RxDoctor Payments Data

Michael Carlson, MD

Endocrinology, Diabetes & Metabolism · Nashville, TNNPI 1386639219

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $328,860 of the $381,306 with a category attached, or 86.2%. 60 manufacturers reported payments, led by Novo Nordisk at 50.3% of the total. Reporting peaked in 2019 at $87,443 and has fallen 68.7% since, to $27,345 in 2025. Among endocrinology, diabetes & metabolism clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$381,306in general payments, 2019–2025

Across 1,788 payments — averaging $213.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$192K
  • Amgen$58K
  • Lilly USA, LLC$36K
  • Boehringer Ingelheim$30K
  • AstraZeneca$28K
  • AbbVie$19K
  • plus $16K from 54 others

What the payments were for

  • Consulting fees$2,9251%
  • Speaking & faculty fees$328,86086%
  • Travel & lodging$15,5334%
  • Food & beverage$33,9299%
  • Education$590%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Novo Nordisk375$191,927
Amgen(2 entities)211$58,475
Lilly USA, LLC208$36,314
Boehringer Ingelheim108$30,418
AstraZeneca(2 entities)117$28,446
AbbVie61$19,447
Corcept Therapeutics53$3,272
Abbott112$2,183
Sanofi-aventis U.S. LLC63$1,119
BETA Bionics, Inc.27$942
Xeris Pharmaceuticals, Inc.42$877
Mannkind Corporation58$673
Medtronic(2 entities)27$646
Insulet Corporation32$560
IBSA Pharma Inc.30$529
Cequr Corporation3$459
Ascensia Diabetes Care US Inc.8$421
Dexcom, Inc.21$361
Tandem Diabetes Care, Inc.16$355
Pfizer19$323
Merck26$287
Zealand Pharma US, Inc.15$285
Ascendis Pharma Endocrinology Inc8$271
Ultragenyx Pharmaceutical Inc.10$260
Radius Health, Inc.14$220
Shire North American Group Inc8$166
Bayer9$164
Neurocrine Biosciences, Inc.5$151
Antares Pharma, Inc.7$120
Kyowa Kirin, Inc.6$116
Novartis6$97
Esperion Therapeutics, Inc.5$95
Sequel Med Tech, LLC4$93
Chiesi USA, Inc.4$92
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC6$89
Recordati_rare_diseases_inc.5$88
Takeda Pharmaceuticals U.S.A., Inc.5$72
Valeritas, Inc.4$68
Nestle Healthcare Nutrition Inc.3$66
Amneal Pharmaceuticals LLC4$63
Verity Pharmaceuticals Inc.3$53
Amphastar Pharmaceuticals, Inc.3$48
Clarus Therapeutics Inc.3$48
Madrigal Pharmaceuticals2$47
Lifescan, Inc.3$47
Nevro Corp.2$46
Rhythm Pharmaceuticals, Inc.3$45
Amarin Pharma, Inc.3$43
Amryt Pharma Holdings Ltd2$41
Companion Medical, Inc.3$39
Regeneron Healthcare Solutions, Inc.3$37
Ipsen Biopharmaceuticals, Inc2$34
Senseonics, Incorporated2$26
Axsome Therapeutics, Inc.1$26
Astellas Pharma US Inc1$19
Halozyme Inc1$16
Sanofi US Services Inc.1$15
Genentech USA, Inc.1$15
Bigfoot Biomedical Inc1$14
Johnson & Johnson1$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

$381,306 in reported general payments places this provider in the 90th percentile of 130 endocrinology, diabetes & metabolism providers in Tennessee.

See all endocrinology, diabetes & metabolism providers in Tennessee

Medicare billing

Part B allowed, 2024
$238,858
Medicare patients
318
Services billed
6,642

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

DrugClaimsCost to plans & patients
OzempicSemaglutide155$249,767
JardianceEmpagliflozin94$121,623
TrulicityDulaglutide102$119,235
MounjaroTirzepatide57$72,692
FarxigaDapagliflozin Propanediol48$55,986
Tresiba Flextouch U-200Insulin Degludec40$52,567
Tresiba Flextouch U-100Insulin Degludec51$34,310
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog16$28,574
Cinacalcet Hcl77$16,110
Janumet XrSitagliptin Phos/Metformin Hcl12$14,494
SynthroidLevothyroxine Sodium119$12,247
Novolog FlexpenInsulin Aspart35$12,053
Soliqua 100-33Insulin Glargine/Lixisenatide12$11,274
TradjentaLinagliptin11$11,078
Testosterone32$8,768

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.

CompanyPaid to this providerPart D cost of their drugs
Novo NordiskOzempic, Novolog$191,927$252,429170 claims
Lilly USA, LLCTrulicity, Mounjaro, Humalog$36,314$197,048174 claims
Boehringer IngelheimJardiance, Tradjenta$30,418$132,701105 claims
AstraZenecaFarxiga$28,446$55,98648 claims
MerckJanumet Xr$287$14,49412 claims
AbbVieSynthroid$19,447$12,247119 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$1,119$11,27412 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$63$2,185237 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 90th percentile of 130 endocrinology, diabetes & metabolism providers in Tennessee.

Other endocrinology, diabetes & metabolism in Nashville

See the full list for Tennessee

Where these figures come from

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