Megan Bullard, MD
Family Medicine · Columbiana, ALNPI 1366737884
Payments from drug & device makers
Across 230 payments — averaging $14.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$570
- AbbVie$525
- Lilly USA, LLC$350
- AstraZeneca$310
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$254
- Pfizer$181
- plus $1K from 22 others
What the payments were for
- Food & beverage$3,386100%
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 |
|---|---|---|
| Novo Nordisk | 42 | $570 |
| AbbVie(2 entities) | 54 | $525 |
| Lilly USA, LLC | 16 | $350 |
| AstraZeneca | 22 | $310 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 15 | $254 |
| Pfizer | 11 | $181 |
| Novartis | 10 | $149 |
| Johnson & Johnson | 8 | $131 |
| Amgen | 7 | $104 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $72 |
| Boehringer Ingelheim | 4 | $71 |
| Exact Sciences | 3 | $65 |
| Otsuka America Pharmaceutical, Inc. | 3 | $62 |
| Astellas Pharma US Inc | 4 | $62 |
| Amarin Pharma, Inc. | 4 | $61 |
| Boston Scientific | 3 | $51 |
| Supernus Pharmaceuticals, Inc. | 3 | $48 |
| Shield Therapeutics Inc | 3 | $47 |
| GSK | 3 | $46 |
| Biohaven Pharmaceuticals, Inc. | 2 | $46 |
| Abbott | 2 | $45 |
| Sanofi-aventis U.S. LLC | 2 | $40 |
| Neurocrine Biosciences, Inc. | 1 | $19 |
| Mylan Specialty L.p. | 1 | $17 |
| Genentech USA, Inc. | 1 | $17 |
| Medtronic | 1 | $16 |
| Hikma Pharmaceuticals USA | 1 | $15 |
| Shire North American Group Inc | 1 | $13 |
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.
- MOUNJARO$105
How this compares
$3,386 in reported general payments places this provider in the 75th percentile of 1,680 family medicine providers in Alabama.
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 |
|---|---|---|
| MounjaroTirzepatide | 62 | $64,327 |
| EliquisApixaban | 77 | $46,144 |
| Tresiba Flextouch U-200Insulin Degludec | 27 | $42,250 |
| OzempicSemaglutide | 31 | $36,322 |
| LinzessLinaclotide | 26 | $25,934 |
| VimpatLacosamide | 22 | $21,233 |
| JardianceEmpagliflozin | 29 | $19,719 |
| JanuviaSitagliptin Phosphate | 33 | $18,914 |
| FarxigaDapagliflozin Propanediol | 32 | $17,649 |
| MyrbetriqMirabegron | 33 | $17,255 |
| Repatha SureclickEvolocumab | 24 | $12,872 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 16 | $11,368 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 19 | $10,935 |
| Tresiba Flextouch U-100Insulin Degludec | 21 | $10,365 |
| XareltoRivaroxaban | 13 | $10,108 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $350 | $64,32762 claims |
| PfizerEliquis | $181 | $46,14477 claims |
| Novo NordiskOzempic | $570 | $36,32231 claims |
| Boehringer IngelheimJardiance, Synjardy | $71 | $26,27040 claims |
| AbbVieLinzess | $525 | $25,93426 claims |
| AstraZenecaFarxiga | $310 | $17,64932 claims |
| Astellas Pharma US IncMyrbetriq | $62 | $17,25533 claims |
| GSKTrelegy Ellipta | $46 | $11,36816 claims |
| Johnson & JohnsonXarelto | $131 | $10,10813 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 75th percentile of 1,680 family medicine providers in Alabama.
Other family medicine in Columbiana
- Michael VaughnBirmingham$9.9M
- William NixonGuntersville$7.1M
- Randall QuinnCullman$5.4M
- Matthew CaldwellAthens$4.1M
- Michael CarterHuntsville$3.4M
- Howard RubensteinSaraland$3.3M
- Randle MiddletonHuntsville$3.3M
- Aaron KarrSheffield$3.1M
- Nidal MorrarFoley$3M
- Timothy HowardHuntsville$3M
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.