Physician profile

Thomas W Mieras

Internal Medicine · San Antonio, TX

NPI 1578564787

$13,114.34

in general payments reported to CMS, 2019-2025

55 companies · $1,061 in 2025

The $1,061 reported for 2025 was more than what 86% of Internal Medicine providers received nationally (typical 2025 total: $156).

Payments by year

General payments by program year, as reported to CMS.

What the payments were for

Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.

View as a table
Payment typeAmount (2023-2025)
Food and Beverage$5,044.44

Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.

Who reported paying

General payments only, as reported to CMS. Product names cover 2023-2025.

CompanyGeneral paymentsYearsTop products
Novo Nordisk INC $1,809.61 2019-2025 Ozempic, Rybelsus, Wegovy
Abbvie INC. $1,514.60 2019-2025
Astrazeneca Pharmaceuticals LP $1,266.51 2019-2025 Farxiga, Breztri, Airsupra
Lilly USA, LLC $1,207.24 2019-2025 Jardiance, Mounjaro, Zepbound
Amgen INC. $1,036.42 2019-2025 Repatha, Otezla, Evenity
Daiichi Sankyo INC. $830.42 2020-2025 Injectafer
Pfizer INC. $554.40 2019-2025
Boehringer Ingelheim Pharmaceuticals, INC. $526.66 2019-2025 Jardiance, Ofev, Tradjenta
Merck Sharp & Dohme LLC $495.75 2019-2024 Steglatro, Belsomra, Steglujan
Janssen Pharmaceuticals, INC $494.60 2019-2023 Xarelto
Glaxosmithkline, LLC. $361.70 2020-2025 Shingrix, Arexvy, Penmenvy
Takeda Pharmaceuticals U.S.A., INC. $287.54 2021-2023 Trintellix
Astellas Pharma US INC $283.44 2019-2022
Biohaven Pharmaceutical Holding Company LTD. $239.84 2022
Esperion Therapeutics, INC. $224.79 2020-2024 Nexletol
Show all 55 companies
CompanyGeneral paymentsYearsTop products
Amarin Pharma, INC. $191.64 2019-2022
Biohaven Pharmaceuticals, INC. $160.04 2020-2021
Avanir Pharmaceuticals, INC. $152.17 2022
Eisai INC. $146.72 2020-2021
Pharmacosmos Therapeutics INC. $119.47 2021-2022
Bayer Healthcare Pharmaceuticals INC. $108.57 2021-2024
Nevro Corp. $66.23 2019-2022
Dynavax Technologies Corporation $62.88 2023-2025 Heplisav-B
Sanofi-Aventis U.S. LLC $60.62 2019-2022
Allergan, INC. $60.07 2020
Idorsia Pharmaceuticals US INC $59.16 2022-2023 Quviviq
Viiv Healthcare Company $54.95 2024 Apretude
Novartis Pharmaceuticals Corporation $53.68 2020-2023
Abbott Laboratories $52.98 2022-2024 Freestyle Libre 3, Proclaim
Otsuka America Pharmaceutical, INC. $47.14 2023 Nuedexta
Sanofi Pasteur INC. $40.10 2022-2023
Medtronic, INC. $39.66 2021-2022
Almatica Pharma LLC $38.16 2022
Boston Scientific Corporation $36.64 2019
Currax Pharmaceuticals LLC $36.06 2023-2024 Contrave, Onzetra Xsail
Genentech USA, INC. $35.62 2019-2021
Vertex Pharmaceuticals Incorporated $32.23 2025
Gilead Sciences, INC. $28.57 2024
Arbor Pharmaceuticals, INC. $27.83 2019
Salix Pharmaceuticals, A Division of Bausch Health US, LLC $25.75 2019-2023 Xifaxan
Nalpropion Pharmaceuticals LLC $24.98 2019
Inspire Medical Systems, INC. $21.91 2025 Inspire
Sumitomo Pharma America, INC. $20.08 2024 Gemtesa
Ipsen Biopharmaceuticals, INC $18.62 2021
Clarus Therapeutics INC. $17.59 2021
Agios Pharmaceuticals, INC. $17.52 2025 Pyrukynd
Biogen, INC. $16.63 2021
Vertiflex, INC. $16.08 2019
Halozyme INC $14.75 2023
Exact Sciences Corporation $14.30 2025 The Cologuard Plus Collection Kit
Althera Pharmaceuticals LLC $12.84 2021
Vbi Vaccine (Delaware) INC. $12.68 2022
Global Blood Therapeutics, INC. $12.15 2021
Nabriva Therapeutics, Plc $11.96 2022
Vistapharm, INC. $11.79 2021

Drugs and devices associated with these payments

CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.

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Payment summary

Thomas W Mieras

$13,114.34

in general payments reported 2019-2025

Years
2019-2025
Top company
Novo Nordisk INC
Context
The $1,061 reported for 2025 was more than what 86% of Internal Medicine providers received nationally (typical 2025 total: $156).

https://glasscript.com/doctor/116349/thomas-w-mieras

Source: CMS Open Payments, program years 2019-2025. Payments are legal and often routine.

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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.