Melissa Gregory, MD
Family Medicine · Appomattox, VANPI 1073172490
Payments from drug & device makers
Across 322 payments — averaging $16.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AbbVie$749
- AstraZeneca$728
- Pfizer$669
- Lilly USA, LLC$547
- GSK$278
- plus $1K from 19 others
What the payments were for
- Food & beverage$5,215100%
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 | 60 | $1,114 |
| AbbVie | 55 | $749 |
| AstraZeneca | 23 | $728 |
| Pfizer | 67 | $669 |
| Lilly USA, LLC | 30 | $547 |
| GSK | 20 | $278 |
| Boehringer Ingelheim | 10 | $167 |
| Amgen | 10 | $148 |
| Exact Sciences | 7 | $135 |
| Johnson & Johnson | 6 | $119 |
| Dexcom, Inc. | 6 | $99 |
| Merck | 3 | $50 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $49 |
| Sumitomo Pharma America, Inc. | 3 | $46 |
| Idorsia Pharmaceuticals US Inc | 3 | $44 |
| Phathom Pharmaceuticals, Inc. | 2 | $38 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $38 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $35 |
| Otsuka America Pharmaceutical, Inc. | 2 | $28 |
| Astellas Pharma US Inc | 2 | $27 |
| Bayer | 2 | $27 |
| Inspire Medical Systems, Inc. | 1 | $24 |
| Abbott | 1 | $24 |
| Esperion Therapeutics, Inc. | 1 | $16 |
| Xeris Pharmaceuticals, Inc. | 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.
How this compares
$5,215 in reported general payments places this provider in the 85th percentile of 2,553 family medicine providers in Virginia.
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 |
|---|---|---|
| EliquisApixaban | 158 | $149,888 |
| OzempicSemaglutide | 81 | $110,627 |
| JardianceEmpagliflozin | 36 | $50,874 |
| TrulicityDulaglutide | 46 | $49,781 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 35 | $32,500 |
| FarxigaDapagliflozin Propanediol | 24 | $31,602 |
| XareltoRivaroxaban | 24 | $15,842 |
| EntrestoSacubitril/Valsartan | 16 | $14,377 |
| LinzessLinaclotide | 25 | $13,856 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 12 | $13,788 |
| Humalog Kwikpen U-100Insulin Lispro | 25 | $10,325 |
| Spiriva RespimatTiotropium Bromide | 14 | $10,147 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 52 | $9,895 |
| Breo ElliptaFluticasone/Vilanterol | 14 | $9,552 |
| KerendiaFinerenone | 12 | $7,779 |
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 |
|---|---|---|
| PfizerEliquis | $669 | $149,888158 claims |
| Novo NordiskOzempic | $1,114 | $110,62781 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $167 | $61,02250 claims |
| Lilly USA, LLCTrulicity | $547 | $49,78146 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta | $278 | $47,85566 claims |
| AstraZenecaFarxiga | $728 | $31,60224 claims |
| AbbVieLinzess, Synthroid | $749 | $17,34869 claims |
| Johnson & JohnsonXarelto | $119 | $15,84224 claims |
| MerckJanumet Xr | $50 | $13,78812 claims |
| BayerKerendia | $27 | $7,77912 claims |
| Astellas Pharma US IncMyrbetriq | $27 | $5,02012 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 85th percentile of 2,553 family medicine providers in Virginia.
Other family medicine in Appomattox
- Teodora BroseAppomattox$117K
- Aaron HartmanMidlothian$17.4M
- John ScottGlen Allen$16.7M
- Banu MyneniPortsmouth$12.8M
- Patricia HouserWinchester$3.5M
- Stephan JannachDanville$3M
- Linda SchneiderHampton$2.1M
- Jennifer BrownMidlothian$1.3M
- Brian McCormickHampton$793K
- Jerome DanielNorth Chesterfield$779K
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.