Payment overview · 2025
General Payments
$1,930.52
47 reported records · 15 companies
Healthcare provider profile · identity verified
Kiara Regina Hackler, FNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · JEFFERSON CITY, TN · NPI 1053092437
Verified facts
What the public records show
CMS Open Payments records show Kiara Regina Hackler, FNP received $1,930.52 in general payments during 2025 across 47 reported records.
LivaNova USA, Inc. accounted for 53.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 19 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Briviact, Nurtec Odt, Qulipta, Ubrelvy, Zeposia.
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 100 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 UBRELVY as an associated drug or biological on 299803 records involving 61203 distinct recipient NPIs. Public Medicare Part D data also shows 129 claims for Ubrelvy by this doctor in 2024.
Amneal Pharmaceuticals 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 RYTARY as an associated drug or biological on 200 records involving 121 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Rytary by this doctor in 2024.
Celgene Corporation 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 25 records involving 24 distinct recipient NPIs. Public Medicare Part D data also shows 53 claims for Eliquis by this doctor in 2024.
Celgene Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ZEPOSIA as an associated drug or biological on 9581 records involving 2490 distinct recipient NPIs. Public Medicare Part D data also shows 26 claims for Zeposia 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 53 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 95 claims for Nurtec Odt by this doctor in 2024.
UCB, 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 Briviact as an associated drug or biological on 13595 records involving 4444 distinct recipient NPIs. Public Medicare Part D data also shows 33 claims for Briviact by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
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 company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| LivaNova USA, Inc. | Unresolved — no canonical attribution shown | $1,028.04 | 53.2% | 4 | 2025 |
| UCB, Inc. | Unresolved — no canonical attribution shown | $174.27 | 9.0% | 9 | 2025 |
| Neurelis, Inc. |
Neurelis, Inc. exact · evidence 2025-02-20 |
$101.06 | 5.2% | 5 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $99.52 | 5.2% | 4 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $95.45 | 4.9% | 4 | 2025 |
| TG Therapeutics, Inc. | Unresolved — no canonical attribution shown | $92.35 | 4.8% | 4 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $80.72 | 4.2% | 4 | 2025 |
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $53.42 | 2.8% | 2 | 2025 |
| ARGENX US, INC. | Unresolved — no canonical attribution shown | $44.73 | 2.3% | 2 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $40.97 | 2.1% | 2 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $36.34 | 1.9% | 2 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $28.43 | 1.5% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $21.22 | 1.1% | 1 | 2025 |
| Celgene Corporation | Unresolved — no canonical attribution shown | $19.43 | 1.0% | 1 | 2025 |
| Amneal Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $14.57 | 0.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,299.56 | 45 |
| Travel and Lodging | $630.96 | 2 |
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 product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| VNS Therapy Normalized: vns therapy |
Device | LivaNova USA, Inc. | $1,028.04 | 4 | 2025 |
Source payment records
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| VALTOCO Normalized: valtoco |
Drug | Neurelis, Inc. | $101.06 | 5 | 2025 |
Source payment records
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| VYEPTI Normalized: vyepti |
Biological | Lundbeck LLC | $99.52 | 4 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $95.45 | 4 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $95.45 | 4 | 2025 |
Source payment records
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| BRIUMVI Normalized: briumvi |
Drug | TG Therapeutics, Inc. | $92.35 | 4 | 2025 |
Source payment records
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| Briviact Normalized: briviact |
Drug | UCB, Inc. | $88.78 | 4 | 2025 |
Source payment records
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| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $80.72 | 4 | 2025 |
Source payment records
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| ULTOMIRIS Normalized: ultomiris |
Biological | Alexion Pharmaceuticals, Inc. | $53.42 | 2 | 2025 |
Source payment records
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| VYVGART Normalized: vyvgart |
Drug | ARGENX US, INC. | $44.73 | 2 | 2025 |
Source payment records
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| Ocrevus Zunovo Normalized: ocrevus zunovo |
Biological | Genentech USA, Inc. | $40.97 | 2 | 2025 |
Source payment records
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| Rystiggo Normalized: rystiggo |
Drug | UCB, Inc. | $34.69 | 2 | 2025 |
Source payment records
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| Nayzilam Normalized: nayzilam |
Drug | UCB, Inc. | $32.46 | 2 | 2025 |
Source payment records
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| Leqembi Normalized: leqembi |
Drug | Eisai Inc. | $28.43 | 2 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $21.22 | 1 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $21.22 | 1 | 2025 |
Source payment records
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| ZEPOSIA Normalized: zeposia |
Drug | Celgene Corporation | $19.43 | 1 | 2025 |
Source payment records
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| Zilbrysq Normalized: zilbrysq |
Drug | UCB, Inc. | $18.34 | 1 | 2025 |
Source payment records
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| CREXONT Normalized: crexont |
Drug | Amneal Pharmaceuticals LLC | $14.57 | 1 | 2025 |
Source payment records
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* 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 product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Briviact briviact |
2025 | Briviact | 2024 | 33 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| NURTEC ODT nurtec odt |
2025 | Nurtec Odt | 2024 | 95 | exact normalized | Medicare Part D |
| QULIPTA qulipta |
2025 | Qulipta | 2024 | 100 | exact normalized | Medicare Part D |
| UBRELVY ubrelvy |
2025 | Ubrelvy | 2024 | 129 | exact normalized | Medicare Part D |
| ZEPOSIA zeposia |
2025 | Zeposia | 2024 | 26 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 company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
100 | 24 |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | UBRELVY open payments reported associated product |
CMS Open Payments — General Payments 299803 supporting records · 61203 recipient NPIs · example record 1201352530 |
Ubrelvy · 2024 Exact normalized brand match · 1 Part D row |
129 | 42 |
| Amneal Pharmaceuticals LLC Exact reporting entity; no affiliate inference |
2025 | RYTARY open payments reported associated product |
CMS Open Payments — General Payments 200 supporting records · 121 recipient NPIs · example record 1220526035 |
Rytary · 2024 Exact normalized brand match · 1 Part D row |
31 | suppressed by CMS |
| Celgene Corporation Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 25 supporting records · 24 recipient NPIs · example record 1184385048 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
53 | 11 |
| Celgene Corporation Exact reporting entity; no affiliate inference |
2025 | ZEPOSIA open payments reported associated product |
CMS Open Payments — General Payments 9581 supporting records · 2490 recipient NPIs · example record 1184377823 |
Zeposia · 2024 Exact normalized brand match · 1 Part D row |
26 | suppressed by CMS |
| 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 |
53 | 11 |
| 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 |
95 | 28 |
| UCB, Inc. Exact reporting entity; no affiliate inference |
2025 | Briviact open payments reported associated product |
CMS Open Payments — General Payments 13595 supporting records · 4444 recipient NPIs · example record 1224348489 |
Briviact · 2024 Exact normalized brand match · 1 Part D row |
33 | 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Gabapentin | Gabapentin | 534 | 101 |
| Donepezil Hcl | Donepezil Hcl | 487 | 154 |
| Topiramate | Topiramate | 373 | 89 |
| Clonazepam | Clonazepam | 282 | 49 |
| Levetiracetam | Levetiracetam | 235 | 61 |
| Memantine Hcl | Memantine Hcl | 225 | 64 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 225 | 66 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 194 | 28 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 193 | 47 |
| Primidone | Primidone | 185 | 42 |
| Lamotrigine | Lamotrigine | 171 | 36 |
| Sumatriptan Succinate | Sumatriptan Succinate | 171 | 50 |
| Prednisone | Prednisone | 162 | 55 |
| Pregabalin | Pregabalin | 149 | 25 |
| Ubrelvy | Ubrogepant | 129 | 42 |
| Aimovig Autoinjector | Erenumab-Aooe | 127 | 23 |
| Ropinirole Hcl | Ropinirole Hcl | 124 | 37 |
| Lacosamide | Lacosamide | 113 | 17 |
| Tizanidine Hcl | Tizanidine Hcl | 107 | 22 |
| Amitriptyline Hcl | Amitriptyline Hcl | 105 | 27 |
| Qulipta | Atogepant | 100 | 24 |
| Nurtec Odt | Rimegepant Sulfate | 95 | 28 |
| Alprazolam | Alprazolam | 89 | 15 |
| Amantadine | Amantadine Hcl | 87 | 21 |
| Emgality Pen | Galcanezumab-Gnlm | 84 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 83 | 18 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 80 | 13 |
| Zonisamide | Zonisamide | 80 | 18 |
| Baclofen | Baclofen | 79 | 22 |
| Teriflunomide | Teriflunomide | 79 | 11 |
| Fycompa | Perampanel | 75 | 11 |
| Lorazepam | Lorazepam | 75 | 13 |
| Meloxicam | Meloxicam | 69 | 16 |
| Clopidogrel | Clopidogrel Bisulfate | 64 | 19 |
| Methotrexate | Methotrexate Sodium | 61 | 15 |
| Azathioprine | Azathioprine | 56 | 12 |
| Oxcarbazepine | Oxcarbazepine | 55 | 20 |
| Divalproex Sodium | Divalproex Sodium | 54 | 13 |
| Eliquis | Apixaban | 53 | 11 |
| Namzaric | Memantine Hcl/Donepezil Hcl | 48 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 47 | 13 |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 45 | 11 |
| Pyridostigmine Bromide | Pyridostigmine Bromide | 45 | 13 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 42 | suppressed |
| Carbamazepine Er | Carbamazepine | 41 | suppressed |
| Dimethyl Fumarate | Dimethyl Fumarate | 40 | suppressed |
| Kesimpta Pen | Ofatumumab | 39 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 39 | suppressed |
| Neupro | Rotigotine | 36 | 12 |
| Divalproex Sodium Er | Divalproex Sodium | 35 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 34 | suppressed |
| Briviact | Brivaracetam | 33 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 33 | suppressed |
| Aptiom | Eslicarbazepine Acetate | 32 | suppressed |
| Nuedexta | Dextromethorphan Hbr/Quinidine | 32 | suppressed |
| Rytary | Carbidopa/Levodopa | 31 | suppressed |
| Dalfampridine Er | Dalfampridine | 30 | suppressed |
| Carbamazepine | Carbamazepine | 28 | suppressed |
| Zeposia | Ozanimod Hydrochloride | 26 | suppressed |
| Diazepam | Diazepam | 25 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 23 | suppressed |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 23 | suppressed |
| Modafinil | Modafinil | 21 | suppressed |
| Octagam | Immun Globg(Igg)/Malt/Iga Ov50 | 21 | suppressed |
| Vumerity | Diroximel Fumarate | 21 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 20 | suppressed |
| Ajovy Autoinjector | Fremanezumab-Vfrm | 19 | suppressed |
| Carbidopa-Levodopa-Entacapone | Carbidopa/Levodopa/Entacapone | 19 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 19 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 18 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 16 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 16 | suppressed |
| Methazolamide | Methazolamide | 15 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 15 | suppressed |
| Acetazolamide Er | Acetazolamide | 14 | suppressed |
| Diphenhydramine Hcl | Diphenhydramine Hcl | 14 | suppressed |
| Nourianz | Istradefylline | 14 | suppressed |
| Acetazolamide | Acetazolamide | 13 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 13 | suppressed |
| Rivastigmine | Rivastigmine | 13 | suppressed |
| Austedo | Deutetrabenazine | 12 | suppressed |
| Gamunex-C | Immune Globul G/Gly/Iga Avg 46 | 12 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 12 | suppressed |
| Naproxen | Naproxen | 12 | suppressed |
| Ondansetron Odt | Ondansetron | 12 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 12 | suppressed |
| Phenobarbital | Phenobarbital | 12 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 12 | suppressed |
| Butalbital-Aspirin-Caffeine | Butalbital/Aspirin/Caffeine | 11 | suppressed |
| Glatopa | Glatiramer Acetate | 11 | suppressed |
| Pramipexole Er | Pramipexole Di-Hcl | 11 | suppressed |
| Qudexy Xr | Topiramate | 11 | suppressed |
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.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $1,930.52 · 47 records | LivaNova USA, Inc. | BRIUMVI, Briviact, CREXONT, INGREZZA, Leqembi, NURTEC ODT, Nayzilam, Ocrevus Zunovo, QULIPTA, Rystiggo, UBRELVY, ULTOMIRIS, VALTOCO, VNS Therapy, VYEPTI, VYVGART, ZAVZPRET, ZEPOSIA, Zilbrysq | 8 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Briviact play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE INC.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| 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 |
Full methodology · Questions & answers · Report a possible error