Ruth Lavigne, MD
Radiation Oncology · Pikeville, KYNPI 1467486571
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 39 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Daiichi Sankyo Inc. at 28.3% of the total. That places this record below the midpoint for radiation oncology clinicians in KY, where the typical reported total is $669.
Across 39 payments — averaging $17.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Daiichi Sankyo Inc.$189
- Brainlab, Inc.$116
- Novartis$85
- Novocure Inc.$53
- Regeneron Healthcare Solutions, Inc.$51
- AstraZeneca$46
- plus $129 from 6 others
What the payments were for
- Food & beverage$669100%
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 |
|---|---|---|
| Daiichi Sankyo Inc. | 14 | $189 |
| Brainlab, Inc. | 5 | $116 |
| Novartis | 4 | $85 |
| Novocure Inc. | 4 | $53 |
| Regeneron Healthcare Solutions, Inc. | 2 | $51 |
| AstraZeneca | 2 | $46 |
| Merck | 2 | $32 |
| Johnson & Johnson | 2 | $27 |
| Siemens Medical Solutions USA, Inc. | 1 | $24 |
| Eisai Inc. | 1 | $22 |
| Aurobindo Pharma USA, Inc. | 1 | $13 |
| Boston Scientific | 1 | $11 |
How this compares
$669 in reported general payments places this provider in the 50th percentile of 81 radiation oncology providers in Kentucky.
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.
Other radiation oncology in Pikeville
- Elyn WangPikeville$21K
- Bradley CollettPikeville$668
- Neal DunlapLouisville$98K
- Eddy YangLexington$20K
- Craig SilvermanLouisville$9K
- Shiao WooLouisville$7K
- Ryan AbelOwensboro$6K
- Brian WilliamsLexington$5K
- Justin AndersonLouisville$5K
- Aaron SpaldingLouisville$5K
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.