Lakshmi Narasimhan, MD
Cardiology · Jacksonville, NCNPI 1841298619
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 16 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 12 manufacturers, the largest accounting for just 20.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $192 and has fallen 80.2% since, to $38 in 2025. Among cardiology clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 16 payments — averaging $27.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cvrx, Inc.$90
- Boehringer Ingelheim$84
- Baxter Healthcare$63
- Novartis$37
- E.r. Squibb & Sons, L.L.C.$28
- Johnson & Johnson$25
- plus $107 from 6 others
What the payments were for
- Food & beverage$433100%
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 |
|---|---|---|
| Cvrx, Inc. | 2 | $90 |
| Boehringer Ingelheim | 1 | $84 |
| Baxter Healthcare | 2 | $63 |
| Novartis | 2 | $37 |
| E.r. Squibb & Sons, L.L.C. | 2 | $28 |
| Johnson & Johnson | 1 | $25 |
| Edwards Lifesciences | 1 | $24 |
| Merck | 1 | $20 |
| Irhythm Technologies, Inc. | 1 | $18 |
| AstraZeneca | 1 | $18 |
| Philips North America LLC | 1 | $14 |
| Amgen | 1 | $14 |
How this compares
$433 in reported general payments places this provider in the 90th percentile of 25 cardiology 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 |
|---|---|---|
| EliquisApixaban | 191 | $196,147 |
| EntrestoSacubitril/Valsartan | 74 | $84,677 |
| XareltoRivaroxaban | 28 | $17,437 |
| JardianceEmpagliflozin | 17 | $14,916 |
| Repatha SureclickEvolocumab | 13 | $12,842 |
| BrilintaTicagrelor | 14 | $10,288 |
| Diltiazem 12hr ErDiltiazem Hcl | 12 | $3,906 |
| Disopyramide Phosphate | 12 | $3,475 |
| Metoprolol Succinate | 185 | $2,571 |
| Nitroglycerin PatchNitroglycerin | 44 | $2,157 |
| Atorvastatin Calcium | 154 | $1,584 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 124 | $1,486 |
| Nitroglycerin | 69 | $1,311 |
| Amlodipine Besylate | 121 | $1,040 |
| Digoxin | 49 | $984 |
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 |
|---|---|---|
| NovartisEntresto | $37 | $84,67774 claims |
| Johnson & JohnsonXarelto | $25 | $17,43728 claims |
| Boehringer IngelheimJardiance | $84 | $14,91617 claims |
| AstraZenecaBrilinta | $18 | $10,28814 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 90th percentile of 25 cardiology providers in North Carolina.
Other cardiology in Jacksonville
- Nirmal GuragaiFayetteville$4K
- Cara HokeDurham$482
- Karen Flores RosarioMorrisville$84
- Chandroth PurushothamanMorehead City$70
- James McGovernAsheville$0
- Anna Lisa ChamisDurham$0
- Monique StarksDurham$0
- Richard StaceyWinston Salem$0
- Juliette LoganRaleigh$0
- Frederic KahlWinston Salem$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.