Layla Wren, MD
Family Medicine · Gadsden, ALNPI 1366674681
Payments from drug & device makers
Across 269 payments — averaging $15.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Novo Nordisk$398
- Lilly USA, LLC$295
- Pfizer$217
- Johnson & Johnson$201
- AstraZeneca$192
- plus $2K from 25 others
What the payments were for
- Food & beverage$4,285100%
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 |
|---|---|---|
| AbbVie(2 entities) | 75 | $1,053 |
| Novo Nordisk | 24 | $398 |
| Lilly USA, LLC | 16 | $295 |
| Pfizer | 13 | $217 |
| Johnson & Johnson | 14 | $201 |
| AstraZeneca | 11 | $192 |
| Biohaven Pharmaceutical Holding Company Ltd. | 11 | $181 |
| Idorsia Pharmaceuticals US Inc | 12 | $179 |
| Sanofi-aventis U.S. LLC | 10 | $171 |
| Biohaven Pharmaceuticals, Inc. | 10 | $154 |
| Axsome Therapeutics, Inc. | 9 | $138 |
| Amgen | 8 | $132 |
| Bayer | 6 | $116 |
| GSK | 6 | $114 |
| Boehringer Ingelheim | 5 | $97 |
| Dexcom, Inc. | 5 | $90 |
| Eisai Inc. | 5 | $74 |
| Esperion Therapeutics, Inc. | 4 | $70 |
| Novartis | 4 | $69 |
| Kowa Pharmaceuticals America, Inc. | 4 | $63 |
| Genentech USA, Inc. | 3 | $52 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $45 |
| Merck | 3 | $38 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $26 |
| Otsuka America Pharmaceutical, Inc. | 1 | $23 |
| Abbott | 1 | $22 |
| Almatica Pharma LLC | 1 | $19 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $18 |
| Exact Sciences | 1 | $14 |
| Evoke Pharma, Inc. | 1 | $12 |
| Ironwood Pharmaceuticals, Inc | 1 | $12 |
How this compares
$4,285 in reported general payments places this provider in the 80th percentile of 1,680 family medicine providers in Alabama.
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 |
|---|---|---|
| JardianceEmpagliflozin | 89 | $103,552 |
| MounjaroTirzepatide | 59 | $60,563 |
| JanuviaSitagliptin Phosphate | 40 | $51,790 |
| XareltoRivaroxaban | 31 | $40,310 |
| FarxigaDapagliflozin Propanediol | 36 | $34,293 |
| EliquisApixaban | 36 | $34,161 |
| RybelsusSemaglutide | 24 | $30,725 |
| NeurontinGabapentin | 12 | $28,761 |
| OzempicSemaglutide | 25 | $26,900 |
| LinzessLinaclotide | 38 | $22,658 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 33 | $22,062 |
| VraylarCariprazine Hcl | 12 | $16,711 |
| Tresiba Flextouch U-200Insulin Degludec | 12 | $14,066 |
| Levothyroxine Sodium | 271 | $4,765 |
| Rosuvastatin Calcium | 197 | $4,169 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $97 | $103,55289 claims |
| Lilly USA, LLCMounjaro | $295 | $60,56359 claims |
| Novo NordiskRybelsus, Ozempic | $398 | $57,62549 claims |
| MerckJanuvia | $38 | $51,79040 claims |
| AbbVieLinzess, Vraylar, Synthroid | $1,053 | $41,34372 claims |
| Johnson & JohnsonXarelto | $201 | $40,31031 claims |
| AstraZenecaFarxiga | $192 | $34,29336 claims |
| PfizerEliquis | $217 | $34,16136 claims |
| GSKTrelegy Ellipta | $114 | $22,06233 claims |
| Almatica Pharma LLCSertraline Hcl | $19 | $1,452142 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 1,680 family medicine providers in Alabama.
Other family medicine in Gadsden
- Michael VaughnBirmingham$9.9M
- William NixonGuntersville$7.1M
- Randall QuinnCullman$5.4M
- Matthew CaldwellAthens$4.1M
- Michael CarterHuntsville$3.4M
- Howard RubensteinSaraland$3.3M
- Randle MiddletonHuntsville$3.3M
- Aaron KarrSheffield$3.1M
- Nidal MorrarFoley$3M
- Timothy HowardHuntsville$3M
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.