Phillip Duncan, MD
Cardiovascular Disease · Chester, VANPI 1215067509
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $20,002 of the $24,373 with a category attached, or 82.1%. Bayer accounts for 91.3% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2023 at $17,016 and has fallen 99.1% since, to $160 in 2024. Among cardiovascular disease clinicians in VA 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 101 payments — averaging $241.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bayer$22K
- Novartis$514
- Amgen$334
- Novo Nordisk$220
- Pfizer$156
- Akcea Therapeutics, Inc.$156
- plus $734 from 16 others
Across 143 payments — averaging $1614.55 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Bayer$96K
- Boehringer Ingelheim International GmbH$58K
- Boehringer Ingelheim Pharma GmbH & Co.kg$34K
- Pfizer$26K
- Novartis$17K
What the payments were for
- Consulting fees$20,00282%
- Travel & lodging$1,3205%
- Food & beverage$2,97812%
- Education$730%
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 |
|---|---|---|
| Bayer | 23 | $22,259 |
| Novartis | 18 | $514 |
| Amgen | 7 | $334 |
| Novo Nordisk | 3 | $220 |
| Pfizer | 8 | $156 |
| Akcea Therapeutics, Inc. | 3 | $156 |
| Medtronic | 4 | $136 |
| AstraZeneca | 7 | $127 |
| Abbott | 5 | $103 |
| Alnylam Pharmaceuticals Inc. | 3 | $67 |
| Johnson & Johnson | 3 | $48 |
| Regeneron Healthcare Solutions, Inc. | 3 | $48 |
| Actelion Pharmaceuticals US, Inc. | 2 | $42 |
| Gilead | 2 | $31 |
| E.r. Squibb & Sons, L.L.C. | 2 | $29 |
| Boehringer Ingelheim | 2 | $28 |
| Vifor Pharma, Inc. | 1 | $19 |
| Boston Scientific | 1 | $18 |
| Kowa Pharmaceuticals America, Inc. | 1 | $15 |
| Merck | 1 | $12 |
| Arbor Pharmaceuticals, Inc. | 1 | $11 |
| Bardy Diagnostics, Inc. | 1 | $4 |
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
$24,373 in reported general payments places this provider in the 90th percentile of 548 cardiovascular disease providers in Virginia.
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 | 45 | $40,970 |
| JardianceEmpagliflozin | 49 | $39,922 |
| EntrestoSacubitril/Valsartan | 24 | $21,610 |
| XareltoRivaroxaban | 20 | $20,298 |
| Ranolazine ErRanolazine | 31 | $2,952 |
| Diltiazem 12hr ErDiltiazem Hcl | 12 | $1,595 |
| Rosuvastatin Calcium | 83 | $1,202 |
| Spironolactone-HctzSpironolact/Hydrochlorothiazid | 41 | $886 |
| Telmisartan-HydrochlorothiazidTelmisartan/Hydrochlorothiazid | 17 | $863 |
| Amiodarone Hcl | 22 | $815 |
| Atorvastatin Calcium | 92 | $801 |
| Carvedilol | 133 | $782 |
| Candesartan Cilexetil | 11 | $766 |
| Amlodipine Besylate | 134 | $718 |
| Amlodipine-OlmesartanAmlodipine Bes/Olmesartan Med | 11 | $616 |
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 |
|---|---|---|
| PfizerEliquis | $156 | $40,97045 claims |
| Boehringer IngelheimJardiance | $28 | $39,92249 claims |
| NovartisEntresto | $514 | $21,61024 claims |
| Johnson & JohnsonXarelto | $48 | $20,29820 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 548 cardiovascular disease providers in Virginia.
Other cardiovascular disease in Chester
- George VetrovecRichmond$2.3M
- Hamid TaheriManassas$501K
- Cyrus HadadiNorfolk$360K
- Michael AyersCharlottesville$305K
- David LimCharlottesville$264K
- Alexander TruesdellFalls Church$167K
- Antonio AbbateCharlottesville$161K
- Christopher OconnorFalls Church$161K
- Roberta ChapmanGloucester$155K
- Shaival KapadiaColonial Heights$115K
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.