Ligia Alfaro Cruz
Pediatric Gastroenterology · Johnson City, TNNPI 1174964803
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.3% of the total across 141 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 21.7% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $981, more than ten times the $36 reported in 2019.
Across 141 payments — averaging $22.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$694
- Regeneron Healthcare Solutions, Inc.$455
- QOL Medical, LLC$356
- Takeda Pharmaceuticals U.S.A., Inc.$178
- UCB, Inc.$152
- AbbVie$149
- plus $1K from 22 others
What the payments were for
- Food & beverage$3,16899%
- Education$221%
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 |
|---|---|---|
| Sanofi | 26 | $694 |
| Regeneron Healthcare Solutions, Inc. | 20 | $455 |
| QOL Medical, LLC | 12 | $356 |
| Takeda Pharmaceuticals U.S.A., Inc. | 10 | $178 |
| UCB, Inc. | 6 | $152 |
| AbbVie | 6 | $149 |
| Neurelis, Inc. | 5 | $144 |
| Xeris Pharmaceuticals, Inc. | 6 | $133 |
| Azurity Pharmaceuticals, Inc. | 7 | $113 |
| Albireo Pharma, Inc. | 7 | $109 |
| Jazz Pharmaceuticals Inc. | 4 | $90 |
| Ascendis Pharma Endocrinology Inc | 5 | $89 |
| Neurocrine Biosciences, Inc. | 2 | $67 |
| Dexcom, Inc. | 3 | $63 |
| AstraZeneca | 4 | $62 |
| Arbor Pharmaceuticals, Inc. | 3 | $54 |
| Nestle Healthcare Nutrition Inc. | 3 | $46 |
| Mirum Pharmaceuticals, Inc. | 2 | $34 |
| Sequel Med Tech, LLC | 1 | $26 |
| Novo Nordisk | 1 | $25 |
| Ultragenyx Pharmaceutical Inc. | 1 | $24 |
| Zealand Pharma US, Inc. | 1 | $22 |
| Insulet Corporation | 1 | $20 |
| Aprecia Pharmaceuticals, LLC | 1 | $19 |
| Ipsen Biopharmaceuticals, Inc | 1 | $17 |
| Kyowa Kirin, Inc. | 1 | $17 |
| Shire North American Group Inc | 1 | $16 |
| Biomarin Pharmaceutical Inc. | 1 | $15 |
How this compares
$3,190 in reported general payments places this provider in the 80th percentile of 42 pediatric gastroenterology providers in Tennessee.
Other pediatric gastroenterology in Johnson City
- Anjali MalkaniJohnson City$3K
- Dennis BlackMemphis$87K
- John EshunMemphis$26K
- Girish HiremathNashville$21K
- Youhanna Al-TawilKnoxville$9K
- David DevoidKnoxville$6K
- Conrad CoxBrentwood$4K
- Chad ThornhillKnoxville$3K
- Douglas LamanChattanooga$3K
- Mary FranciscoKingsport$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.