Michael Alston, MD
Family Medicine · Murfreesboro, NCNPI 1326067224
Payments from drug & device makers
Across 137 payments — averaging $17.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$549
- Boehringer Ingelheim$337
- Medtronic$192
- Lilly USA, LLC$181
- AstraZeneca$169
- Nestle Healthcare Nutrition Inc.$141
- plus $777 from 20 others
What the payments were for
- Food & beverage$2,346100%
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 | 40 | $549 |
| Boehringer Ingelheim | 20 | $337 |
| Medtronic | 1 | $192 |
| Lilly USA, LLC | 11 | $181 |
| AstraZeneca | 14 | $169 |
| Nestle Healthcare Nutrition Inc. | 6 | $141 |
| Pfizer | 8 | $113 |
| Abbott | 3 | $65 |
| Sanofi-aventis U.S. LLC | 4 | $64 |
| Dexcom, Inc. | 3 | $59 |
| Astellas Pharma US Inc | 4 | $57 |
| Johnson & Johnson | 4 | $55 |
| Corcept Therapeutics | 2 | $49 |
| Novartis | 3 | $44 |
| Sumitomo Pharma America, Inc. | 2 | $36 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $35 |
| Stryker | 1 | $32 |
| Shield Therapeutics Inc | 1 | $28 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $23 |
| Phathom Pharmaceuticals, Inc. | 1 | $19 |
| Kyowa Kirin, Inc. | 1 | $18 |
| E.r. Squibb & Sons, L.L.C. | 1 | $18 |
| Amgen | 1 | $17 |
| AbbVie | 1 | $16 |
| Amarin Pharma, Inc. | 1 | $14 |
| GSK | 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.
- Micra$192
How this compares
$2,346 in reported general payments places this provider in the 80th percentile of 3,444 family medicine providers in North Carolina.
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 |
|---|---|---|
| JardianceEmpagliflozin | 160 | $135,826 |
| EliquisApixaban | 95 | $85,407 |
| OzempicSemaglutide | 59 | $74,085 |
| XareltoRivaroxaban | 44 | $39,436 |
| TrulicityDulaglutide | 28 | $37,888 |
| TradjentaLinagliptin | 50 | $36,169 |
| JanuviaSitagliptin Phosphate | 38 | $27,351 |
| EntrestoSacubitril/Valsartan | 18 | $20,834 |
| RybelsusSemaglutide | 16 | $14,744 |
| MyrbetriqMirabegron | 26 | $13,859 |
| Tresiba Flextouch U-100Insulin Degludec | 24 | $11,897 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 18 | $9,925 |
| Tresiba Flextouch U-200Insulin Degludec | 17 | $9,907 |
| SymbicortBudesonide/Formoterol Fumarate | 21 | $9,574 |
| FarxigaDapagliflozin Propanediol | 11 | $7,178 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta, Combivent Respimat | $337 | $178,262224 claims |
| Novo NordiskOzempic, Rybelsus | $549 | $88,82975 claims |
| PfizerEliquis | $113 | $85,40795 claims |
| Johnson & JohnsonXarelto | $55 | $39,43644 claims |
| Lilly USA, LLCTrulicity | $181 | $37,88828 claims |
| NovartisEntresto | $44 | $20,83418 claims |
| AstraZenecaSymbicort, Farxiga | $169 | $16,75232 claims |
| Astellas Pharma US IncMyrbetriq | $57 | $13,85926 claims |
| GSKBreo Ellipta | $13 | $5,61511 claims |
| Sanofi-aventis U.S. LLCLantus | $64 | $2,56628 claims |
| AbbVieSynthroid | $16 | $1,45315 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 3,444 family medicine providers in North Carolina.
Other family medicine in Murfreesboro
- Barton WilliamsWilmington$17.3M
- Alexander MurrayGreensboro$13M
- Arin PiramzadianJacksonville$13M
- Jonathan WilsonHickory$12.7M
- George RaadCharlotte$7.7M
- Cecil FarringtonSalisbury$6.4M
- Christian MartinShelby$5.4M
- John EarlHickory$4.7M
- Patrick MorganteHavelock$4.6M
- Stephen JonesShelby$4.5M
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.