Patrick Showalter, MD
Urology · Kingsport, TNNPI 1558343830
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $857 of the $1,022 with a category attached, or 83.9%. 11 manufacturers reported payments, led by Astellas Pharma US Inc at 42.5% of the total. Reporting peaked in 2019 at $547 and has fallen 62.4% since, to $205 in 2023. That places this record below the midpoint for urology clinicians in TN, where the typical reported total is $3,324.
Across 50 payments — averaging $20.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$434
- Boston Scientific$160
- Neotract Inc.$137
- AbbVie$129
- Olympus America Inc.$33
- Endo Pharmaceuticals Inc.$29
- plus $100 from 5 others
What the payments were for
- Food & beverage$85784%
- Education$16516%
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 |
|---|---|---|
| Astellas Pharma US Inc | 19 | $434 |
| Boston Scientific | 12 | $160 |
| Neotract Inc. | 1 | $137 |
| AbbVie(2 entities) | 8 | $129 |
| Olympus America Inc. | 2 | $33 |
| Endo Pharmaceuticals Inc. | 2 | $29 |
| Pfizer | 2 | $24 |
| Johnson & Johnson | 1 | $23 |
| Ambu Inc. | 1 | $19 |
| Urovant Sciences Inc | 1 | $18 |
| Merck | 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.
- UroLift$137
How this compares
$1,022 in reported general payments places this provider in the 30th percentile of 276 urology 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 |
|---|---|---|
| Tamsulosin Hcl | 31 | $408 |
| Finasteride | 28 | $357 |
Paid to pharmacies, not to this prescriber.
Other urology in Kingsport
- Shenelle WilsonKingsport$113K
- L KnollNashville$2.1M
- David GubinMemphis$1M
- Gautam JayramNashville$1M
- David MorrisHendersonville$871K
- Roger DmochowskiNashville$763K
- Paul EberGermantown$476K
- Ashley TapscottNashville$425K
- Raoul ConcepcionNashville$339K
- Melissa KaufmanNashville$312K
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.