Lance Patton, MD
Internal Medicine · Jefferson City, TNNPI 1104822816
Payments from drug & device makers
Across 165 payments — averaging $18.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$680
- GSK$451
- Gilead$225
- Pfizer$220
- Philips North America LLC$196
- Lilly USA, LLC$116
- plus $1K from 28 others
What the payments were for
- Food & beverage$3,011100%
- Education$130%
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 | 40 | $680 |
| GSK | 25 | $451 |
| Gilead | 9 | $225 |
| Pfizer | 13 | $220 |
| Philips North America LLC | 10 | $196 |
| Lilly USA, LLC | 8 | $116 |
| Xeris Pharmaceuticals, Inc. | 6 | $109 |
| Heartflow, Inc. | 2 | $93 |
| Amgen | 6 | $78 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $67 |
| Novartis | 5 | $67 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $67 |
| E.r. Squibb & Sons, L.L.C. | 4 | $64 |
| Dexcom, Inc. | 3 | $56 |
| AbbVie | 2 | $54 |
| Bayer | 3 | $48 |
| AstraZeneca | 3 | $43 |
| Medtronic | 2 | $42 |
| Boehringer Ingelheim | 2 | $38 |
| Resmed Corp | 2 | $37 |
| Axsome Therapeutics, Inc. | 1 | $25 |
| Boston Scientific | 1 | $25 |
| Fisher & Paykel Healthcare Inc | 1 | $25 |
| Jazz Pharmaceuticals Inc. | 1 | $24 |
| Otsuka America Pharmaceutical, Inc. | 1 | $21 |
| Corcept Therapeutics | 1 | $20 |
| Inspire Medical Systems, Inc. | 1 | $20 |
| Phathom Pharmaceuticals, Inc. | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $19 |
| Exact Sciences | 1 | $17 |
| Itamar Medical Inc | 1 | $16 |
| Mylan Specialty L.p. | 1 | $14 |
| Astellas Pharma US Inc | 1 | $14 |
| Johnson & Johnson | 1 | $13 |
How this compares
$3,024 in reported general payments places this provider in the 80th percentile of 2,216 internal medicine providers in Tennessee.
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 | 126 | $109,986 |
| JardianceEmpagliflozin | 79 | $63,132 |
| OzempicSemaglutide | 32 | $43,323 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 43 | $33,143 |
| ProliaDenosumab | 17 | $29,565 |
| XareltoRivaroxaban | 33 | $26,337 |
| AbrysvoRsv Vacc, Pref A And Pref B/Pf | 59 | $19,374 |
| Repatha SureclickEvolocumab | 13 | $14,231 |
| MounjaroTirzepatide | 13 | $13,390 |
| Varenicline Tartrate | 40 | $13,080 |
| JanuviaSitagliptin Phosphate | 16 | $12,834 |
| Spiriva RespimatTiotropium Bromide | 15 | $12,638 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 54 | $12,073 |
| SymbicortBudesonide/Formoterol Fumarate | 23 | $10,140 |
| MyrbetriqMirabegron | 11 | $9,966 |
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 |
|---|---|---|
| PfizerEliquis, Abrysvo | $220 | $129,360185 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $38 | $75,77094 claims |
| GSKTrelegy Ellipta, Shingrix | $451 | $45,21697 claims |
| Novo NordiskOzempic | $680 | $43,32332 claims |
| AmgenProlia | $78 | $29,56517 claims |
| Johnson & JohnsonXarelto | $13 | $26,33733 claims |
| Lilly USA, LLCMounjaro | $116 | $13,39013 claims |
| AstraZenecaSymbicort | $43 | $10,14023 claims |
| Astellas Pharma US IncMyrbetriq | $14 | $9,96611 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 80th percentile of 2,216 internal medicine providers in Tennessee.
Other internal medicine in Jefferson City
- John KirbyJefferson City$1.2M
- Mark McKenzieChattanooga$11.9M
- Bernard GrunstraBristol$6.4M
- Jewel WhiteKingsport$5.7M
- Judith WhiteKingsport$5.6M
- Obadias MarquezOoltewah$2.8M
- Amanda Moore MillerKnoxville$2.3M
- Rick WhilesBristol$1.5M
- John AndersonNashville$1.5M
- David MorinKingsport$1.4M
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.