Keegan Smith, MD
Allergy · Nashville, TNNPI 1134276009
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $728 of the $978 with a category attached, or 74.4%. 11 manufacturers reported payments, led by AstraZeneca at 31.5% of the total.
Across 24 payments — averaging $40.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$308
- Aimmune Therapeutics, Inc.$264
- Takeda Pharmaceuticals U.S.A., Inc.$114
- Genentech USA, Inc.$107
- Genentech, Inc.$48
- ARS Pharmaceuticals Operations, Inc.$39
- plus $98 from 5 others
What the payments were for
- Speaking & faculty fees$25026%
- Food & beverage$72874%
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 | 5 | $308 |
| Aimmune Therapeutics, Inc. | 3 | $264 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $114 |
| Genentech USA, Inc. | 2 | $107 |
| Genentech, Inc. | 2 | $48 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $39 |
| Regeneron Healthcare Solutions, Inc. | 1 | $26 |
| Novartis | 1 | $22 |
| CSL Behring | 1 | $22 |
| Amgen | 1 | $15 |
| AbbVie | 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.
How this compares
Too few allergy providers in Tennesseeto 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 |
|---|---|---|
| Dupixent PenDupilumab | 46 | $196,739 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 102 | $74,361 |
| Breo ElliptaFluticasone/Vilanterol | 101 | $47,816 |
| Dupixent SyringeDupilumab | 11 | $42,748 |
| Advair HfaFluticasone Propion/Salmeterol | 46 | $17,791 |
| Arnuity ElliptaFluticasone Furoate | 24 | $11,714 |
| Epinephrine | 28 | $6,705 |
| Spiriva RespimatTiotropium Bromide | 13 | $6,649 |
| DuleraMometasone/Formoterol | 11 | $6,633 |
| Ipratropium Bromide | 171 | $6,614 |
| Qvar RedihalerBeclomethasone Dipropionate | 11 | $6,176 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 13 | $3,534 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 22 | $3,404 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 66 | $2,355 |
| Fluticasone Propionate | 28 | $1,914 |
Paid to pharmacies, not to this prescriber.
Other allergy in Nashville
- David HagamanNashville$446K
- Emily CampbellNashville$6K
- Michael DaoNashville$175
- Neil WallenBristol$12K
- Ryan SullivanSpring Hill$5K
- Leslie NewmanSmyrna$5K
- Chrishana OgilvieGermantown$2K
- Martha ButterfieldSmyrna$2K
- Steve ColeMemphis$1K
- Kimberly BergeronBrentwood$532
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.