Steven Smith, MD
Cardiovascular Disease · Johnson City, TNNPI 1699763359
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,863 of the $2,082 with a category attached, or 89.5%. 18 manufacturers reported payments, led by ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) at 35.7% of the total. 2025 is the largest year on record at $459, 2.2 times the $210 reported in 2019. That places this record below the midpoint for cardiovascular disease clinicians in TN, where the typical reported total is $1,892.
Across 107 payments — averaging $19.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$744
- Boehringer Ingelheim$269
- Novartis$243
- AstraZeneca$227
- Biotronik Inc.$105
- Irhythm Technologies, Inc.$84
- plus $409 from 12 others
What the payments were for
- Food & beverage$1,86389%
- Education$21911%
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 |
|---|---|---|
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 42 | $744 |
| Boehringer Ingelheim | 9 | $269 |
| Novartis | 21 | $243 |
| AstraZeneca | 8 | $227 |
| Biotronik Inc. | 1 | $105 |
| Irhythm Technologies, Inc. | 5 | $84 |
| Actelion Pharmaceuticals US, Inc. | 2 | $69 |
| Lexicon Pharmaceuticals, Inc. | 3 | $62 |
| Daiichi Sankyo Inc. | 3 | $54 |
| Pfizer | 3 | $52 |
| Abbott | 2 | $35 |
| Medtronic | 2 | $34 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $26 |
| Scpharmaceuticals Inc. | 1 | $22 |
| Abiomed | 1 | $20 |
| Johnson & Johnson | 1 | $15 |
| Cardinal Health 200 LLC | 1 | $11 |
| Cardiovascular Systems Inc. | 1 | $8 |
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.
- JARDIANCE$115
How this compares
$2,082 in reported general payments places this provider in the 50th percentile of 429 cardiovascular disease providers in Tennessee.
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 |
|---|---|---|
| Lisinopril | 80 | $338 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 30 | $316 |
| Losartan Potassium | 21 | $138 |
| ClopidogrelClopidogrel Bisulfate | 13 | $101 |
| Metoprolol Succinate | 14 | $101 |
| Metoprolol Tartrate | 26 | $98 |
| Amlodipine Besylate | 26 | $98 |
| Carvedilol | 16 | $73 |
| Atenolol | 16 | $72 |
| Hydralazine Hcl | 13 | $66 |
| Hydrochlorothiazide | 23 | $34 |
Paid to pharmacies, not to this prescriber.
Other cardiovascular disease in Johnson City
- David MetzgerKingsport$555K
- Christopher EllisNashville$527K
- Joann LindenfeldNashville$270K
- Steven GubinMemphis$248K
- Andrew ZurickNashville$231K
- Mark ZenkerNashville$225K
- Selcuk TombulChattanooga$198K
- George CrossleyNashville$197K
- Joel PharesNashville$171K
- Arvindh KanagasundramNashville$161K
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.