Michael Birgel
Internal Medicine · Tucson, AZNPI 1619935939
Payments from drug & device makers
Across 147 payments — averaging $19.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$391
- Novo Nordisk$304
- AstraZeneca$229
- Amarin Pharma, Inc.$206
- Merck$153
- Amgen$151
- plus $1K from 24 others
What the payments were for
- Food & beverage$2,74997%
- Education$763%
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 |
|---|---|---|
| AbbVie(2 entities) | 17 | $391 |
| Novo Nordisk | 20 | $304 |
| AstraZeneca | 7 | $229 |
| Amarin Pharma, Inc. | 7 | $206 |
| Merck | 11 | $153 |
| Amgen | 9 | $151 |
| Akcea Therapeutics, Inc. | 2 | $149 |
| Lilly USA, LLC | 10 | $147 |
| Astellas Pharma US Inc | 5 | $120 |
| Boehringer Ingelheim | 6 | $107 |
| Pfizer | 5 | $85 |
| Radius Health, Inc. | 4 | $76 |
| Sanofi-aventis U.S. LLC | 4 | $73 |
| Novartis | 4 | $66 |
| Kowa Pharmaceuticals America, Inc. | 4 | $64 |
| Mylan Specialty L.p. | 4 | $56 |
| Arbor Pharmaceuticals, Inc. | 3 | $56 |
| Upsher-smith Laboratories LLC | 3 | $55 |
| Johnson & Johnson | 4 | $53 |
| Scilex Pharmaceuticals Inc. | 3 | $52 |
| GSK | 4 | $50 |
| Biohaven Pharmaceuticals, Inc. | 2 | $38 |
| Boston Scientific | 1 | $33 |
| Abbott | 2 | $31 |
| Esperion Therapeutics, Inc. | 1 | $18 |
| Genentech USA, Inc. | 1 | $13 |
| Eisai Inc. | 1 | $13 |
| E.r. Squibb & Sons, L.L.C. | 1 | $13 |
| Hikma Pharmaceuticals USA | 1 | $13 |
| Amneal Pharmaceuticals LLC | 1 | $11 |
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
$2,826 in reported general payments places this provider in the 85th percentile of 2,212 internal medicine providers in Arizona.
Other internal medicine in Tucson
- Robert MutterperlTucson$5.3M
- Nebojsa SkrepnikTucson$4.7M
- Franz RischardTucson$3.7M
- Girish KaramchandaniTucson$2.9M
- Siddharth SinghalTucson$1.3M
- Rajesh JanardhananTucson$983K
- Carl DienerTucson$750K
- Roxana RodriguezTucson$547K
- Mona SelejTucson$440K
- Muhammad HusnainTucson$359K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.