Physician profile

Paul Gardial

Family Medicine · Texarkana, TX

NPI 1639170194

$7,738.17

in general payments reported to CMS, 2019-2025

46 companies · $1,059 in 2025

The $1,059 reported for 2025 was more than what 87% of Family Medicine providers received nationally (typical 2025 total: $153).

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$3,037.24
Education$25.00

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
Abbvie INC. $1,181.72 2019-2025
Pfizer INC. $867.70 2019-2025
Lilly USA, LLC $728.98 2019-2025 Mounjaro, Zepbound, Jardiance
Astrazeneca Pharmaceuticals LP $546.02 2019-2025 Farxiga, Breztri
Novo Nordisk INC $491.69 2019-2025 Rybelsus, Ozempic, Wegovy
Boehringer Ingelheim Pharmaceuticals, INC. $446.66 2019-2025 Jardiance, Synjardy, Tradjenta
Abbott Laboratories $388.97 2021-2025 Freestyle Libre 3, Cardiomems
Otsuka America Pharmaceutical, INC. $336.37 2019-2025 Rexulti
Amarin Pharma, INC. $303.07 2019-2022
Amgen INC. $238.30 2019-2025 Repatha, Otezla, Repatha
Takeda Pharmaceuticals U.S.A., INC. $196.62 2019-2024 Trintellix
Janssen Pharmaceuticals, INC $177.94 2019-2022
Currax Pharmaceuticals LLC $149.39 2019-2023 Nexletol
Bayer Healthcare Pharmaceuticals INC. $146.16 2021-2025
Phathom Pharmaceuticals, INC. $142.73 2024-2025 Voquezna
Show all 46 companies
CompanyGeneral paymentsYearsTop products
Allergan, INC. $140.06 2019-2020
Novartis Pharmaceuticals Corporation $132.37 2020-2023
Sanofi-Aventis U.S. LLC $126.04 2020-2023
Eisai INC. $118.35 2020-2021
Merck Sharp & Dohme LLC $95.35 2019-2023 Belsomra, Steglatro
E.R. Squibb & Sons, L.L.C. $86.66 2022-2025 Eliquis, Camzyos
Axsome Therapeutics, INC. $69.98 2025 Auvelity
Inspire Medical Systems, INC. $60.10 2025 Inspire
Exact Sciences Corporation $45.49 2025 Cologuard Collection Kit
Kowa Pharmaceuticals America, INC. $44.58 2019-2021
Biohaven Pharmaceutical Holding Company LTD. $43.68 2022
Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) $40.22 2022
Glaxosmithkline, LLC. $30.67 2019-2023 Shingrix, Trelegy Ellipta, Arexvy
Teva Pharmaceuticals USA, INC. $29.70 2020-2023 Ajovy
Upsher-Smith Laboratories LLC $28.85 2020
Alnylam Pharmaceuticals INC. $28.12 2021
Salix Pharmaceuticals, A Division of Bausch Health US, LLC $27.61 2019-2024 Xifaxan
Almatica Pharma LLC $27.24 2021
Nalpropion Pharmaceuticals LLC $25.86 2019
Sumitomo Pharma America, INC. $21.20 2025 Gemtesa
Lundbeck LLC $20.92 2025 Vyepti
Astellas Pharma US INC $19.24 2023 Myrbetriq
Idorsia Pharmaceuticals US INC $18.76 2023 Quviviq
Evoke Pharma, INC. $18.23 2022
Genentech USA, INC. $15.91 2020
Biogen, INC. $15.54 2024 Skyclarys
Mannkind Corporation $15.27 2022
Biohaven Pharmaceuticals, INC. $15.08 2021
Arbor Pharmaceuticals, INC. $12.45 2021
Esperion Therapeutics, INC. $11.21 2021
Assertio Therapeutics, INC. $11.11 2019

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

Paul Gardial

$7,738.17

in general payments reported 2019-2025

Years
2019-2025
Top company
Abbvie INC.
Context
The $1,059 reported for 2025 was more than what 87% of Family Medicine providers received nationally (typical 2025 total: $153).

https://glasscript.com/doctor/300698/paul-gardial

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.