Townsend Smith, MD
Pain Medicine · Dayton, OHNPI 1154404440
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $283 of the $383 with a category attached, or 73.9%. 6 manufacturers reported payments, led by Pfizer at 49.3% of the total. Reporting peaked in 2020 at $155 and has fallen 89.5% since, to $16 in 2024. That places this record below the midpoint for pain medicine clinicians in OH, where the typical reported total is $1,899.
Across 25 payments — averaging $15.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$189
- Comsort, Inc$100
- Kaleo, Inc.$37
- Zyla Life Sciences, Inc.$30
- Abbott$16
- Shionogi Inc$11
What the payments were for
- Consulting fees$10026%
- Food & beverage$28374%
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 |
|---|---|---|
| Pfizer | 18 | $189 |
| Comsort, Inc | 1 | $100 |
| Kaleo, Inc. | 2 | $37 |
| Zyla Life Sciences, Inc. | 2 | $30 |
| Abbott | 1 | $16 |
| Shionogi Inc | 1 | $11 |
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.
- BRIDION$100
How this compares
$383 in reported general payments places this provider in the 25th percentile of 245 pain medicine providers in Ohio.
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 |
|---|---|---|
| MovantikNaloxegol Oxalate | 34 | $15,970 |
| Buprenorphine | 36 | $12,519 |
| Fentanyl | 83 | $11,758 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 376 | $8,580 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 299 | $8,417 |
| Gabapentin | 573 | $7,849 |
| Nucynta ErTapentadol Hcl | 11 | $7,193 |
| Diflorasone Diacetate | 14 | $6,793 |
| Pregabalin | 237 | $5,615 |
| Tramadol Hcl | 381 | $4,408 |
| Tizanidine Hcl | 198 | $3,827 |
| Oxycodone Hcl | 145 | $3,718 |
| Desonide | 19 | $2,437 |
| Naloxone Hcl | 48 | $2,419 |
| Diclofenac Sodium | 96 | $1,446 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Dayton
- Tammy DannDayton$431K
- Jonathan SilvermanDayton$234K
- Priyesh MehtaDayton$16K
- Alexander EscobarToledo$638K
- Nagy MekhailCleveland$511K
- Henry VuceticWilloughby$509K
- Michael DankoLoveland$381K
- Tristan WeaverColumbus$202K
- Robert BolashCleveland$154K
- Dmitri SouzaCuyahoga Falls$61K
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.