Mr. John Garry Runyans II, CRNA

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Birmingham Gastroenterology Associates PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 52 clinicians in the practice; 12 are shown here.

• Rachael Lauren Abroms, PA Student in an Organized Health Care Education/Training Program · Birmingham, AL
• Dr. Rishi Kumar Agarwal, MD Gastroenterology Physician · Birmingham, AL
• Emily Rae Dillard, PA Physician Assistant · Birmingham, AL
• MS. Mary Margaret Fil, PA-C Physician Assistant · Tuscaloosa, AL
• Alka Kalra, NP-C Adult Health Nurse Practitioner · Birmingham, AL
• Piper Elizabeth Latham, PA Physician Assistant · Birmingham, AL
• Mrs. Danielle M Lingo, CRNP Acute Care Nurse Practitioner · Birmingham, AL
• Paul Meadows, CRNA Certified Registered Nurse Anesthetist · Alabaster, AL
• Emma Harms O'Neal, NP Nurse Practitioner · Birmingham, AL
• Dr. Rajat N Parikh, MD Internal Medicine Physician · Birmingham, AL
• Alfred Randolph Rector, MD Anatomic Pathology & Clinical Pathology Physician · Birmingham, AL
• David Tyler Steele, MD Gastroenterology Physician · Birmingham, AL

Other providers in Vestavia Hills

• Greystone Anesthesia Services Inc

  Organization Certified Registered Nurse Anesthetist · NPI 1548732845

  1280 Columbiana Rd, Vestavia Hills, AL 35216-1603 · (205) 916-5201

• Tracy N Walker, CRNA

  Individual Certified Registered Nurse Anesthetist · NPI 1861426959

  200 Montgomery Hwy Ste 200, Vestavia Hills, AL 35216-1896 · (205) 723-0088