Payment overview · 2025
General Payments
$18,280.00
22 reported records · 7 companies
Healthcare provider profile · identity verified
Amanda Peltier, MD
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology · NASHVILLE, TN · NPI 1093802126
Verified facts
What the public records show
CMS Open Payments records show Amanda Peltier, MD received $18,280.00 in general payments during 2025 across 22 reported records.
AstraZeneca Pharmaceuticals LP accounted for 58.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 5 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Wainua.
Alnylam 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 ONPATTRO as an associated drug or biological on 10694 records involving 4939 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Onpattro by this doctor in 2024.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported WAINUA as an associated drug or biological on 13293 records involving 7069 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Wainua by this doctor in 2024.
AstraZeneca UK Limited reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported WAINUA as an associated drug or biological on 35 records involving 15 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Wainua by this doctor in 2024.
CSL Behring reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Privigen as an associated drug or biological on 464 records involving 289 distinct recipient NPIs. Public Medicare Part D data also shows 25 claims for Privigen 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $10,605.24 | 58.0% | 9 | 2025 |
| AstraZeneca UK Limited | Unresolved — no canonical attribution shown | $6,444.00 | 35.2% | 2 | 2025 |
| CSL Behring | Unresolved — no canonical attribution shown | $398.53 | 2.2% | 3 | 2025 |
| ARGENX US, INC. | Unresolved — no canonical attribution shown | $382.19 | 2.1% | 2 | 2025 |
| Alnylam Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $298.49 | 1.6% | 3 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $130.22 | 0.7% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $21.33 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $11,589.50 | 5 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $4,652.98 | 2 |
| Travel and Lodging | $1,204.69 | 3 |
| Food and Beverage | $721.13 | 10 |
| Education | $111.70 | 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 |
|---|---|---|---|---|---|
| WAINUA Normalized: wainua |
Drug | AstraZeneca Pharmaceuticals LP, AstraZeneca UK Limited | $16,836.24 | 9 | 2025 |
Source payment records
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| Hizentra Normalized: hizentra |
Biological | CSL Behring | $398.53 | 3 | 2025 |
Source payment records
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| AMVUTTRA Normalized: amvuttra |
Drug | Alnylam Pharmaceuticals Inc. | $298.49 | 3 | 2025 |
Source payment records
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| VYVGART Normalized: vyvgart |
Drug | ARGENX US, INC. | $69.69 | 1 | 2025 |
Source payment records
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| UPLIZNA Normalized: uplizna |
Biological | Amgen Inc. | $21.33 | 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 |
|---|---|---|---|---|---|---|
| WAINUA wainua |
2025 | Wainua | 2024 | 12 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 |
|---|---|---|---|---|---|---|
| Alnylam Pharmaceuticals Inc. Exact reporting entity; no affiliate inference |
2025 | ONPATTRO open payments reported associated product |
CMS Open Payments — General Payments 10694 supporting records · 4939 recipient NPIs · example record 1212737065 |
Onpattro · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | WAINUA open payments reported associated product |
CMS Open Payments — General Payments 13293 supporting records · 7069 recipient NPIs · example record 1206131360 |
Wainua · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| AstraZeneca UK Limited Exact reporting entity; no affiliate inference |
2025 | WAINUA open payments reported associated product |
CMS Open Payments — General Payments 35 supporting records · 15 recipient NPIs · example record 1202926740 |
Wainua · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| CSL Behring Exact reporting entity; no affiliate inference |
2025 | Privigen open payments reported associated product |
CMS Open Payments — General Payments 464 supporting records · 289 recipient NPIs · example record 1232339064 |
Privigen · 2024 Exact normalized brand match · 1 Part D row |
25 | 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 | 139 | 41 |
| Pregabalin | Pregabalin | 135 | 25 |
| Droxidopa | Droxidopa | 122 | 16 |
| Duloxetine Hcl | Duloxetine Hcl | 43 | 14 |
| Pyridostigmine Bromide | Pyridostigmine Bromide | 43 | 16 |
| Diphenhydramine Hcl | Diphenhydramine Hcl | 42 | suppressed |
| Gammagard Liquid | Immun Glob G(Igg)/Gly/Iga Ov50 | 35 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 31 | 13 |
| Ondansetron Hcl | Ondansetron Hcl/Pf | 28 | suppressed |
| Privigen | Immun Glob G(Igg)/Pro/Iga 0-50 | 25 | suppressed |
| Firdapse | Amifampridine Phosphate | 23 | suppressed |
| Losartan Potassium | Losartan Potassium | 22 | suppressed |
| Radicava Ors | Edaravone | 22 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 19 | suppressed |
| Riluzole | Riluzole | 19 | suppressed |
| Atomoxetine Hcl | Atomoxetine Hcl | 18 | suppressed |
| Carisoprodol | Carisoprodol | 18 | suppressed |
| Lidocaine | Lidocaine | 18 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 18 | suppressed |
| Aimovig Autoinjector | Erenumab-Aooe | 15 | suppressed |
| Onpattro | Patisiran Sodium,lipid Complex | 15 | suppressed |
| Baclofen | Baclofen | 14 | suppressed |
| Levetiracetam | Levetiracetam | 14 | suppressed |
| Pyridostigmine Bromide Er | Pyridostigmine Bromide | 14 | suppressed |
| Atropine Sulfate | Atropine Sulfate | 13 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 13 | suppressed |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 13 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 13 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 13 | suppressed |
| Armodafinil | Armodafinil | 12 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 12 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 12 | suppressed |
| Verapamil Hcl | Verapamil Hcl | 12 | suppressed |
| Wainua | Eplontersen Sodium | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 11 | suppressed |
| Azathioprine | Azathioprine | 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 | $18,280.00 · 22 records | AstraZeneca Pharmaceuticals LP | AMVUTTRA, Hizentra, UPLIZNA, VYVGART, WAINUA | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Wainua play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Alnylam Pharmaceuticals 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