Thomas Ducker, MD
Gastroenterology · Kerrville, TXNPI 1295753887
Payments from drug & device makers
Across 135 payments — averaging $16.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$400
- Ferring Pharmaceuticals Inc.$365
- Merck$253
- Madrigal Pharmaceuticals$225
- Gilead$160
- Johnson & Johnson$144
- plus $728 from 21 others
What the payments were for
- Food & beverage$2,276100%
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 |
|---|---|---|
| AbbVie(2 entities) | 29 | $400 |
| Ferring Pharmaceuticals Inc. | 24 | $365 |
| Merck | 14 | $253 |
| Madrigal Pharmaceuticals | 6 | $225 |
| Gilead | 8 | $160 |
| Johnson & Johnson(3 entities) | 10 | $144 |
| QOL Medical, LLC | 6 | $103 |
| Ironwood Pharmaceuticals, Inc | 5 | $91 |
| Shionogi Inc | 4 | $78 |
| Intercept Pharmaceuticals, Inc. | 5 | $68 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $54 |
| Heron Therapeutics, Inc. | 2 | $40 |
| Nestle Healthcare Nutrition Inc. | 2 | $38 |
| Pfizer | 2 | $34 |
| Ipsen Biopharmaceuticals, Inc | 1 | $28 |
| Romark Laboratories, LC | 2 | $23 |
| Braintree Laboratories, Inc. | 1 | $22 |
| Evoke Pharma, Inc. | 1 | $19 |
| AstraZeneca | 1 | $18 |
| Olympus America Inc. | 1 | $18 |
| Bard Access Systems, Inc. | 1 | $16 |
| Convatec Inc. | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Sandoz | 1 | $14 |
| Boston Scientific | 1 | $13 |
| Phathom Pharmaceuticals, Inc. | 1 | $13 |
| Micro-tech Endoscopy USA, 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.
- REZDIFFRA$110
How this compares
$2,276 in reported general payments places this provider in the 40th percentile of 1,350 gastroenterology providers in Texas.
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 |
|---|---|---|
| ZenpepLipase/Protease/Amylase | 12 | $56,608 |
| LinzessLinaclotide | 53 | $39,774 |
| Mesalamine | 70 | $33,272 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 352 | $21,943 |
| ClenpiqSod Picosulf/Mag Ox/Citric Ac | 105 | $17,627 |
| TrulancePlecanatide | 21 | $12,713 |
| Balsalazide Disodium | 67 | $10,987 |
| Ursodiol | 107 | $10,932 |
| Dexlansoprazole DrDexlansoprazole | 27 | $9,289 |
| Budesonide DrBudesonide | 54 | $8,898 |
| Omeprazole | 553 | $6,128 |
| Pantoprazole Sodium | 296 | $2,850 |
| Esomeprazole Magnesium | 67 | $2,617 |
| SutabSod Sulf/Pot Chloride/Mag Sulf | 14 | $2,184 |
| Budesonide EcBudesonide | 16 | $2,182 |
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 |
|---|---|---|
| AbbVieLinzess | $400 | $39,77453 claims |
| Ferring Pharmaceuticals Inc.Clenpiq | $365 | $17,627105 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCTrulance | $54 | $12,71321 claims |
| Braintree Laboratories, Inc.Sutab | $22 | $2,18414 claims |
| SandozLansoprazole | $14 | $2,08253 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 40th percentile of 1,350 gastroenterology providers in Texas.
Other gastroenterology in Kerrville
- Eric LawitzSan Antonio$59.5M
- George DuvallTyler$17.5M
- John FordtranDallas$9.9M
- Timothy RitterSouthlake$7.7M
- Parvez MantryDallas$6.4M
- Mazen NoureddinHouston$6.1M
- Nadege GunnWaco$5.7M
- Michael BrownDallas$5.5M
- James MaherHouston$5.3M
- Stephen HarrisonLive Oak$5.3M
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.