Michael Ayers, MD
Cardiovascular Disease · Charlottesville, VANPI 1942610704
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $211,731 of the $305,480 with a category attached, or 69.3%. E.r. Squibb & Sons, L.L.C. accounts for 91.9% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $134,785, more than ten times the $102 reported in 2019. Among cardiovascular disease clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 221 payments — averaging $1382.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$281K
- Bridgebio Pharma, Inc.$12K
- Novo Nordisk$9K
- Biomarin Pharmaceutical Inc.$2K
- Insmed, Inc.$618
- Novartis$241
- plus $447 from 5 others
Across 8 payments — averaging $34,946 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.
- E.r. Squibb & Sons, L.L.C.$230K
- Lexicon Pharmaceuticals, Inc.$50K
What the payments were for
- Consulting fees$54,34318%
- Speaking & faculty fees$211,73169%
- Travel & lodging$34,11111%
- Food & beverage$5,2952%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 197 | $280,818 |
| Bridgebio Pharma, Inc. | 2 | $11,625 |
| Novo Nordisk | 5 | $9,481 |
| Biomarin Pharmaceutical Inc. | 1 | $2,250 |
| Insmed, Inc. | 1 | $618 |
| Novartis | 3 | $241 |
| Bristol Myers Squibb | 2 | $221 |
| Boston Scientific | 5 | $95 |
| Amgen | 1 | $50 |
| Abbott | 3 | $41 |
| Medline Industries LP | 1 | $40 |
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
$305,480 in reported general payments places this provider in the 95th percentile of 548 cardiovascular disease 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 |
|---|---|---|
| CamzyosMavacamten | 212 | $1,682,822 |
| EliquisApixaban | 94 | $129,306 |
| Repatha SureclickEvolocumab | 106 | $110,848 |
| JardianceEmpagliflozin | 60 | $93,972 |
| OzempicSemaglutide | 54 | $62,918 |
| EntrestoSacubitril/Valsartan | 39 | $61,398 |
| TrulicityDulaglutide | 18 | $25,983 |
| XareltoRivaroxaban | 18 | $21,362 |
| MounjaroTirzepatide | 14 | $18,760 |
| Praluent PenAlirocumab | 13 | $9,548 |
| Ezetimibe | 288 | $9,314 |
| Rosuvastatin Calcium | 243 | $2,948 |
| Metoprolol Succinate | 180 | $2,453 |
| Bumetanide | 36 | $1,686 |
| Candesartan Cilexetil | 14 | $1,618 |
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C.Camzyos | $280,818 | $1,682,822212 claims |
| Novo NordiskOzempic | $9,481 | $62,91854 claims |
| NovartisEntresto | $241 | $61,39839 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 95th percentile of 548 cardiovascular disease providers in Virginia.
Other cardiovascular disease in Charlottesville
- David LimCharlottesville$264K
- Antonio AbbateCharlottesville$161K
- Jamieson BourqueCharlottesville$104K
- Christopher KramerCharlottesville$103K
- Todd VillinesCharlottesville$70K
- Jonathan LindnerCharlottesville$57K
- Aditya SharmaCharlottesville$41K
- Amit PatelCharlottesville$22K
- George VetrovecRichmond$2.3M
- Hamid TaheriManassas$501K
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.