Richard Gamuac, MD
Pediatrics · Centennial, CONPI 1174576037
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,172 of the $2,469 with a category attached, or 88.0%. 32 manufacturers reported payments, led by Abbott at 25.3% of the total. Reporting peaked in 2019 at $1,242 and has fallen 59.7% since, to $501 in 2025. Among pediatrics clinicians in CO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 92 payments — averaging $26.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$625
- Acadia Pharmaceuticals Inc$258
- Argenx US, Inc.$224
- Neurocrine Biosciences, Inc.$207
- UCB, Inc.$123
- AbbVie$92
- plus $940 from 26 others
What the payments were for
- Speaking & faculty fees$241%
- Travel & lodging$27311%
- Food & beverage$2,17288%
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 |
|---|---|---|
| Abbott | 12 | $625 |
| Acadia Pharmaceuticals Inc | 6 | $258 |
| Argenx US, Inc. | 10 | $224 |
| Neurocrine Biosciences, Inc. | 7 | $207 |
| UCB, Inc. | 4 | $123 |
| AbbVie | 4 | $92 |
| Livanova USA, Inc. | 5 | $83 |
| EMD Serono, Inc. | 4 | $71 |
| Lilly USA, LLC | 4 | $60 |
| Lundbeck LLC | 2 | $59 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $58 |
| SK Life Science, Inc. | 2 | $47 |
| Avanir Pharmaceuticals, Inc. | 2 | $43 |
| Novartis | 3 | $41 |
| Eisai Inc. | 3 | $40 |
| Averitas Pharma Inc. | 1 | $40 |
| Neurelis, Inc. | 1 | $37 |
| Teva Pharmaceuticals USA, Inc. | 2 | $35 |
| Cycle Pharmaceuticals Inc | 2 | $34 |
| Pfizer | 2 | $33 |
| Biogen | 2 | $33 |
| Sanofi | 1 | $29 |
| Bayer | 1 | $28 |
| Axsome Therapeutics, Inc. | 1 | $27 |
| Kyowa Kirin, Inc. | 1 | $26 |
| Acorda Therapeutics, Inc | 1 | $24 |
| ANI Pharmaceuticals, Inc. | 1 | $18 |
| Merz Pharmaceuticals, LLC | 1 | $17 |
| Sunovion Pharmaceuticals Inc. | 1 | $15 |
| Supernus Pharmaceuticals, Inc. | 1 | $14 |
| AstraZeneca | 1 | $14 |
| Genentech USA, Inc. | 1 | $13 |
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.
- Infinity DBS Pulse Generators$265
- NUPLAZID$107
- INGREZZA$104
How this compares
$2,469 in reported general payments places this provider in the 95th percentile of 872 pediatrics providers in Colorado.
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 |
|---|---|---|
| Primidone | 32 | $312 |
Paid to pharmacies, not to this prescriber.
Other pediatrics in Centennial
- Martha MiddlemistCentennial$8K
- Jenna MtuiDenver$155K
- Erwin GelfandDenver$143K
- Amanda DempseyAurora$33K
- Joseph SmithBrighton$33K
- Sofia MeierAurora$27K
- Michelle PatyAurora$11K
- Shelley BrandstetterAurora$10K
- Molly HemenwayAurora$10K
- Carina KugelmasDenver$8K
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.