Lander Smith, MD
Family Medicine · Conway, ARNPI 1861479966
Payments from drug & device makers
Across 1,240 payments — averaging $13.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- GSK$1K
- AstraZeneca$1K
- Otsuka America Pharmaceutical, Inc.$932
- Pfizer$858
- Lilly USA, LLC$854
- plus $9K from 54 others
What the payments were for
- Food & beverage$16,21799%
- Education$1781%
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
$16,395 in reported general payments places this provider in the 95th percentile of 1,347 family medicine providers in Arkansas.
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 | 677 | $223,836 |
| JardianceEmpagliflozin | 125 | $74,542 |
| OzempicSemaglutide | 66 | $60,971 |
| XareltoRivaroxaban | 121 | $41,559 |
| RelistorMethylnaltrexone Bromide | 12 | $32,407 |
| Tresiba Flextouch U-100Insulin Degludec | 48 | $26,233 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 32 | $25,176 |
| LantusInsulin Glargine,hum.Rec.Anlog | 180 | $20,817 |
| LinzessLinaclotide | 37 | $20,481 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 67 | $19,212 |
| TresibaInsulin Degludec | 47 | $18,717 |
| EntrestoSacubitril/Valsartan | 60 | $17,969 |
| BrilintaTicagrelor | 63 | $17,057 |
| CreonLipase/Protease/Amylase | 16 | $16,284 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 35 | $16,237 |
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 | $858 | $223,836677 claims |
| Novo NordiskOzempic, Tresiba, Levemir, Rybelsus | $1,869 | $105,227209 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $622 | $80,664136 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Shingrix | $1,455 | $57,240120 claims |
| Johnson & JohnsonXarelto | $457 | $41,559121 claims |
| AbbVieLinzess, Creon | $807 | $36,76553 claims |
| AstraZenecaBrilinta, Breztri Aerosphere, Farxiga | $1,106 | $35,91998 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCRelistor | $344 | $32,40712 claims |
| Sanofi-aventis U.S. LLCLantus | $157 | $20,817180 claims |
| NovartisEntresto | $290 | $17,96960 claims |
| Astellas Pharma US IncMyrbetriq | $571 | $8,94939 claims |
| MerckVerquvo | $197 | $7,67624 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 95th percentile of 1,347 family medicine providers in Arkansas.
Other family medicine in Conway
- Landon HumphreyConway$417K
- Thad HardinConway$19K
- David NaylorConway$17K
- Randal BowlinConway$16K
- Joe CumminsConway$15K
- John DicksonConway$15K
- Michael CarsonConway$14K
- George KonisLittle Rock$26.6M
- Kevin RobertsLittle Rock$2.5M
- Derek LewisLittle Rock$1.7M
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.