Lenwood Smith, MD
General Practice · Durham, NCNPI 1750348777
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $772 of the $965 with a category attached, or 79.9%. 14 manufacturers reported payments, led by GT Medical Technologies, Inc at 33.3% of the total. 2025 is the largest year on record at $445, 4.2 times the $105 reported in 2019.
Across 28 payments — averaging $34.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GT Medical Technologies, Inc$322
- Biogen$194
- Livanova USA, Inc.$127
- Baxter Healthcare$72
- Medtronic$61
- CTL Medical Corporation$40
- plus $150 from 8 others
Across 7 payments — averaging $10,712 each. An ownership or investment interest held by the physician or an immediate family member.
- The North Carolina Mutual Wholesale Drug Company Inc$75K
What the payments were for
- Food & beverage$77280%
- Education$19420%
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 |
|---|---|---|
| GT Medical Technologies, Inc | 2 | $322 |
| Biogen | 5 | $194 |
| Livanova USA, Inc. | 3 | $127 |
| Baxter Healthcare | 4 | $72 |
| Medtronic(2 entities) | 4 | $61 |
| CTL Medical Corporation | 1 | $40 |
| Orthofix Medical, Inc. | 2 | $33 |
| Integra Lifesciences Corporation | 1 | $23 |
| Si-bone, Inc. | 1 | $18 |
| Kerecis Limited | 1 | $18 |
| Aesculap, Inc. | 1 | $18 |
| Smith+Nephew | 1 | $17 |
| Boston Scientific | 1 | $13 |
| Longeviti Neuro Solutions Inc | 1 | $11 |
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.
- GammaTile$322
How this compares
$965 in reported general payments places this provider in the 80th percentile of 2,924 general practice 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 | 19 | $8,493 |
| Mirtazapine | 18 | $282 |
| Levothyroxine Sodium | 14 | $162 |
| Potassium Chloride | 13 | $144 |
| Metformin Hcl | 12 | $136 |
Paid to pharmacies, not to this prescriber.
Other general practice in Durham
- James BarberDurham$768K
- Amanda SaundersDurham$7K
- Matthew MillerCharlotte$937K
- Robert LoweCharlotte$615K
- Clifton CameronFayetteville$404K
- Leo HaydtHolly Springs$119K
- Andrew KellyGreensboro$115K
- Mark HymanGreensboro$95K
- Jesse ClarkWilmington$91K
- Adam HodgesAsheville$88K
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.