Paul Macdonald, MD
Internal Medicine · Derry, NHNPI 1083716963
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 66 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. AbbVie accounts for 71.3% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $622, more than ten times the $13 reported in 2021. Among internal medicine clinicians in NH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 66 payments — averaging $19.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$940
- Amgen$94
- Lilly USA, LLC$85
- AstraZeneca$47
- Novo Nordisk$43
- GSK$30
- plus $79 from 4 others
What the payments were for
- Food & beverage$1,318100%
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 | 48 | $940 |
| Amgen | 4 | $94 |
| Lilly USA, LLC | 4 | $85 |
| AstraZeneca | 2 | $47 |
| Novo Nordisk | 2 | $43 |
| GSK | 2 | $30 |
| Gilead | 1 | $25 |
| Boehringer Ingelheim | 1 | $20 |
| Bayer | 1 | $19 |
| Exact Sciences | 1 | $15 |
How this compares
$1,318 in reported general payments places this provider in the 90th percentile of 504 internal medicine providers in New Hampshire.
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 |
|---|---|---|
| EliquisApixaban | 60 | $72,657 |
| XareltoRivaroxaban | 29 | $32,464 |
| JardianceEmpagliflozin | 11 | $12,111 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 13 | $8,177 |
| Atorvastatin Calcium | 465 | $4,622 |
| Amlodipine Besylate | 355 | $3,035 |
| Metoprolol Succinate | 175 | $2,961 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 19 | $2,909 |
| SynthroidLevothyroxine Sodium | 48 | $2,391 |
| Rosuvastatin Calcium | 137 | $2,045 |
| Levothyroxine Sodium | 217 | $1,997 |
| Gabapentin | 81 | $1,716 |
| Aripiprazole | 15 | $1,591 |
| Omeprazole | 118 | $1,278 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 61 | $1,237 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance | $20 | $12,11111 claims |
| GSKTrelegy Ellipta | $30 | $8,17713 claims |
| AbbVieSynthroid | $940 | $2,39148 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 504 internal medicine providers in New Hampshire.
Other internal medicine in Derry
- Thomas HongDerry$1K
- Donald RainoneLondonderry$1.9M
- Brian HyettPortsmouth$185K
- Deborah TepperLebanon$133K
- Mark HenschkeNewington$114K
- William MonacoLebanon$97K
- Kevin PhoNashua$40K
- Mary McGowanLebanon$26K
- Magued Rizkalla HannaPortsmouth$26K
- Daniel FeldmanLebanon$17K
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.