Michael Fuchs
Gastroenterology · Richmond, VANPI 1487730420
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $76,959 of the $126,184 with a category attached, or 61.0%. Novo Nordisk accounts for 95.4% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $53,501, more than ten times the $3,152 reported in 2019. Among gastroenterology 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 83 payments — averaging $1520.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$120K
- Intercept Pharmaceuticals, Inc.$3K
- Madrigal Pharmaceuticals$2K
- Medtronic$358
- Ipsen Biopharmaceuticals, Inc$176
- Steris Corporation$117
- plus $60 from 2 others
Across 695 payments — averaging $2584.69 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.
- Madrigal Pharmaceuticals$396K
- E.r. Squibb & Sons, L.L.C.$289K
- AbbVie$232K
- Intercept Pharmaceuticals, Inc.$161K
- Novo Nordisk AS$128K
- GSK$125K
- plus $467K from 10 others
What the payments were for
- Consulting fees$76,95961%
- Speaking & faculty fees$35,98529%
- Travel & lodging$9,9208%
- Food & beverage$3,3203%
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 | 52 | $120,395 |
| Intercept Pharmaceuticals, Inc. | 1 | $3,120 |
| Madrigal Pharmaceuticals | 14 | $1,957 |
| Medtronic | 11 | $358 |
| Ipsen Biopharmaceuticals, Inc | 2 | $176 |
| Steris Corporation | 1 | $117 |
| Gilead | 1 | $32 |
| Cook Medical LLC | 1 | $28 |
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
$126,184 in reported general payments places this provider in the 95th percentile of 473 gastroenterology providers in Virginia.
Other gastroenterology in Richmond
- Arun SanyalRichmond$855K
- Michael ManetasRichmond$125K
- Jasmohan BajajRichmond$72K
- Binu JohnRichmond$33K
- Arthi SanjeeviRichmond$22K
- Henry EllettRichmond$22K
- Ray KeateRichmond$22K
- Tilak ShahRichmond$20K
- Joseph SpataroRichmond$19K
- Richard SterlingRichmond$14K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.