Reginald Gladish, MD
Nephrology · Decatur, ALNPI 1831167287
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (55.0%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. Outset Medical Inc accounts for 70.8% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2021 at $3,819 and has fallen 78.3% since, to $830 in 2025.
Across 235 payments — averaging $60.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Outset Medical Inc$10K
- AstraZeneca$911
- Calliditas Therapeutics US Inc.$505
- Boehringer Ingelheim$376
- Bayer$319
- Otsuka America Pharmaceutical, Inc.$318
- plus $2K from 17 others
Across 4 payments — averaging $2948.34 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.
- CSL Behring$12K
What the payments were for
- Consulting fees$7,80055%
- Speaking & faculty fees$2,25016%
- Food & beverage$4,00428%
- Education$1411%
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 |
|---|---|---|
| Outset Medical Inc | 12 | $10,050 |
| AstraZeneca(2 entities) | 50 | $911 |
| Calliditas Therapeutics US Inc. | 25 | $505 |
| Boehringer Ingelheim | 17 | $376 |
| Bayer | 19 | $319 |
| Otsuka America Pharmaceutical, Inc. | 15 | $318 |
| Vifor Pharma, Inc. | 18 | $316 |
| Akebia Therapeutics Inc | 9 | $216 |
| Lilly USA, LLC | 13 | $198 |
| OPKO Pharmaceuticals, LLC | 11 | $169 |
| Amgen(2 entities) | 10 | $167 |
| Novartis | 5 | $136 |
| Travere Therapeutics, Inc. | 8 | $103 |
| GSK | 6 | $89 |
| Novo Nordisk | 3 | $64 |
| Ardelyx, Inc. | 3 | $64 |
| ANI Pharmaceuticals, Inc. | 2 | $48 |
| Baxter Healthcare | 3 | $46 |
| Fresenius USA Marketing, Inc. | 2 | $34 |
| Apellis Pharmaceuticals, Inc. | 1 | $20 |
| Mallinckrodt Enterprises LLC | 1 | $16 |
| Daiichi Sankyo Inc. | 1 | $15 |
| Mallinckrodt Hospital Products Inc. | 1 | $15 |
How this compares
$14,195 in reported general payments places this provider in the 85th percentile of 164 nephrology providers in Alabama.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 118 | $91,695 |
| VelphoroSucroferric Oxyhydroxide | 11 | $36,138 |
| JardianceEmpagliflozin | 38 | $29,997 |
| Sevelamer Carbonate | 127 | $20,659 |
| LokelmaSodium Zirconium Cyclosilicate | 15 | $11,703 |
| EliquisApixaban | 14 | $7,213 |
| Lanthanum Carbonate | 12 | $6,585 |
| Calcium Acetate | 77 | $5,117 |
| Midodrine Hcl | 27 | $1,725 |
| Colchicine | 11 | $1,231 |
| Carvedilol | 162 | $1,133 |
| Amlodipine Besylate | 229 | $1,058 |
| Losartan Potassium | 114 | $1,053 |
| Ondansetron Hcl | 86 | $990 |
| Hydralazine Hcl | 91 | $942 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Lokelma | $911 | $103,398133 claims |
| Fresenius USA Marketing, Inc.Velphoro | $34 | $36,13811 claims |
| Boehringer IngelheimJardiance | $376 | $29,99738 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 85th percentile of 164 nephrology providers in Alabama.
Other nephrology in Decatur
- Michael QuadriniHuntsville$323K
- Dana RizkBirmingham$196K
- Sumeet MunjalMontgomery$191K
- Eric WallaceBirmingham$172K
- Phillip MadoniaAlabaster$165K
- Thomas OzbirnHomewood$133K
- David WarnockBirmingham$128K
- Jeffrey GlazeHomewood$98K
- Michal MrugBirmingham$73K
- Vineeta KumarBirmingham$59K
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.