Trenton Custis, MD
MOHS-Micrographic Surgery · Dallas, TXNPI 1356575344
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 156 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 15.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,487, 3.6 times the $412 reported in 2019.
Across 156 payments — averaging $24.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$582
- Amgen$359
- UCB, Inc.$321
- Kerecis Limited$300
- Sanofi$299
- Regeneron Healthcare Solutions, Inc.$293
- plus $2K from 23 others
What the payments were for
- Food & beverage$3,841100%
- Education$160%
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 |
|---|---|---|
| Novartis | 28 | $582 |
| Amgen | 10 | $359 |
| UCB, Inc. | 15 | $321 |
| Kerecis Limited | 6 | $300 |
| Sanofi | 12 | $299 |
| Regeneron Healthcare Solutions, Inc. | 12 | $293 |
| Johnson & Johnson | 10 | $267 |
| AbbVie(2 entities) | 6 | $257 |
| Lilly USA, LLC | 10 | $207 |
| LEO Pharma Inc. | 6 | $145 |
| Incyte Corporation | 6 | $119 |
| Galderma Laboratories, L.p. | 4 | $109 |
| Almirall LLC | 6 | $104 |
| Mayne Pharma Commercial LLC | 4 | $91 |
| Sun Pharmaceutical Industries Inc. | 3 | $75 |
| Journey Medical Corporation | 2 | $41 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $39 |
| Nabriva Therapeutics, PLC | 2 | $34 |
| Kowa Pharmaceuticals America, Inc. | 2 | $28 |
| Cipher Pharmaceuticals US LLC | 1 | $27 |
| Convatec Inc. | 1 | $26 |
| Janssen Scientific Affairs, LLC | 1 | $20 |
| Organon | 1 | $19 |
| Encore Dermatology Inc. | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $18 |
| Genentech USA, Inc. | 1 | $16 |
| Bristol Myers Squibb | 1 | $16 |
| Smith+Nephew | 1 | $15 |
| Merck | 1 | $12 |
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
$3,857 in reported general payments places this provider in the 65th percentile of 109 mohs-micrographic surgery 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 |
|---|---|---|
| Fluorouracil | 17 | $896 |
| Doxycycline Hyclate | 110 | $814 |
| Cephalexin | 86 | $477 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 77 | $292 |
| Ciprofloxacin Hcl | 14 | $103 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $59 |
Paid to pharmacies, not to this prescriber.
Other mohs-micrographic surgery in Dallas
- Daniel WitheilerDallas$6K
- Shayla FrancisDallas$4K
- William PostenDallas$3K
- Aaron FarbergRockwall$1.5M
- Suneel ChilukuriBellaire$288K
- Ryan O QuinnSan Antonio$167K
- Paul FriedmanHouston$131K
- Brent SpencerFrisco$45K
- Julie CroleyThe Woodlands$30K
- Kayla McNieceBellaire$13K
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.