4,103 |
| Idorsia Pharmaceuticals US Inc | 1 | $979 |
| Boston Scientific | 7 | $707 |
| Novo Nordisk | 4 | $332 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $279 |
| Irhythm Technologies, Inc. | 1 | $227 |
| Cook Medical LLC | 1 | $136 |
| Shockwave Medical, Inc | 1 | $128 |
| Cardiovascular Systems Inc. | 2 | $125 |
| Philips North America LLC | 1 | $102 |
| Cardinal Health 200 LLC | 2 | $92 |
| Cordis US CORP. | 1 | $32 |
| Pfizer | 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.
- KENGREAL$21,645
- Impella$11,048
- Resolute$6,500
- CLEVIPREX$2,338
- Diamondback Coronary$2,127
- OPTIS$1,250
- CENERIMOD$979
- ESPRIT$286
- GENERAL VASCULAR ACCESS$233
- ZIO XT Patch$227
- Zio monitor$227
- Zilver PTX$136
- OPTICROSS$134
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$128
- (6575) Coronary Undivided$102
- Coronary Orbital Atherectomy System$101
- LifeVest$100
How this compares
$162,554 in reported general payments places this provider in the 95th 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 | 35 | $23,651 |
| XareltoRivaroxaban | 12 | $10,297 |
| JardianceEmpagliflozin | 13 | $6,444 |
| Repatha SureclickEvolocumab | 12 | $6,405 |
| Atorvastatin Calcium | 81 | $816 |
| Metoprolol Succinate | 43 | $653 |
| Lisinopril | 38 | $391 |
| Ezetimibe | 24 | $379 |
| ClopidogrelClopidogrel Bisulfate | 33 | $350 |
| Amlodipine Besylate | 26 | $175 |
| Carvedilol | 28 | $172 |
| Spironolactone | 30 | $155 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 18 | $131 |
| Rosuvastatin Calcium | 18 | $92 |
| Losartan Potassium | 18 | $90 |
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 |
|---|---|---|
| PfizerEliquis | $14 | $23,65135 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 95th percentile of 3,302 internal medicine providers in North Carolina.
Other internal medicine in Durham
- Manesh PatelDurham$27.2M
- Adam DevoreDurham$11.8M
- Krishnakumar UdayakumarDurham$11M
- April SalamaDurham$6.5M
- Hope UronisDurham$5M
- Richard RiedelDurham$2.6M
- Jamie ToddDurham$1.9M
- Nirmish ShahDurham$1.8M
- Aparna SwaminathanDurham$1.2M
- Cynthia MoylanDurham$907K
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.