Has Joseph Smith, MD received payments from drug or device companies?

Yes. Drug and device makers reported $1,643 in general payments to Joseph Smith, MD across 38 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Joseph Smith, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Joseph Smith, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Joseph Smith, MD

Pain Medicine · Lexington, KYNPI 1689825309

Payments from drug & device makers

$1,643in general payments, 2019–2025

Across 38 payments — averaging $43.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Medtronic$1K
Collegium Pharmaceutical, Inc.$172
Pfizer$82
Nevro Corp.$47
AbbVie$44
Valinor Pharma, LLC$42
plus $75 from 3 others

What the payments were for

Travel & lodging$78448%
Food & beverage$85952%

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(2 entities)	11	$1,183
Collegium Pharmaceutical, Inc.	11	$172
Pfizer	5	$82
Nevro Corp.	2	$47
AbbVie(2 entities)	3	$44
Valinor Pharma, LLC	2	$42
Teva Pharmaceuticals USA, Inc.	2	$34
Lundbeck LLC	1	$21
Si-bone, Inc.	1	$20

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.

INTELLIS$959

How this compares

$1,643 in reported general payments places this provider in the 30th percentile of 90 pain medicine providers in Kentucky.

See all pain medicine providers in Kentucky →

Medicare billing

Part B allowed, 2024

$75,730

Medicare patients

Services billed

2,026

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
Oxycodone Hcl	830	$22,577
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	1,020	$19,704
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	631	$15,434
Gabapentin	1,125	$12,897
MovantikNaloxegol Oxalate	19	$9,719
Hysingla ErHydrocodone Bitartrate	13	$5,941
Pregabalin	182	$5,927
Morphine Sulfate ErMorphine Sulfate	53	$3,690
Dantrolene Sodium	43	$2,644
Lidocaine	27	$2,129
Tramadol Hcl	37	$1,659
Naloxone Hcl	28	$1,648
Tizanidine Hcl	192	$1,414
Tramadol Hcl ErTramadol Hcl	14	$1,338
Morphine Sulfate	31	$1,179

Paid to pharmacies, not to this prescriber.

Other pain medicine in Lexington

Christopher MallardLexington$84K
Michael HarnedLexington$45K
Mazhar RasulLexington$30K
Stuart CowleyLexington$19K
Luis VascelloLexington$17K
Shawn MilburnLexington$17K
Brandon GishLexington$13K
Timothy MimsLexington$11K
Manoochehr MazloomdoostLexington$8K
Maged FamLexington$7K

See the full list for Kentucky →

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.

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