Michael Skrzynski
Adult Health · Asheville, NCNPI 1811225188
Payments from drug & device makers
Across 167 payments — averaging $18.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$616
- Lilly USA, LLC$543
- Novo Nordisk$422
- Dexcom, Inc.$374
- Boehringer Ingelheim$148
- AbbVie$144
- plus $772 from 18 others
What the payments were for
- Food & beverage$3,018100%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 36 | $616 |
| Lilly USA, LLC | 30 | $543 |
| Novo Nordisk | 22 | $422 |
| Dexcom, Inc. | 19 | $374 |
| Boehringer Ingelheim | 11 | $148 |
| AbbVie | 8 | $144 |
| Endo Pharmaceuticals Inc. | 5 | $79 |
| Insulet Corporation | 3 | $77 |
| Corcept Therapeutics | 4 | $73 |
| Medtronic | 4 | $70 |
| Nevro Corp. | 3 | $69 |
| Bayer | 3 | $59 |
| IBSA Pharma Inc. | 4 | $58 |
| Sanofi-aventis U.S. LLC | 3 | $58 |
| Amgen | 3 | $52 |
| Lifescan, Inc. | 1 | $24 |
| Xeris Pharmaceuticals, Inc. | 1 | $24 |
| BD | 1 | $23 |
| Esperion Therapeutics, Inc. | 1 | $20 |
| Amarin Pharma, Inc. | 1 | $19 |
| Zealand Pharma US, Inc. | 1 | $19 |
| Abbott | 1 | $18 |
| Cequr Corporation | 1 | $16 |
| Merck | 1 | $15 |
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.
- Ozempic$121
How this compares
$3,018 in reported general payments places this provider in the 85th percentile of 614 adult health providers in North Carolina.
Other adult health in Asheville
- Robert DodgeRaleigh$311K
- Kimberly CampDurham$147K
- Henry VanpalaRaleigh$110K
- Jolene SpencerWashington$83K
- Felicia RichardsonGreenville$64K
- Anna BooneReidsville$51K
- Chaely MedleyChapel Hill$47K
- Ann ShumDurham$35K
- Amy HopkinsGreenville$31K
- Stephanie YatesDurham$19K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.