Toufic Fakhoury, MD
Neurology · Lexington, KYNPI 1235234394
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $205,612 of the $277,668 with a category attached, or 74.0%. 16 manufacturers reported payments, led by UCB, Inc. at 42.2% of the total. Among neurology clinicians in KY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 527 payments — averaging $526.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- UCB, Inc.$117K
- SK Life Science, Inc.$113K
- Eisai Inc.$21K
- Jazz Pharmaceuticals Inc.$14K
- UCB SA$4K
- Biocodex, Inc.$3K
- plus $7K from 10 others
Across 29 payments — averaging $1917.94 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.
- Takeda Pharmaceuticals U.S.A., Inc.$15K
- SK Life Science, Inc.$12K
- Jazz Pharmaceuticals Inc.$9K
- UCB, Inc.$8K
- GW Research Limited$6K
- AbbVie$6K
What the payments were for
- Consulting fees$35,58713%
- Speaking & faculty fees$205,61274%
- Travel & lodging$26,3519%
- Food & beverage$10,1054%
- Education$130%
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 |
|---|---|---|
| UCB, Inc. | 284 | $117,146 |
| SK Life Science, Inc. | 120 | $112,783 |
| Eisai Inc. | 31 | $20,607 |
| Jazz Pharmaceuticals Inc. | 30 | $13,887 |
| UCB SA | 1 | $3,562 |
| Biocodex, Inc. | 3 | $3,180 |
| Aquestive Therapeutics, Inc. | 5 | $2,791 |
| Sunovion Pharmaceuticals Inc. | 23 | $1,743 |
| Supernus Pharmaceuticals, Inc. | 12 | $1,598 |
| Greenwich Biosciences, Inc. | 2 | $129 |
| Livanova USA, Inc. | 5 | $96 |
| Neurelis, Inc. | 2 | $50 |
| Sumitomo Pharma America, Inc. | 6 | $37 |
| Acadia Pharmaceuticals Inc | 1 | $25 |
| Immedica Pharma US, Inc. | 1 | $23 |
| Zogenix Inc. | 1 | $13 |
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.
How this compares
$277,668 in reported general payments places this provider in the 95th percentile of 210 neurology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| XcopriCenobamate | 654 | $830,985 |
| BriviactBrivaracetam | 519 | $784,602 |
| EpidiolexCannabidiol (Cbd) | 60 | $370,408 |
| FinteplaFenfluramine Hcl | 17 | $311,112 |
| VimpatLacosamide | 206 | $298,966 |
| FycompaPerampanel | 145 | $195,182 |
| AptiomEslicarbazepine Acetate | 62 | $171,954 |
| Lacosamide | 1,143 | $115,991 |
| Rufinamide | 81 | $109,636 |
| Topiramate ErTopiramate | 54 | $72,089 |
| KeppraLevetiracetam | 27 | $58,027 |
| Oxtellar XrOxcarbazepine | 12 | $45,137 |
| Clobazam | 349 | $44,670 |
| Keppra XrLevetiracetam | 16 | $42,666 |
| NayzilamMidazolam | 49 | $32,046 |
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 |
|---|---|---|
| UCB, Inc.Briviact, Fintepla, Vimpat, Nayzilam | $117,146 | $1,426,725791 claims |
| SK Life Science, Inc.Xcopri | $112,783 | $830,985654 claims |
| Eisai Inc.Fycompa, Banzel | $20,607 | $223,410157 claims |
| Sunovion Pharmaceuticals Inc.Aptiom | $1,743 | $171,95462 claims |
| UCB SAKeppra | $3,562 | $58,02727 claims |
| Supernus Pharmaceuticals, Inc.Oxtellar Xr | $1,598 | $45,13712 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 95th percentile of 210 neurology providers in Kentucky.
Other neurology in Lexington
- James WinkleyLexington$807K
- Nicole EvermanLexington$355K
- Fred OdagoLexington$28K
- Zabeen MahuwalaLexington$28K
- Jagannadha AvasaralaLexington$15K
- Joshua ChalkleyLexington$15K
- Brian PlatoLouisville$232K
- Kristi NordLouisville$217K
- Naveed AhmedPikeville$215K
- Angela HardwickLouisville$187K
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.