RxDoctor Payments Data

William Durham, MD

Nephrology · Asheville, NCNPI 1639166622

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $312 of the $353 with a category attached, or 88.4%. 7 manufacturers reported payments, led by Vifor Pharma, Inc. at 25.2% of the total. 2025 is the largest year on record at $104, 2.8 times the $38 reported in 2019. That places this record below the midpoint for nephrology clinicians in NC, where the typical reported total is $1,119.

$353in general payments, 2019–2025

Across 18 payments — averaging $19.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Vifor Pharma, Inc.$89
  • Boehringer Ingelheim$78
  • Travere Therapeutics, Inc.$66
  • Akebia Therapeutics Inc$38
  • Amgen$35
  • Novartis$32
  • plus $14 from 1 others
$81,645in research payments, 2019–2025

Across 165 payments — averaging $494.82 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.

  • Novo Nordisk AS$39K
  • GSK$18K
  • AstraZeneca$12K
  • Akebia Therapeutics Inc$8K
  • Dynavax Technologies Corporation$5K

What the payments were for

  • Food & beverage$31288%
  • Education$4112%

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

19
20
21
22
23
24
25

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.

How this compares

$353 in reported general payments places this provider in the 30th percentile of 366 nephrology providers in North Carolina.

See all nephrology providers in North Carolina

Medicare billing

Part B allowed, 2024
$280,088
Medicare patients
637
Services billed
1,975

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

DrugClaimsCost to plans & patients
JardianceEmpagliflozin83$75,769
FarxigaDapagliflozin Propanediol33$31,868
Sevelamer Carbonate33$5,283
LokelmaSodium Zirconium Cyclosilicate11$4,538
Bumetanide68$1,462
Chlorthalidone84$1,063
Spironolactone108$811
Potassium Chloride29$514
Valsartan22$494
Olmesartan Medoxomil36$468
Losartan Potassium75$378
Lisinopril70$293
Amlodipine Besylate79$286
Tamsulosin Hcl17$235
Carvedilol29$219

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.

CompanyPaid to this providerPart D cost of their drugs
Boehringer IngelheimJardiance$78$75,76983 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 30th percentile of 366 nephrology providers in North Carolina.

Other nephrology in Asheville

See the full list for North Carolina

Where these figures come from

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