Rachel Downs, MD
Family Medicine · Simpsonville, SCNPI 1932789625
Payments from drug & device makers
Across 43 payments — averaging $20.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$138
- Novo Nordisk$129
- Lilly USA, LLC$125
- Dexcom, Inc.$75
- AbbVie$74
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$61
- plus $261 from 12 others
What the payments were for
- Food & beverage$863100%
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 |
|---|---|---|
| Abiomed | 1 | $138 |
| Novo Nordisk | 8 | $129 |
| Lilly USA, LLC | 9 | $125 |
| Dexcom, Inc. | 4 | $75 |
| AbbVie | 4 | $74 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $61 |
| Pfizer | 2 | $36 |
| Eisai Inc. | 1 | $33 |
| Exact Sciences | 2 | $30 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $26 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $22 |
| GSK | 1 | $19 |
| Amgen | 1 | $17 |
| Inspire Medical Systems, Inc. | 1 | $17 |
| Bayer | 1 | $16 |
| Shield Therapeutics Inc | 1 | $16 |
| Merck | 1 | $15 |
| Boehringer Ingelheim | 1 | $15 |
How this compares
$863 in reported general payments places this provider in the 55th percentile of 2,153 family medicine providers in South Carolina.
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 |
|---|---|---|
| Albuterol Sulfate HfaAlbuterol Sulfate | 27 | $627 |
| Bupropion XlBupropion Hcl | 20 | $327 |
| Celecoxib | 31 | $317 |
| Gabapentin | 35 | $305 |
| Ultra-Fine Mini Pen NeedlePen Needle, Diabetic | 11 | $199 |
| Ropinirole Hcl | 13 | $163 |
| Atorvastatin Calcium | 41 | $146 |
| Amlodipine Besylate | 18 | $143 |
| Rosuvastatin Calcium | 57 | $142 |
| Omeprazole | 22 | $121 |
| Finasteride | 12 | $120 |
| Pantoprazole Sodium | 19 | $95 |
| Levothyroxine Sodium | 33 | $84 |
| Escitalopram Oxalate | 15 | $72 |
| Metformin Hcl ErMetformin Hcl | 20 | $68 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Simpsonville
- Robert BrokerSimpsonville$702K
- Cayce TangemanGoose Creek$8.4M
- Jeremy AckermannMoncks Corner$7.6M
- Kelly MoralesNorth Charleston$6.5M
- William ByarsGreer$4.8M
- James FranklinGreenville$3.5M
- Stephen GrubbLittle River$3.4M
- Jeffrey HarrisGreenville$3.4M
- Shannon ConradN Charleston$3.3M
- Tom ChristensenLittle River$3.1M
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.