Louis D'avignon, MD
Pulmonary Disease · Bend, ORNPI 1760583389
Payments from drug & device makers
What this record shows
This record is dominated by education: $2,534 of the $3,994 with a category attached, or 63.4%. Intuitive Surgical accounts for 97.1% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2024 at $3,878 and has fallen 98.6% since, to $54 in 2025.
Across 17 payments — averaging $234.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- Actelion Pharmaceuticals US, Inc.$37
- Insmed, Inc.$34
- Amarin Pharma, Inc.$22
- Circassia Inc.$12
- GSK$11
What the payments were for
- Travel & lodging$1,22831%
- Food & beverage$2326%
- Education$2,53463%
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 |
|---|---|---|
| Intuitive Surgical | 11 | $3,878 |
| Actelion Pharmaceuticals US, Inc. | 1 | $37 |
| Insmed, Inc. | 2 | $34 |
| Amarin Pharma, Inc. | 1 | $22 |
| Circassia Inc. | 1 | $12 |
| GSK | 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.
- Da Vinci Surgical System$3,825
How this compares
$3,994 in reported general payments places this provider in the 80th percentile of 154 pulmonary disease providers in Oregon.
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 |
|---|---|---|
| OfevNintedanib Esylate | 19 | $265,128 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 296 | $248,502 |
| Pirfenidone | 30 | $73,463 |
| Breo ElliptaFluticasone/Vilanterol | 81 | $48,498 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 65 | $39,073 |
| EliquisApixaban | 30 | $36,280 |
| Spiriva RespimatTiotropium Bromide | 42 | $25,637 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 117 | $21,764 |
| Qvar RedihalerBeclomethasone Dipropionate | 45 | $15,660 |
| DuleraMometasone/Formoterol | 29 | $14,673 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 21 | $13,581 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 114 | $13,541 |
| JardianceEmpagliflozin | 13 | $9,992 |
| Fluticasone-VilanterolFluticasone/Vilanterol | 35 | $8,297 |
| SymbicortBudesonide/Formoterol Fumarate | 23 | $7,582 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta | $11 | $343,399455 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 154 pulmonary disease providers in Oregon.
Other pulmonary disease in Bend
- Jeremy FeldmanBend$456K
- Matthew HegewaldBend$94K
- Kevin ShererBend$2K
- Thomas KelleyBend$2K
- Gregory BlairBend$782
- Stephen YauPortland$984K
- Matthew DrakePortland$135K
- Peter LeePortland$98K
- Jordan FeinPortland$87K
- Granthem FarrPortland$66K
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.