John Smiley, NP
Acute Care · Lynchburg, VANPI 1245707140
Payments from drug & device makers
Across 18 payments — averaging $49.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$625
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$94
- Cardiva Medical, Inc.$68
- Amgen$27
- Cvrx, Inc.$25
- Boehringer Ingelheim$20
- plus $27 from 2 others
What the payments were for
- Food & beverage$886100%
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 |
|---|---|---|
| Medtronic | 6 | $625 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 5 | $94 |
| Cardiva Medical, Inc. | 2 | $68 |
| Amgen | 1 | $27 |
| Cvrx, Inc. | 1 | $25 |
| Boehringer Ingelheim | 1 | $20 |
| Boston Scientific | 1 | $15 |
| Elutia, 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.
- Micra$409
- PulseSelect$144
How this compares
$886 in reported general payments places this provider in the 65th percentile of 599 acute care 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 |
|---|---|---|
| EliquisApixaban | 328 | $236,433 |
| XareltoRivaroxaban | 66 | $38,705 |
| Repatha SureclickEvolocumab | 13 | $7,014 |
| Metoprolol Succinate | 328 | $2,812 |
| Mexiletine Hcl | 29 | $2,086 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 11 | $1,992 |
| Amiodarone Hcl | 165 | $1,875 |
| SotalolSotalol Hcl | 74 | $1,023 |
| Flecainide Acetate | 57 | $878 |
| Carvedilol | 189 | $877 |
| Metoprolol Tartrate | 139 | $520 |
| Potassium Chloride | 17 | $470 |
| Losartan Potassium | 43 | $374 |
| Warfarin Sodium | 21 | $345 |
| Amlodipine Besylate | 101 | $318 |
Paid to pharmacies, not to this prescriber.
Other acute care in Lynchburg
- Heather McFaddenLynchburg$3K
- Rachel DukeRichmond$751K
- Julia KingNorfolk$99K
- Sarah KennedyNorfolk$57K
- Sarah W ShermanNorth Chesterfield$41K
- Tamara StephensDeltaville$30K
- Debra CastnerNassawadox$28K
- Linda HartMidlothian$21K
- Mica FerlisRichmond$20K
- Corinnia WagnerFredericksburg$18K
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.