Kenneth Carnes, MD
Neurology · Raleigh, NCNPI 1003845363
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.3% of the total across 1,317 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 60 manufacturers, the largest accounting for just 14.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $7,135, 3.4 times the $2,122 reported in 2019.
Across 1,317 payments — averaging $18.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- UCB, Inc.$2K
- AstraZeneca$1K
- Novartis$1K
- Lundbeck LLC$1K
- Amgen$1K
- plus $13K from 54 others
Across 211 payments — averaging $5068.16 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Genentech, Inc.$287K
- Novartis$230K
- F. Hoffmann-la Roche AG$193K
- Biogen$178K
- Adamas Pharmaceuticals, Inc.$58K
- Roche Products Limited$45K
- plus $77K from 3 others
What the payments were for
- Speaking & faculty fees$970%
- Food & beverage$24,28899%
- Education$840%
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.
How this compares
$24,469 in reported general payments places this provider in the 85th percentile of 566 neurology providers in North Carolina.
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 |
|---|---|---|
| IngrezzaValbenazine Tosylate | 12 | $97,353 |
| Plegridy PenPeginterferon Beta-1a | 12 | $97,032 |
| AustedoDeutetrabenazine | 13 | $63,887 |
| Aimovig AutoinjectorErenumab-Aooe | 66 | $61,944 |
| Wellbutrin XlBupropion Hcl | 24 | $54,706 |
| QuliptaAtogepant | 37 | $48,731 |
| Nurtec OdtRimegepant Sulfate | 15 | $32,305 |
| Lamictal XrLamotrigine | 13 | $28,621 |
| RytaryCarbidopa/Levodopa | 13 | $24,607 |
| Keppra XrLevetiracetam | 18 | $24,326 |
| TrileptalOxcarbazepine | 17 | $21,865 |
| OxycontinOxycodone Hcl | 23 | $14,404 |
| Ajovy AutoinjectorFremanezumab-Vfrm | 15 | $13,421 |
| Sumatriptan Succinate | 82 | $7,991 |
| Gabapentin | 455 | $7,499 |
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 |
|---|---|---|
| Neurocrine Biosciences, Inc.Ingrezza | $541 | $97,35312 claims |
| Teva Pharmaceuticals USA, Inc.Austedo | $793 | $63,88713 claims |
| AbbVieQulipta | $3,429 | $48,73137 claims |
| PfizerNurtec Odt | $779 | $32,30515 claims |
| Amneal Pharmaceuticals LLCRytary, Pyridostigmine Bromide | $345 | $27,59836 claims |
| Johnson & JohnsonXarelto | $374 | $7,48611 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 85th percentile of 566 neurology providers in North Carolina.
Other neurology in Raleigh
- John ScagnelliRaleigh$429K
- Timothy RyanRaleigh$85K
- Casey JeffreysRaleigh$82K
- Sommer PhilipsRaleigh$46K
- Steven FreedmanRaleigh$42K
- Jill ConwayCharlotte$1M
- Matthew CarraroCharlotte$695K
- Richard SaterGreensboro$682K
- Sara SaccoMatthews$651K
- Megan DonnellyCharlotte$601K
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.