Meagan Shepherd, MD
Allergy & Immunology · Barboursville, WVNPI 1184815003
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $5,700 of the $8,277 with a category attached, or 68.9%. Pfizer accounts for 62.6% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2021 at $5,000 and has fallen 75.3% since, to $1,237 in 2025.
Across 100 payments — averaging $82.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$5K
- AstraZeneca$1K
- Regeneron Healthcare Solutions, Inc.$448
- Novartis$190
- Takeda Pharmaceuticals U.S.A., Inc.$189
- Lilly USA, LLC$161
- plus $842 from 10 others
Across 27 payments — averaging $1251.49 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Shire North American Group Inc$21K
- Takeda Pharmaceuticals U.S.A., Inc.$13K
What the payments were for
- Speaking & faculty fees$5,70069%
- Food & beverage$2,39229%
- Education$1852%
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 |
|---|---|---|
| Pfizer | 4 | $5,185 |
| AstraZeneca | 17 | $1,262 |
| Regeneron Healthcare Solutions, Inc. | 19 | $448 |
| Novartis | 7 | $190 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $189 |
| Lilly USA, LLC | 6 | $161 |
| AbbVie | 7 | $152 |
| Optinose US, Inc. | 7 | $150 |
| Sanofi | 6 | $136 |
| CSL Behring | 4 | $133 |
| Galderma Laboratories, L.p. | 5 | $95 |
| Sun Pharmaceutical Industries Inc. | 3 | $52 |
| Organon | 3 | $48 |
| Genentech USA, Inc. | 2 | $36 |
| GSK | 1 | $21 |
| Biocryst US Sales Co., LLC | 1 | $20 |
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
Too few allergy & immunology providers in West Virginiato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| SymbicortBudesonide/Formoterol Fumarate | 17 | $4,211 |
| Epinephrine | 18 | $4,102 |
| Azelastine Hcl | 42 | $616 |
| Ipratropium Bromide | 22 | $523 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 19 | $514 |
| Azithromycin | 16 | $316 |
| Levocetirizine Dihydrochloride | 20 | $169 |
| Famotidine | 15 | $43 |
| Prednisone | 14 | $32 |
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 |
|---|---|---|
| AstraZenecaSymbicort | $1,262 | $4,21117 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. There are too few allergy & immunology providers in West Virginiaon file to place this against a meaningful peer group, so we don't.
Other allergy & immunology in Barboursville
- James ClarkCharleston$144K
- Krishna UrvalWheeling$12K
- Donald AsburyBluefield$9K
- Siwat KiratiseaveeCharleston$8K
- Lawrence ThrushCharleston$2K
- William CorderMorgantown$2K
- Brian PeppersMorgantown$2K
- Nasm SheikhSouth Charleston$1K
- Ardeshir TamboliWeirton$225
- Chandra KumarCharleston$217
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.