Physician profile
Thomas Derek Vrable
NPI 1174522064
$241.80
in general payments reported to CMS, 2019-2025
5 companies · none reported in 2025
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $143 · 2021: $99.00.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Astellas Pharma US INC | $165.17 | 2019-2021 | |
| Novartis Pharmaceuticals Corporation | $26.64 | 2019 | |
| Sunovion Pharmaceuticals INC. | $20.97 | 2019 | |
| Amgen INC. | $15.34 | 2019 | |
| Avanir Pharmaceuticals, INC. | $13.68 | 2019 |
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Thomas Vrable listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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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.