Margaret Gagner
Adult Health · Bristol, RINPI 1467536805
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 8 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Madrigal Pharmaceuticals at 55.0% of the total. That places this record below the midpoint for adult health clinicians in RI, where the typical reported total is $228.
Across 8 payments — averaging $34.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Madrigal Pharmaceuticals$150
- Boehringer Ingelheim$24
- AstraZeneca$18
- Astellas Pharma US Inc$18
- Biohaven Pharmaceuticals, Inc.$17
- GSK$17
- plus $30 from 2 others
What the payments were for
- Food & beverage$273100%
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 |
|---|---|---|
| Madrigal Pharmaceuticals | 1 | $150 |
| Boehringer Ingelheim | 1 | $24 |
| AstraZeneca | 1 | $18 |
| Astellas Pharma US Inc | 1 | $18 |
| Biohaven Pharmaceuticals, Inc. | 1 | $17 |
| GSK | 1 | $17 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Merck | 1 | $14 |
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.
- REZDIFFRA$150
How this compares
$273 in reported general payments places this provider in the 50th percentile of 65 adult health providers in Rhode Island.
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 |
|---|---|---|
| Dexlansoprazole DrDexlansoprazole | 11 | $1,300 |
| Duloxetine Hcl | 32 | $881 |
| Famotidine | 30 | $819 |
| Amlodipine Besylate | 86 | $780 |
| Atorvastatin Calcium | 102 | $776 |
| Gabapentin | 45 | $539 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 19 | $504 |
| Levothyroxine Sodium | 33 | $449 |
| Losartan Potassium | 35 | $436 |
| Fluticasone Propionate | 25 | $429 |
| Lisinopril | 46 | $392 |
| Doxycycline Hyclate | 38 | $380 |
| Bupropion XlBupropion Hcl | 15 | $367 |
| Simvastatin | 31 | $329 |
| Meloxicam | 36 | $319 |
Paid to pharmacies, not to this prescriber.
Other adult health in Bristol
- Jacqueline AlbrikesJohnston$14K
- Elizabeth McGrathBarrington$7K
- Kathleen FranchinaWarwick$5K
- Deirdre CoutureCranston$5K
- Janine ZuromskiEast Greenwich$5K
- Christine UyProvidence$4K
- Kathleen RasslerEast Greenwich$3K
- Lindsay LeddyWarwick$3K
- Phina MayuProvidence$2K
- Joanne LowneyWarwick$2K
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.