Tyler Geers
Dermatology · Louisville, KYNPI 1093240038
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.4% of the total across 363 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 20.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,718, more than ten times the $15 reported in 2019.
Across 363 payments — averaging $19.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Johnson & Johnson$856
- Regeneron Healthcare Solutions, Inc.$703
- UCB, Inc.$416
- Novartis$367
- Amgen$311
- plus $3K from 23 others
What the payments were for
- Food & beverage$6,79997%
- Education$1823%
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 |
|---|---|---|
| AbbVie | 92 | $1,459 |
| Johnson & Johnson | 38 | $856 |
| Regeneron Healthcare Solutions, Inc. | 29 | $703 |
| UCB, Inc. | 15 | $416 |
| Novartis | 20 | $367 |
| Amgen | 18 | $311 |
| Sanofi | 14 | $278 |
| Lilly USA, LLC | 17 | $250 |
| Pfizer | 15 | $248 |
| Incyte Corporation | 11 | $241 |
| Sun Pharmaceutical Industries Inc. | 11 | $239 |
| E.r. Squibb & Sons, L.L.C. | 10 | $233 |
| LEO Pharma Inc. | 10 | $200 |
| Galderma Laboratories, L.p. | 15 | $179 |
| Boehringer Ingelheim | 8 | $177 |
| Arcutis Biotherapeutics, Inc. | 9 | $148 |
| Hill Dermaceuticals, Inc. | 1 | $140 |
| Dermavant Sciences, Inc. | 6 | $117 |
| Mayne Pharma Commercial LLC | 6 | $116 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 3 | $56 |
| Almirall LLC | 3 | $49 |
| Genentech USA, Inc. | 2 | $46 |
| Biofrontera Inc. | 2 | $34 |
| Botanix SB Inc | 2 | $33 |
| Helsinn Therapeutics (U.S.), Inc. | 2 | $27 |
| Cipher Pharmaceuticals US LLC | 1 | $23 |
| Organogenesis Inc. | 1 | $22 |
| Dermira, Inc. | 1 | $16 |
| Kyowa Kirin, 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
$6,997 in reported general payments places this provider in the 65th percentile of 128 dermatology 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 |
|---|---|---|
| Dupixent PenDupilumab | 29 | $107,689 |
| Clobetasol Propionate | 87 | $3,406 |
| Tacrolimus | 19 | $3,113 |
| Clindamycin Phosphate | 54 | $2,861 |
| Ketoconazole | 159 | $2,562 |
| Triamcinolone Acetonide | 239 | $2,072 |
| Fluocinonide | 48 | $1,749 |
| Tretinoin | 14 | $1,613 |
| Doxycycline Monohydrate | 32 | $1,301 |
| Metronidazole | 25 | $1,102 |
| Desonide | 22 | $883 |
| Mupirocin | 94 | $549 |
| Doxycycline Hyclate | 14 | $471 |
| Hydrocortisone | 79 | $389 |
| Spironolactone | 14 | $339 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Louisville
- James JacksonLouisville$326K
- Jae JungLouisville$188K
- Clint TuckerLouisville$50K
- Mark WaldmanLouisville$33K
- Joseph FowlerLouisville$29K
- Shannon EnglandLouisville$20K
- Jeffrey CallenLouisville$18K
- Ashley BrownLouisville$16K
- Todd RickettLouisville$15K
- Margaret MoyeLouisville$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.