Nancy Smith
Adult Health · Fort Worth, TXNPI 1326338542
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.3% of the total across 466 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 26 manufacturers, the largest accounting for just 21.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,097, 2.2 times the $1,421 reported in 2021. Among adult health clinicians in TX 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 466 payments — averaging $22.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Novartis$1K
- Sanofi$1K
- Lilly USA, LLC$825
- Johnson & Johnson$820
- LEO Pharma Inc.$657
- plus $3K from 20 others
What the payments were for
- Food & beverage$10,16898%
- Education$1752%
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 | 115 | $2,267 |
| Novartis | 62 | $1,307 |
| Sanofi | 35 | $1,236 |
| Lilly USA, LLC | 27 | $825 |
| Johnson & Johnson | 34 | $820 |
| LEO Pharma Inc. | 23 | $657 |
| Sun Pharmaceutical Industries Inc. | 27 | $568 |
| Regeneron Healthcare Solutions, Inc. | 30 | $535 |
| UCB, Inc. | 22 | $405 |
| Galderma Laboratories, L.p. | 23 | $379 |
| Amgen | 12 | $335 |
| Incyte Corporation | 10 | $207 |
| Mayne Pharma Commercial LLC | 11 | $176 |
| Almirall LLC | 7 | $144 |
| E.r. Squibb & Sons, L.L.C. | 6 | $142 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 5 | $75 |
| Dermavant Sciences, Inc. | 3 | $48 |
| Boehringer Ingelheim | 2 | $45 |
| Pfizer | 3 | $45 |
| Botanix SB Inc | 2 | $30 |
| Aurinia Pharma U.S., Inc. | 1 | $24 |
| Paratek Pharmaceuticals, Inc. | 1 | $20 |
| GSK | 1 | $16 |
| Kyowa Kirin, Inc. | 1 | $16 |
| Journey Medical Corporation | 1 | $13 |
| Organon | 2 | $9 |
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
$10,343 in reported general payments places this provider in the 95th percentile of 933 adult health providers in Texas.
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 |
|---|---|---|
| Dupixent PenDupilumab | 15 | $55,462 |
| Clobetasol Propionate | 39 | $2,190 |
| Fluorouracil | 23 | $1,595 |
| Ketoconazole | 92 | $1,305 |
| Doxycycline Hyclate | 52 | $1,009 |
| Ciclopirox | 23 | $1,008 |
| Triamcinolone Acetonide | 33 | $367 |
| Fluocinonide | 11 | $259 |
| Mupirocin | 20 | $150 |
Paid to pharmacies, not to this prescriber.
Other adult health in Fort Worth
- Lori MuhrFort Worth$16K
- Misty SheddAllen$863K
- Melodie YoungDallas$700K
- Cynthia BedellPlano$168K
- Elizabeth Wedberg SivamAustin$71K
- Mary SalazarSan Antonio$68K
- Eric KlappholzDallas$44K
- Christin TouchetKingwood$43K
- Yulia LyuboslavskyAustin$36K
- Meghan MurphyAustin$29K
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.