Noam Vanderwalde, MD
Radiation Oncology · Germantown, TNNPI 1285869362
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (46.2%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Elekta, Inc. at 53.3% of the total. 2025 is the largest year on record at $2,569, more than ten times the $252 reported in 2019.
Across 25 payments — averaging $216.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Elekta, Inc.$3K
- Daiichi Sankyo Inc.$2K
- Ipsen Biopharmaceuticals, Inc$305
- Medtronic$151
- Johnson & Johnson$140
- GT Medical Technologies, Inc$131
- plus $236 from 6 others
What the payments were for
- Consulting fees$1,56029%
- Travel & lodging$2,50046%
- Food & beverage$1,34525%
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 |
|---|---|---|
| Elekta, Inc. | 9 | $2,882 |
| Daiichi Sankyo Inc. | 1 | $1,560 |
| Ipsen Biopharmaceuticals, Inc | 2 | $305 |
| Medtronic | 1 | $151 |
| Johnson & Johnson | 1 | $140 |
| GT Medical Technologies, Inc | 1 | $131 |
| Novocure Inc. | 4 | $84 |
| Sanofi | 2 | $51 |
| Merck | 1 | $41 |
| Caris MPI, Inc. | 1 | $22 |
| Eisai Inc. | 1 | $20 |
| Siemens Medical Solutions USA, Inc. | 1 | $17 |
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.
- ELEKTA MEDICAL LINEAR ACCELERATOR$2,886
- SOMATULINE DEPOT$305
- ONIVYDE$305
- OSTEOCOOL RF ABLATION$151
- Mosaiq$148
- Monaco$148
- PROKNOW DS$148
- XARELTO$140
- GammaTile$131
How this compares
$5,405 in reported general payments places this provider in the 85th percentile of 115 radiation oncology providers in Tennessee.
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 |
|---|---|---|
| Silver Sulfadiazine | 13 | $129 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Germantown
- Yuefeng WangGermantown$3K
- Michael FarmerGermantown$676
- Han-Chih ChangNashville$66K
- Karen WinkfieldNashville$53K
- James GrayNashville$46K
- David RobergeMemphis$28K
- Matthew BalloMemphis$25K
- John PhillipsNashville$23K
- Casey LipscombNashville$23K
- Andrew KennedyNashville$18K
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.