Thomas German, MD
Family Medicine · Asheville, NCNPI 1952535452
Payments from drug & device makers
Across 134 payments — averaging $17.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$490
- AbbVie$359
- Novo Nordisk$155
- Otsuka America Pharmaceutical, Inc.$137
- Indivior Inc.$132
- Pfizer$119
- plus $893 from 25 others
What the payments were for
- Food & beverage$2,26899%
- Education$161%
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 |
|---|---|---|
| Lilly USA, LLC | 26 | $490 |
| AbbVie | 31 | $359 |
| Novo Nordisk | 9 | $155 |
| Otsuka America Pharmaceutical, Inc. | 6 | $137 |
| Indivior Inc. | 7 | $132 |
| Pfizer | 7 | $119 |
| Amgen | 5 | $83 |
| Gilead | 4 | $78 |
| Exact Sciences | 4 | $72 |
| GSK | 3 | $61 |
| Abbott | 3 | $51 |
| Bayer | 3 | $51 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $48 |
| Braeburn Inc. | 2 | $45 |
| Teva Pharmaceuticals USA, Inc. | 2 | $42 |
| Xeris Pharmaceuticals, Inc. | 2 | $38 |
| Sunovion Pharmaceuticals Inc. | 3 | $35 |
| Axsome Therapeutics, Inc. | 1 | $31 |
| AstraZeneca | 2 | $31 |
| Corium, LLC | 1 | $27 |
| Merck | 1 | $25 |
| Vanda Pharmaceuticals Inc. | 1 | $24 |
| E.r. Squibb & Sons, L.L.C. | 1 | $23 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $19 |
| Astellas Pharma US Inc | 1 | $18 |
| Inari Medical, Inc. | 1 | $18 |
| Boston Scientific | 1 | $17 |
| Insmed, Inc. | 1 | $16 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Lundbeck LLC | 1 | $13 |
| Johnson & Johnson | 1 | $12 |
How this compares
$2,285 in reported general payments places this provider in the 80th percentile of 3,444 family medicine providers in North Carolina.
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 |
|---|---|---|
| OzempicSemaglutide | 84 | $94,719 |
| EliquisApixaban | 131 | $89,600 |
| MounjaroTirzepatide | 63 | $71,496 |
| JardianceEmpagliflozin | 52 | $65,004 |
| XareltoRivaroxaban | 49 | $58,473 |
| JanuviaSitagliptin Phosphate | 38 | $46,590 |
| SymbicortBudesonide/Formoterol Fumarate | 57 | $22,004 |
| Aimovig AutoinjectorErenumab-Aooe | 13 | $20,348 |
| Nurtec OdtRimegepant Sulfate | 12 | $18,317 |
| Spiriva HandihalerTiotropium Bromide | 18 | $15,274 |
| Buprenorphine | 43 | $14,041 |
| Victoza 3-PakLiraglutide | 14 | $13,824 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 20 | $12,941 |
| RybelsusSemaglutide | 11 | $10,828 |
| MyrbetriqMirabegron | 14 | $9,796 |
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 |
|---|---|---|
| PfizerEliquis, Nurtec Odt | $119 | $107,917143 claims |
| Novo NordiskOzempic, Rybelsus | $155 | $105,54895 claims |
| Lilly USA, LLCMounjaro | $490 | $71,49663 claims |
| Johnson & JohnsonXarelto | $12 | $58,47349 claims |
| MerckJanuvia | $25 | $46,59038 claims |
| AstraZenecaSymbicort, Farxiga | $31 | $31,73568 claims |
| GSKTrelegy Ellipta | $61 | $12,94120 claims |
| Astellas Pharma US IncMyrbetriq | $18 | $9,79614 claims |
| AbbVieSynthroid | $359 | $1,35813 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 80th percentile of 3,444 family medicine providers in North Carolina.
Other family medicine in Asheville
- Kimberly BaptisteAsheville$151K
- Jason CookAsheville$120K
- Barton WilliamsWilmington$17.3M
- Alexander MurrayGreensboro$13M
- Arin PiramzadianJacksonville$13M
- Jonathan WilsonHickory$12.7M
- George RaadCharlotte$7.7M
- Cecil FarringtonSalisbury$6.4M
- Christian MartinShelby$5.4M
- John EarlHickory$4.7M
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.