Thomas O'Neill, MD
Internal Medicine · Chapel Hill, NCNPI 1639373327
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 6 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) at 46.6% of the total. 2025 is the largest year on record at $92, 7.9 times the $12 reported in 2019. That places this record below the midpoint for internal medicine clinicians in NC, where the typical reported total is $163.
Across 6 payments — averaging $32.18 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)$90
- E.r. Squibb & Sons, L.L.C.$39
- Alnylam Pharmaceuticals Inc.$33
- Actelion Pharmaceuticals US, Inc.$19
- Abbott$12
Across 15 payments — averaging $7117.49 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Amgen$84K
- Novartis$23K
What the payments were for
- Food & beverage$193100%
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) | 1 | $90 |
| E.r. Squibb & Sons, L.L.C. | 2 | $39 |
| Alnylam Pharmaceuticals Inc. | 1 | $33 |
| Actelion Pharmaceuticals US, Inc. | 1 | $19 |
| Abbott | 1 | $12 |
How this compares
$193 in reported general payments places this provider in the 50th percentile of 3,302 internal 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 |
|---|---|---|
| VyndamaxTafamidis | 23 | $516,944 |
| JardianceEmpagliflozin | 93 | $96,965 |
| EntrestoSacubitril/Valsartan | 72 | $93,541 |
| FarxigaDapagliflozin Propanediol | 54 | $50,139 |
| EliquisApixaban | 36 | $48,829 |
| XareltoRivaroxaban | 18 | $25,018 |
| Tacrolimus | 24 | $5,765 |
| Eplerenone | 34 | $3,372 |
| Metoprolol Succinate | 123 | $1,584 |
| Spironolactone | 218 | $1,251 |
| Digoxin | 42 | $819 |
| Valsartan | 13 | $769 |
| Torsemide | 58 | $585 |
| Carvedilol | 58 | $416 |
| Atorvastatin Calcium | 60 | $401 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Chapel Hill
- Millie LongChapel Hill$374K
- William PendergraftChapel Hill$210K
- Edward BarnesChapel Hill$171K
- Saira SheikhChapel Hill$123K
- David ClemmonsChapel Hill$96K
- Nicholas PiazzaChapel Hill$69K
- Matthew FosterChapel Hill$60K
- Samuel RubinsteinChapel Hill$40K
- Jennifer RogersChapel Hill$39K
- Nirmish ShahDurham$862K
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.