Walter Bruning
Internal Medicine · Louisville, KYNPI 1063419901
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.8% of the total across 659 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 52 manufacturers, the largest accounting for just 11.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $5,268 and has fallen 70.5% since, to $1,555 in 2024. Among internal medicine 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 659 payments — averaging $32.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- Amgen$2K
- AbbVie$2K
- GSK$2K
- Johnson & Johnson$1K
- Novartis$1K
- plus $11K from 46 others
What the payments were for
- Food & beverage$21,502100%
- Education$330%
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.
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
$21,535 in reported general payments places this provider in the 95th percentile of 1,284 internal medicine providers in Kentucky.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 37 | $33,758 |
| XareltoRivaroxaban | 16 | $20,302 |
| JardianceEmpagliflozin | 11 | $18,887 |
| JanuviaSitagliptin Phosphate | 11 | $16,464 |
| FarxigaDapagliflozin Propanediol | 14 | $12,369 |
| Atorvastatin Calcium | 262 | $2,050 |
| Ezetimibe | 45 | $1,872 |
| SynthroidLevothyroxine Sodium | 34 | $1,693 |
| Metoprolol Succinate | 62 | $1,325 |
| Levothyroxine Sodium | 99 | $1,139 |
| Rosuvastatin Calcium | 92 | $1,068 |
| Potassium Chloride | 41 | $963 |
| RivastigmineRivastigmine Tartrate | 11 | $761 |
| Losartan Potassium | 66 | $681 |
| Pravastatin Sodium | 68 | $607 |
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 |
|---|---|---|
| PfizerEliquis | $1,021 | $33,75837 claims |
| Johnson & JohnsonXarelto | $1,448 | $20,30216 claims |
| Boehringer IngelheimJardiance | $1,132 | $18,88711 claims |
| MerckJanuvia | $380 | $16,46411 claims |
| AstraZenecaFarxiga | $2,369 | $12,36914 claims |
| AbbVieSynthroid | $1,665 | $1,69334 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 1,284 internal medicine providers in Kentucky.
Other internal medicine in Louisville
- Robert SasserLouisville$62K
- Kelley McIntyreLouisville$48K
- Lal TanwaniLouisville$38K
- Mark WilliamsLouisville$33K
- Scott YoungLouisville$24K
- Frank SimonLouisville$22K
- Brian ParadowskiLouisville$20K
- Suresh NairLouisville$20K
- Yiyi TsaiLouisville$19K
- Keith CarterLouisville$17K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.