Keith Metzler
Family Medicine · Lynchburg, VANPI 1275510919
Payments from drug & device makers
Across 122 payments — averaging $12.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$465
- Amgen$181
- Johnson & Johnson$166
- AstraZeneca$138
- GSK$82
- Lilly USA, LLC$60
- plus $482 from 13 others
What the payments were for
- Food & beverage$1,574100%
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 |
|---|---|---|
| Novo Nordisk | 41 | $465 |
| Amgen | 12 | $181 |
| Johnson & Johnson | 19 | $166 |
| AstraZeneca | 5 | $138 |
| GSK | 5 | $82 |
| Lilly USA, LLC | 4 | $60 |
| AbbVie(2 entities) | 4 | $56 |
| Merck | 4 | $54 |
| Sanofi-aventis U.S. LLC | 3 | $53 |
| Kowa Pharmaceuticals America, Inc. | 4 | $47 |
| Pfizer | 3 | $42 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $40 |
| Eisai Inc. | 3 | $39 |
| Genentech USA, Inc. | 3 | $39 |
| Currax Pharmaceuticals LLC | 3 | $39 |
| Teva Pharmaceuticals USA, Inc. | 2 | $24 |
| Boehringer Ingelheim | 2 | $23 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $13 |
| E.r. Squibb & Sons, L.L.C. | 1 | $12 |
How this compares
$1,574 in reported general payments places this provider in the 75th percentile of 2,553 family medicine providers in Virginia.
Other family medicine in Lynchburg
- Kimberly CombsLynchburg$26K
- Craig PetryLynchburg$19K
- Aaron HartmanMidlothian$17.4M
- John ScottGlen Allen$16.7M
- Banu MyneniPortsmouth$12.8M
- Patricia HouserWinchester$3.5M
- Stephan JannachDanville$3M
- Linda SchneiderHampton$2.1M
- Jennifer BrownMidlothian$1.3M
- Brian McCormickHampton$793K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.