Healthcare provider profile · identity verified

Nancy P Bierman Birner, MD

Allopathic & Osteopathic Physicians|Pediatrics · SAINT LOUIS, MO · NPI 1043214778

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Nancy P Bierman Birner, MD received $394.54 in general payments during 2025 across 32 reported records.

PFIZER INC. accounted for 34.6% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 13 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro, Nurtec Odt, Qulipta.

ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Linzess by this doctor in 2024.

ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported QULIPTA as an associated drug or biological on 298617 records involving 58957 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Qulipta by this doctor in 2024.

ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 33 claims for Synthroid by this doctor in 2024.

GlaxoSmithKline, LLC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 26 claims for Trelegy Ellipta by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 82 claims for Jardiance by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 75 claims for Mounjaro by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Trulicity by this doctor in 2024.

Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 75 claims for Ozempic by this doctor in 2024.

PFIZER INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 172 claims for Eliquis by this doctor in 2024.

PFIZER INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported NURTEC ODT as an associated drug or biological on 217574 records involving 54025 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Nurtec Odt by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$394.54

32 reported records · 6 companies

Separate record types

Research & Ownership

Research Payments (direct recipient): not present in the loaded data

Associated Research Funding (for example, named PI): not present in the loaded data

Ownership / Investment: not present in the loaded data

These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.

Who paid this doctor?

Companies in 2025 General Payments

Reported companyCanonical companyAmountShareRecordsYear
PFIZER INC. Unresolved — no canonical attribution shown $136.3434.6%182025
Novo Nordisk Inc Unresolved — no canonical attribution shown $79.6320.2%32025
Exact Sciences Corporation Unresolved — no canonical attribution shown $69.9717.7%42025
Lilly USA, LLC Unresolved — no canonical attribution shown $61.2215.5%42025
ABBVIE INC. Unresolved — no canonical attribution shown $31.017.9%22025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $16.374.2%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$394.5432

A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.

Analysis 1 · Payment-linked products

Products named in Open Payments records

Reported productTypeReported companyRelated amount*RecordsYear
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $136.34 18 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $113.19 17 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $79.63 3 2025
Source payment records
The Cologuard Plus Collection Kit
Normalized: the cologuard plus collection kit
Device Exact Sciences Corporation $69.97 4 2025
Source payment records
KISUNLA
Normalized: kisunla
Drug Lilly USA, LLC $31.55 2 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $31.01 2 2025
Source payment records
PAXLOVID
Normalized: paxlovid
Drug PFIZER INC. $23.15 1 2025
Source payment records
AREXVY
Normalized: arexvy
Biological GlaxoSmithKline, LLC. $16.37 1 2025
Source payment records
BEXSERO
Normalized: bexsero
Biological GlaxoSmithKline, LLC. $16.37 1 2025
Source payment records
SHINGRIX
Normalized: shingrix
Biological GlaxoSmithKline, LLC. $16.37 1 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $16.11 1 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $13.87 1 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $13.56 1 2025
Source payment records

* Product-associated amounts are non-additive because one payment record may name more than one product.

These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.

Public prescribing for products named in payments

Open Payments productPayment yearPart D brandPart D yearClaimsMatch methodSource
MOUNJARO
mounjaro
2025 Mounjaro 2024 75 exact normalized Medicare Part D
NURTEC ODT
nurtec odt
2025 Nurtec Odt 2024 11
Beneficiary count suppressed
exact normalized Medicare Part D
QULIPTA
qulipta
2025 Qulipta 2024 11
Beneficiary count suppressed
exact normalized Medicare Part D

The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.

Analysis 2 · Same-company prescribing overlap

Drugs reported in other payments from the same company that also appear in Medicare Part D

This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.

Paying companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 LINZESS
open payments reported associated product
CMS Open Payments — General Payments
87954 supporting records · 21815 recipient NPIs · example record 1201352608
Linzess · 2024
Exact normalized brand match · 1 Part D row
13 suppressed by CMS
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 QULIPTA
open payments reported associated product
CMS Open Payments — General Payments
298617 supporting records · 58957 recipient NPIs · example record 1201352530
Qulipta · 2024
Exact normalized brand match · 1 Part D row
11 suppressed by CMS
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 SYNTHROID
open payments reported associated product
CMS Open Payments — General Payments
10655 supporting records · 4881 recipient NPIs · example record 1201352636
Synthroid · 2024
Exact normalized brand match · 1 Part D row
33 suppressed by CMS
GlaxoSmithKline, LLC.
Exact reporting entity; no affiliate inference
2025 TRELEGY ELLIPTA
open payments reported associated product
CMS Open Payments — General Payments
131532 supporting records · 37148 recipient NPIs · example record 1190332369
Trelegy Ellipta · 2024
Exact normalized brand match · 1 Part D row
26 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
47708 supporting records · 23833 recipient NPIs · example record 1186464557
Jardiance · 2024
Exact normalized brand match · 1 Part D row
82 23
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 MOUNJARO
open payments reported associated product
CMS Open Payments — General Payments
186719 supporting records · 66436 recipient NPIs · example record 1186464455
Mounjaro · 2024
Exact normalized brand match · 1 Part D row
75 16
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 TRULICITY
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 57 recipient NPIs · example record 1186464601
Trulicity · 2024
Exact normalized brand match · 1 Part D row
13 suppressed by CMS
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Ozempic
open payments reported associated product
CMS Open Payments — General Payments
261625 supporting records · 77793 recipient NPIs · example record 1188130076
Ozempic · 2024
Exact normalized brand match · 1 Part D row
75 27
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 ELIQUIS
open payments reported associated product
CMS Open Payments — General Payments
87112 supporting records · 36032 recipient NPIs · example record 1228794063
Eliquis · 2024
Exact normalized brand match · 1 Part D row
172 37
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 NURTEC ODT
open payments reported associated product
CMS Open Payments — General Payments
217574 supporting records · 54025 recipient NPIs · example record 1228794063
Nurtec Odt · 2024
Exact normalized brand match · 1 Part D row
11 suppressed by CMS

These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.

Public Medicare Part D data

Provider-and-drug rows loaded for 2024

BrandGenericClaimsBeneficiaries
Atorvastatin CalciumAtorvastatin Calcium701197
Rosuvastatin CalciumRosuvastatin Calcium637186
Levothyroxine SodiumLevothyroxine Sodium532142
LisinoprilLisinopril475145
Amlodipine BesylateAmlodipine Besylate370113
Losartan PotassiumLosartan Potassium30084
OmeprazoleOmeprazole29295
Metformin HclMetformin Hcl26978
Metoprolol SuccinateMetoprolol Succinate25982
HydrochlorothiazideHydrochlorothiazide22065
EzetimibeEzetimibe21473
GabapentinGabapentin20075
Alendronate SodiumAlendronate Sodium19256
Tramadol HclTramadol Hcl19062
Pantoprazole SodiumPantoprazole Sodium18651
AlprazolamAlprazolam18464
EliquisApixaban17237
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen16942
FurosemideFurosemide16056
MeloxicamMeloxicam15759
Trazodone HclTrazodone Hcl15150
Sertraline HclSertraline Hcl14841
Montelukast SodiumMontelukast Sodium13650
Duloxetine HclDuloxetine Hcl13237
Metoprolol TartrateMetoprolol Tartrate13138
Potassium ChloridePotassium Chloride12136
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide11834
Escitalopram OxalateEscitalopram Oxalate10936
Metformin Hcl ErMetformin Hcl10637
Oxybutynin Chloride ErOxybutynin Chloride10635
AllopurinolAllopurinol9629
Fluticasone PropionateFluticasone Propionate9645
Buspirone HclBuspirone Hcl9525
Bupropion XlBupropion Hcl9427
Albuterol Sulfate HfaAlbuterol Sulfate9146
Pravastatin SodiumPravastatin Sodium9028
AtenololAtenolol8925
Tamsulosin HclTamsulosin Hcl8728
JardianceEmpagliflozin8223
CarvedilolCarvedilol8027
FamotidineFamotidine7932
LorazepamLorazepam7830
ClonazepamClonazepam7519
MounjaroTirzepatide7516
OzempicSemaglutide7527
MirtazapineMirtazapine7125
SimvastatinSimvastatin7122
ClopidogrelClopidogrel Bisulfate6922
SpironolactoneSpironolactone6923
Citalopram HbrCitalopram Hydrobromide6519
Fluoxetine HclFluoxetine Hcl6218
Donepezil HclDonepezil Hcl6014
GlipizideGlipizide6016
Hydralazine HclHydralazine Hcl6014
PrednisonePrednisone6055
Zolpidem TartrateZolpidem Tartrate5919
JanuviaSitagliptin Phosphate5615
Memantine HclMemantine Hcl5613
AmoxicillinAmoxicillin5346
Oxycodone HclOxycodone Hcl5312
FenofibrateFenofibrate Nanocrystallized5214
GlimepirideGlimepiride5217
Warfarin SodiumWarfarin Sodium5111
Diltiazem 24hr Er (Cd)Diltiazem Hcl4813
Venlafaxine Hcl ErVenlafaxine Hcl4715
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst4436
FenofibrateFenofibrate4315
XareltoRivaroxaban43suppressed
Doxycycline MonohydrateDoxycycline Monohydrate4036
Glipizide ErGlipizide40suppressed
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide4014
Pioglitazone HclPioglitazone Hcl4014
Triamcinolone AcetonideTriamcinolone Acetonide3924
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine38suppressed
LovastatinLovastatin3813
Cyclobenzaprine HclCyclobenzaprine Hcl3714
FinasterideFinasteride3715
Diclofenac SodiumDiclofenac Sodium3616
TorsemideTorsemide3614
Enalapril MaleateEnalapril Maleate35suppressed
Propranolol HclPropranolol Hcl35suppressed
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid34suppressed
SynthroidLevothyroxine Sodium33suppressed
Wixela InhubFluticasone Propion/Salmeterol31suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog30suppressed
DiazepamDiazepam29suppressed
FarxigaDapagliflozin Propanediol29suppressed
Paroxetine HclParoxetine Hcl29suppressed
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen28suppressed
IrbesartanIrbesartan27suppressed
Methylphenidate HclMethylphenidate Hcl27suppressed
Isosorbide Mononitrate ErIsosorbide Mononitrate26suppressed
LevetiracetamLevetiracetam26suppressed
Nifedipine ErNifedipine26suppressed
Trelegy ElliptaFluticasone/Umeclidin/Vilanter26suppressed
Ipratropium BromideIpratropium Bromide2511
Nebivolol HclNebivolol Hcl25suppressed
CelecoxibCelecoxib24suppressed
BaclofenBaclofen23suppressed
Pramipexole DihydrochloridePramipexole Di-Hcl23suppressed
Repatha SureclickEvolocumab23suppressed
Ropinirole HclRopinirole Hcl2312
Sildenafil CitrateSildenafil Citrate23suppressed
Labetalol HclLabetalol Hcl22suppressed
RamiprilRamipril22suppressed
ValacyclovirValacyclovir Hcl2215
EstradiolEstradiol21suppressed
Fluticasone-SalmeterolFluticasone Propion/Salmeterol21suppressed
TemazepamTemazepam21suppressed
ChlorthalidoneChlorthalidone20suppressed
CephalexinCephalexin1912
Hydroxyzine HclHydroxyzine Hcl19suppressed
Olmesartan MedoxomilOlmesartan Medoxomil19suppressed
Amitriptyline HclAmitriptyline Hcl18suppressed
Azelastine HclAzelastine Hcl18suppressed
Doxazosin MesylateDoxazosin Mesylate18suppressed
Oxybutynin ChlorideOxybutynin Chloride18suppressed
Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril17suppressed
Clobetasol PropionateClobetasol Propionate17suppressed
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride17suppressed
SucralfateSucralfate17suppressed
TopiramateTopiramate17suppressed
VascepaIcosapent Ethyl17suppressed
Vitamin D2Ergocalciferol (Vitamin D2)17suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav1614
Bisoprolol-HydrochlorothiazideBisoprolol/Hydrochlorothiazide16suppressed
MyrbetriqMirabegron16suppressed
PrimidonePrimidone16suppressed
RizatriptanRizatriptan Benzoate16suppressed
Folic AcidFolic Acid15suppressed
NystatinNystatin15suppressed
Ondansetron HclOndansetron Hcl15suppressed
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide15suppressed
AzithromycinAzithromycin1414
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog14suppressed
Dicyclomine HclDicyclomine Hcl14suppressed
Esomeprazole MagnesiumEsomeprazole Magnesium14suppressed
FenofibrateFenofibrate,micronized14suppressed
LansoprazoleLansoprazole14suppressed
Sumatriptan SuccinateSumatriptan Succinate14suppressed
TestosteroneTestosterone14suppressed
Tresiba Flextouch U-200Insulin Degludec14suppressed
Carvedilol ErCarvedilol Phosphate13suppressed
FentanylFentanyl13suppressed
LinzessLinaclotide13suppressed
MethocarbamolMethocarbamol13suppressed
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog13suppressed
TrulicityDulaglutide13suppressed
AripiprazoleAripiprazole12suppressed
Bupropion HclBupropion Hcl12suppressed
Bupropion Hcl SrBupropion Hcl12suppressed
CilostazolCilostazol12suppressed
Doxycycline HyclateDoxycycline Hyclate1212
EntrestoSacubitril/Valsartan12suppressed
LoperamideLoperamide Hcl12suppressed
Meclizine HclMeclizine Hcl12suppressed
MethimazoleMethimazole12suppressed
Raloxifene HclRaloxifene Hcl12suppressed
Terazosin HclTerazosin Hcl12suppressed
CarisoprodolCarisoprodol11suppressed
Clindamycin PhosphateClindamycin Phosphate11suppressed
DutasterideDutasteride11suppressed
Lagevrio (Eua)Molnupiravir1111
Nortriptyline HclNortriptyline Hcl11suppressed
Nurtec OdtRimegepant Sulfate11suppressed
Potassium Citrate ErPotassium Citrate11suppressed
PregabalinPregabalin11suppressed
QuliptaAtogepant11suppressed
Tizanidine HclTizanidine Hcl11suppressed
Verapamil ErVerapamil Hcl11suppressed

Timeline

Payment and prescribing data by year

Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $394.54 · 32 records PFIZER INC. AREXVY, BEXSERO, KISUNLA, MOUNJARO, NURTEC ODT, PAXLOVID, QULIPTA, SHINGRIX, The Cologuard Plus Collection Kit, UBRELVY, Wegovy, ZAVZPRET, ZEPBOUND 10
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
CMS Open Payments — General Payments 2025 2026-06-30 Original source
Medicare Part D Prescribers by Provider and Drug 2024 2026-05-06 Original source
NPPES Data Dissemination V2 current / reference data 2026-08-10 Original source

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error