Payment overview · 2025
General Payments
51 reported records · 11 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism · RAPID CITY, SD · NPI 1063510691
Verified facts
CMS Open Payments records show John Palmer, DO received $3,756.77 in general payments during 2025 across 51 reported records.
Dexcom, Inc. accounted for 71.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 20 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Mounjaro, Ozempic, Rybelsus.
Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 392 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 392 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 264 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 106 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 Fiasp as an associated drug or biological on 15 records involving 15 distinct recipient NPIs. Public Medicare Part D data also shows 39 claims for Fiasp 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 605 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Rybelsus by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
51 reported records · 11 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $2,682.68 | 71.4% | 3 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$548.89 | 14.6% | 13 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $151.48 | 4.0% | 9 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $143.03 | 3.8% | 13 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $67.59 | 1.8% | 4 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $42.75 | 1.1% | 2 | 2025 |
| Ascendis Pharma Endocrinology Inc | Unresolved — no canonical attribution shown | $42.31 | 1.1% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $31.84 | 0.8% | 2 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $16.02 | 0.4% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $15.16 | 0.4% | 1 | 2025 |
| Rhythm Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $15.02 | 0.4% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Compensation for serving as faculty or as a speaker for a medical education program | $2,681.00 | 2 |
| Food and Beverage | $793.85 | 48 |
| Travel and Lodging | $281.92 | 1 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| DEXCOM G7 GSS (161) Normalized: dexcom g7 gss 161 |
Medical Supply | Dexcom, Inc. | $2,681.00 | 2 | 2025 |
Source payment records
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| DEXCOM STELO GLUCOSE BIOSENSOR Normalized: dexcom stelo glucose biosensor |
Not specified | Dexcom, Inc. | $2,681.00 | 2 | 2025 |
Source payment records
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| MINIMED 780G Normalized: minimed 780g |
Device | Medtronic, Inc. | $528.68 | 12 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $151.48 | 9 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $151.48 | 9 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $143.03 | 13 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $67.59 | 4 | 2025 |
Source payment records
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| Skytrofa Normalized: skytrofa |
Drug | Ascendis Pharma Endocrinology Inc | $42.31 | 2 | 2025 |
Source payment records
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| GENOTROPIN Normalized: genotropin |
Drug | PFIZER INC. | $31.84 | 2 | 2025 |
Source payment records
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| NGENLA Normalized: ngenla |
Drug | PFIZER INC. | $31.84 | 2 | 2025 |
Source payment records
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| SOMAVERT Normalized: somavert |
Drug | PFIZER INC. | $31.84 | 2 | 2025 |
Source payment records
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| TEPEZZA Normalized: tepezza |
Biological | Amgen Inc. | $25.47 | 1 | 2025 |
Source payment records
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| ABRE Normalized: abre |
Device | Medtronic, Inc. | $20.21 | 1 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $17.28 | 1 | 2025 |
Source payment records
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $17.28 | 1 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $16.02 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $15.16 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $15.16 | 1 | 2025 |
Source payment records
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| IMCIVREE Normalized: imcivree |
Drug | Rhythm Pharmaceuticals, Inc. | $15.02 | 1 | 2025 |
Source payment records
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $1.68 | 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.
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 392 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 264 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 605 | exact normalized | Medicare Part D |
| Rybelsus rybelsus |
2025 | Rybelsus | 2024 | 24 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
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 |
|---|---|---|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
392 | 97 |
| 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 |
392 | 97 |
| 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 |
264 | 56 |
| 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 |
106 | 24 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Fiasp open payments reported associated product |
CMS Open Payments — General Payments 15 supporting records · 15 recipient NPIs · example record 1188262936 |
Fiasp · 2024 Exact normalized brand match · 1 Part D row |
39 | 12 |
| 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 |
605 | 114 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
24 | 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 931 | 242 |
| Ozempic | Semaglutide | 605 | 114 |
| Jardiance | Empagliflozin | 392 | 97 |
| Metformin Hcl | Metformin Hcl | 299 | 76 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 297 | 109 |
| Synthroid | Levothyroxine Sodium | 291 | 59 |
| Metformin Hcl Er | Metformin Hcl | 284 | 83 |
| Mounjaro | Tirzepatide | 264 | 56 |
| Novolog Flexpen | Insulin Aspart | 249 | 97 |
| Tresiba Flextouch U-100 | Insulin Degludec | 236 | 68 |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 165 | 41 |
| Pioglitazone Hcl | Pioglitazone Hcl | 156 | 45 |
| Methimazole | Methimazole | 150 | 35 |
| Atorvastatin Calcium | Atorvastatin Calcium | 141 | 43 |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 137 | 29 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 132 | 60 |
| Humalog Kwikpen U-100 | Insulin Lispro | 123 | 44 |
| Tresiba Flextouch U-200 | Insulin Degludec | 117 | 34 |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 111 | 44 |
| Farxiga | Dapagliflozin Propanediol | 109 | 31 |
| Trulicity | Dulaglutide | 106 | 24 |
| Gabapentin | Gabapentin | 101 | 30 |
| Hydrocortisone | Hydrocortisone | 97 | 16 |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 83 | 41 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 80 | 30 |
| Januvia | Sitagliptin Phosphate | 78 | 19 |
| Lisinopril | Lisinopril | 76 | 22 |
| Losartan Potassium | Losartan Potassium | 72 | 23 |
| Testosterone | Testosterone | 66 | 20 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 64 | 24 |
| Hydrochlorothiazide | Hydrochlorothiazide | 64 | 19 |
| Glimepiride | Glimepiride | 56 | 17 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 52 | 19 |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 50 | 17 |
| Humalog | Insulin Lispro | 46 | 16 |
| Amlodipine Besylate | Amlodipine Besylate | 45 | 14 |
| Droplet Pen Needle | Pen Needle, Diabetic | 44 | 15 |
| Humalog Kwikpen U-200 | Insulin Lispro | 40 | 12 |
| Fiasp | Insulin Aspart (Niacinamide) | 39 | 12 |
| Armour Thyroid | Thyroid,pork | 38 | suppressed |
| Simvastatin | Simvastatin | 38 | 11 |
| Omeprazole | Omeprazole | 37 | suppressed |
| Prednisone | Prednisone | 37 | 12 |
| Testosterone Cypionate | Testosterone Cypionate | 36 | 12 |
| Glipizide Er | Glipizide | 35 | 11 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 34 | 12 |
| Insulin Aspart Flexpen | Insulin Aspart | 31 | 19 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 31 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 30 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 29 | 12 |
| Tradjenta | Linagliptin | 28 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 26 | suppressed |
| Insulin Lispro | Insulin Lispro | 26 | suppressed |
| Strensiq | Asfotase Alfa | 26 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 25 | suppressed |
| Novolog | Insulin Aspart | 24 | 13 |
| Rybelsus | Semaglutide | 24 | suppressed |
| Np Thyroid | Thyroid,pork | 23 | suppressed |
| Invokana | Canagliflozin | 22 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 22 | suppressed |
| Vascepa | Icosapent Ethyl | 22 | suppressed |
| Xultophy 100-3.6 | Insulin Degludec/Liraglutide | 22 | suppressed |
| Pen Needle | Pen Needle, Diabetic | 21 | suppressed |
| Fenofibrate | Fenofibrate | 20 | suppressed |
| Glipizide | Glipizide | 20 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 20 | suppressed |
| Glyxambi | Empagliflozin/Linagliptin | 19 | suppressed |
| Humulin 70/30 Kwikpen | Insulin Nph Hum/Reg Insulin Hm | 19 | suppressed |
| Novolin 70-30 Flexpen | Insulin Nph Hum/Reg Insulin Hm | 19 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 19 | suppressed |
| Amiloride Hcl | Amiloride Hcl | 18 | suppressed |
| Calcitriol | Calcitriol | 18 | suppressed |
| Pregabalin | Pregabalin | 16 | suppressed |
| Cabergoline | Cabergoline | 15 | suppressed |
| Carvedilol | Carvedilol | 15 | suppressed |
| Humulin R U-500 Kwikpen | Insulin Regular, Human | 15 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 15 | suppressed |
| Chlorthalidone | Chlorthalidone | 14 | suppressed |
| Desmopressin Acetate | Desmopressin Acetate | 14 | suppressed |
| Easy Touch Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Potassium Chloride | Potassium Chloride | 14 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 14 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 14 | suppressed |
| Humalog Mix 75-25 Kwikpen | Insulin Lispro Protamin/Lispro | 13 | suppressed |
| Teriparatide | Teriparatide | 13 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 12 | suppressed |
| Repatha Sureclick | Evolocumab | 12 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 11 | suppressed |
| Baqsimi | Glucagon | 11 | suppressed |
| Insulin Degludec Pen (U-100) | Insulin Degludec | 11 | suppressed |
| Lyumjev Kwikpen U-100 | Insulin Lispro-Aabc | 11 | suppressed |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 11 | suppressed |
| Novolog Penfill | Insulin Aspart | 11 | suppressed |
| Omnipod 5 Dexg7g6 Pods (Gen 5) | Insulin Pump Cart,auto,bt,g6/7 | 11 | suppressed |
| Omnipod Dash Pods (Gen 4) | Insulin Pump Cart,cont Inf,bt | 11 | suppressed |
| Spironolactone | Spironolactone | 11 | suppressed |
Timeline
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 | $3,756.77 · 51 records | Dexcom, Inc. | ABRE, DEXCOM G7 GSS (161), DEXCOM STELO GLUCOSE BIOSENSOR, Dexcom G6 Transmitter, EVENITY, FREESTYLE LIBRE 3, GENOTROPIN, IMCIVREE, JARDIANCE, LEQVIO, MINIMED 780G, MOUNJARO, NGENLA, Ozempic, PROLIA, Rybelsus, SOMAVERT, Skytrofa, TEPEZZA, ZEPBOUND | 7 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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