Leah Joseph
Internal Medicine · Fayetteville, NCNPI 1629366562
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,158 of the $8,263 with a category attached, or 86.6%. It is spread thinly across 43 manufacturers, the largest accounting for just 18.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $2,406 and has fallen 82.3% since, to $426 in 2025. Among internal medicine 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 443 payments — averaging $18.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- AbbVie$811
- Teladoc Health, Inc.$800
- Sanofi-aventis U.S. LLC$533
- AstraZeneca$367
- Boehringer Ingelheim$311
- plus $4K from 37 others
What the payments were for
- Speaking & faculty fees$1,10013%
- Food & beverage$7,15887%
- Education$50%
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
$8,263 in reported general payments places this provider in the 90th percentile of 3,302 internal medicine providers in North Carolina.
Other internal medicine in Fayetteville
- Eugene WrightFayetteville$839K
- Frederick AsareFayetteville$86K
- Sandip PatelFayetteville$34K
- Nirmish ShahDurham$862K
- Saad UsmaniCharlotte$551K
- Bhakti PaulRaleigh$536K
- Mary KlotmanDurham$478K
- Manesh PatelDurham$435K
- Millie LongChapel Hill$374K
- Marc JohnsonCharlotte$342K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.