John van Wagoner, MD
Allergy/ Immunology · Plano, TXNPI 1053389502
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.0% of the total across 199 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 33 manufacturers, the largest accounting for just 20.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,767, 4.1 times the $682 reported in 2019.
Across 199 payments — averaging $25.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Regeneron Healthcare Solutions, Inc.$476
- GSK$396
- Takeda Pharmaceuticals U.S.A., Inc.$379
- Novartis$327
- Sanofi$257
- plus $2K from 27 others
What the payments were for
- Consulting fees$661%
- Food & beverage$4,85996%
- Education$1353%
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 |
|---|---|---|
| AstraZeneca | 35 | $1,055 |
| Regeneron Healthcare Solutions, Inc. | 23 | $476 |
| GSK | 12 | $396 |
| Takeda Pharmaceuticals U.S.A., Inc. | 15 | $379 |
| Novartis | 18 | $327 |
| Sanofi | 6 | $257 |
| ARS Pharmaceuticals Operations, Inc. | 8 | $242 |
| Galderma Laboratories, L.p. | 8 | $213 |
| Octapharma USA, Inc. | 3 | $191 |
| Amgen | 9 | $168 |
| Lilly USA, LLC | 3 | $162 |
| Grifols USA, LLC | 8 | $155 |
| Alk-abello, Inc | 3 | $96 |
| Kaleo, Inc. | 4 | $85 |
| Organon | 7 | $82 |
| Pharming Healthcare, Inc. | 3 | $79 |
| Pfizer | 4 | $72 |
| ADMA Biomanufacturing LLC | 2 | $66 |
| Optinose US, Inc. | 4 | $65 |
| Incyte Corporation | 3 | $64 |
| Sanofi-aventis U.S. LLC | 1 | $55 |
| LEO Pharma Inc. | 2 | $54 |
| Kedrion Biopharma, Inc. | 2 | $43 |
| Teva Pharmaceuticals USA, Inc. | 3 | $41 |
| Arcutis Biotherapeutics, Inc. | 2 | $39 |
| Azurity Pharmaceuticals, Inc. | 2 | $34 |
| Shire North American Group Inc | 2 | $34 |
| Genentech USA, Inc. | 2 | $32 |
| Blueprint Medicines Corporation | 1 | $27 |
| CSL Behring | 1 | $23 |
| GC Biopharma USA, Inc. | 1 | $22 |
| Hikma Pharmaceuticals USA | 1 | $16 |
| Almirall LLC | 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
Too few allergy/ immunology providers in Texasto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 28 | $230,671 |
| Dupixent SyringeDupilumab | 27 | $100,588 |
| HyqviaIgg/Hyaluronidase,recombinant | 26 | $84,645 |
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 20 | $62,848 |
| Dupixent PenDupilumab | 11 | $41,162 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 20 | $23,655 |
| Breo ElliptaFluticasone/Vilanterol | 24 | $9,459 |
| Epinephrine | 26 | $6,001 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 12 | $1,659 |
| Ipratropium Bromide | 53 | $1,425 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 40 | $1,072 |
| Azelastine Hcl | 25 | $675 |
| Cefdinir | 21 | $423 |
| Montelukast Sodium | 60 | $361 |
| Fluticasone Propionate | 17 | $254 |
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 |
|---|---|---|
| CSL BehringHizentra | $23 | $230,67128 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Hyqvia | $379 | $84,64526 claims |
| Grifols USA, LLCGamunex-C | $155 | $62,84820 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $396 | $33,11444 claims |
| Hikma Pharmaceuticals USAEpinephrine | $16 | $6,00126 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. There are too few allergy/ immunology providers in Texason file to place this against a meaningful peer group, so we don't.
Other allergy/ immunology in Plano
- William LumryDallas$1.3M
- Priyanka GuptaNew Braunfels$207K
- Keith PaullCollege Station$11K
- Dalys GomezSan Antonio$6K
- Jamie YeagerDallas$5K
- Pramila DaftaryWaco$3K
- Luis GonzalezEl Paso$2K
- Robert LekachBrownsville$310
- John YorkEl Paso$0
- John MastrovichSan Antonio$0
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.