John Tuttle, MD
Internal Medicine · Noblesville, INNPI 1194712877
Payments from drug & device makers
Across 696 payments — averaging $22.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$4K
- AbbVie$1K
- AstraZeneca$1K
- Biohaven Pharmaceuticals, Inc.$1K
- Amgen$1K
- Novo Nordisk$818
- plus $6K from 42 others
What the payments were for
- Consulting fees$4,71230%
- Speaking & faculty fees$3002%
- Food & beverage$10,48266%
- Education$2752%
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.
- NURTEC ODT$1,200
- FARXIGA$512
- SOLIQUA 100/33$300
- XARELTO$112
How this compares
$15,768 in reported general payments places this provider in the 95th percentile of 1,747 internal medicine providers in Indiana.
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 | 185 | $171,605 |
| OzempicSemaglutide | 137 | $170,025 |
| MounjaroTirzepatide | 132 | $152,754 |
| JardianceEmpagliflozin | 130 | $128,605 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 102 | $80,791 |
| TrulicityDulaglutide | 61 | $72,699 |
| XareltoRivaroxaban | 67 | $57,227 |
| Tresiba Flextouch U-200Insulin Degludec | 33 | $50,178 |
| FarxigaDapagliflozin Propanediol | 52 | $38,896 |
| KerendiaFinerenone | 21 | $26,650 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 23 | $25,322 |
| JanuviaSitagliptin Phosphate | 35 | $25,105 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 23 | $24,344 |
| GemtesaVibegron | 52 | $24,320 |
| TrintellixVortioxetine Hydrobromide | 33 | $23,775 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $4,307 | $225,453193 claims |
| PfizerEliquis | $608 | $171,605185 claims |
| Novo NordiskOzempic | $818 | $170,025137 claims |
| Boehringer IngelheimJardiance, Synjardy | $160 | $134,615141 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta | $702 | $105,221156 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $1,265 | $64,21875 claims |
| Johnson & JohnsonXarelto | $707 | $57,22767 claims |
| AbbVieLinzess, Savella | $1,355 | $33,73038 claims |
| BayerKerendia | $291 | $26,65021 claims |
| MerckJanuvia | $184 | $25,10535 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $118 | $24,32052 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $215 | $23,77533 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 1,747 internal medicine providers in Indiana.
Other internal medicine in Noblesville
- Robert BuynakValparaiso$24.2M
- Mohammed AllawNewburgh$3.6M
- Raj VuppalanchiIndianapolis$3.4M
- Phillip TothIndianapolis$3.2M
- George CornettFranklin$1.3M
- Ajita NarayanLafayette$951K
- Abhinav SinghGreenwood$738K
- Georgiann LinnemeierIndianapolis$692K
- Wa'el BakdashAnderson$625K
- Rita SchmidSouth Bend$599K
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.