Payment overview · 2025
General Payments
$809.96
37 reported records · 13 companies
Healthcare provider profile · identity verified
Brian S Smith, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology · WINSTON SALEM, NC · NPI 1093862898
Verified facts
What the public records show
CMS Open Payments records show Brian S Smith, MD received $809.96 in general payments during 2025 across 37 reported records.
ABBVIE INC. accounted for 27.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 18 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Linzess, Ocaliva, Xifaxan, Zenpep.
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 150 claims for Linzess by this doctor in 2024.
Aimmune Therapeutics, 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 ZENPEP as an associated drug or biological on 32144 records involving 12432 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Zenpep by this doctor in 2024.
IRONWOOD 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 Linzess as an associated drug or biological on 1209 records involving 1184 distinct recipient NPIs. Public Medicare Part D data also shows 150 claims for Linzess by this doctor in 2024.
Intercept 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 OCALIVA as an associated drug or biological on 9842 records involving 5240 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Ocaliva by this doctor in 2024.
Salix Pharmaceuticals, a division of Bausch Health US, 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 XIFAXAN as an associated drug or biological on 101901 records involving 33018 distinct recipient NPIs. Public Medicare Part D data also shows 49 claims for Xifaxan 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $224.31 | 27.7% | 12 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $117.07 | 14.4% | 5 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $101.65 | 12.6% | 4 | 2025 |
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $95.99 | 11.8% | 3 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $68.73 | 8.5% | 3 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $43.67 | 5.4% | 2 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $34.89 | 4.3% | 2 | 2025 |
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $30.97 | 3.8% | 1 | 2025 |
| Ipsen Biopharmaceuticals, Inc | Unresolved — no canonical attribution shown | $23.37 | 2.9% | 1 | 2025 |
| Intercept Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $19.75 | 2.4% | 1 | 2025 |
| Ferring Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $17.59 | 2.2% | 1 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $16.29 | 2.0% | 1 | 2025 |
| IRONWOOD PHARMACEUTICALS, INC | Unresolved — no canonical attribution shown | $15.68 | 1.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $809.96 | 37 |
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 |
|---|---|---|---|---|---|
| CREON Normalized: creon |
Drug | ABBVIE INC. | $135.27 | 7 | 2025 |
Source payment records
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| LINZESS Normalized: linzess |
Drug | ABBVIE INC., IRONWOOD PHARMACEUTICALS, INC | $103.40 | 5 | 2025 |
Source payment records
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| TREMFYA Normalized: tremfya |
Drug | Janssen Biotech, Inc. | $101.65 | 4 | 2025 |
Source payment records
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| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $95.99 | 3 | 2025 |
Source payment records
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| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $89.04 | 5 | 2025 |
Source payment records
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| SKYRIZI Normalized: skyrizi |
Biological | ABBVIE INC. | $89.04 | 5 | 2025 |
Source payment records
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| GATTEX Normalized: gattex |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $54.82 | 2 | 2025 |
Source payment records
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| VELSIPITY Normalized: velsipity |
Drug | PFIZER INC. | $43.67 | 2 | 2025 |
Source payment records
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| ENTYVIO Normalized: entyvio |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $39.21 | 2 | 2025 |
Source payment records
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| VIBERZI Normalized: viberzi |
Drug | ABBVIE INC. | $38.24 | 2 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $34.89 | 2 | 2025 |
Source payment records
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| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $30.97 | 1 | 2025 |
Source payment records
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| IQIRVO Normalized: iqirvo |
Drug | Ipsen Biopharmaceuticals, Inc | $23.37 | 1 | 2025 |
Source payment records
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| EOHILIA Normalized: eohilia |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $23.04 | 1 | 2025 |
Source payment records
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| XELJANZ Normalized: xeljanz |
Drug | PFIZER INC. | $20.06 | 1 | 2025 |
Source payment records
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| OCALIVA Normalized: ocaliva |
Drug | Intercept Pharmaceuticals, Inc. | $19.75 | 1 | 2025 |
Source payment records
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| REBYOTA Normalized: rebyota |
Biological | Ferring Pharmaceuticals Inc. | $17.59 | 1 | 2025 |
Source payment records
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $16.29 | 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 |
|---|---|---|---|---|---|---|
| LINZESS linzess |
2025 | Linzess | 2024 | 150 | exact normalized | Medicare Part D |
| OCALIVA ocaliva |
2025 | Ocaliva | 2024 | 15 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| XIFAXAN xifaxan |
2025 | Xifaxan | 2024 | 49 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| ZENPEP zenpep |
2025 | Zenpep | 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 company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
150 | 48 |
| Aimmune Therapeutics, Inc. Exact reporting entity; no affiliate inference |
2025 | ZENPEP open payments reported associated product |
CMS Open Payments — General Payments 32144 supporting records · 12432 recipient NPIs · example record 1249641927 |
Zenpep · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| IRONWOOD PHARMACEUTICALS, INC Exact reporting entity; no affiliate inference |
2025 | Linzess open payments reported associated product |
CMS Open Payments — General Payments 1209 supporting records · 1184 recipient NPIs · example record 1227653589 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
150 | 48 |
| Intercept Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | OCALIVA open payments reported associated product |
CMS Open Payments — General Payments 9842 supporting records · 5240 recipient NPIs · example record 1249867901 |
Ocaliva · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC Exact reporting entity; no affiliate inference |
2025 | XIFAXAN open payments reported associated product |
CMS Open Payments — General Payments 101901 supporting records · 33018 recipient NPIs · example record 1231775337 |
Xifaxan · 2024 Exact normalized brand match · 1 Part D row |
49 | 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 |
|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 460 | 166 |
| Dicyclomine Hcl | Dicyclomine Hcl | 155 | 67 |
| Linzess | Linaclotide | 150 | 48 |
| Omeprazole | Omeprazole | 138 | 53 |
| Ondansetron Odt | Ondansetron | 111 | 46 |
| Famotidine | Famotidine | 71 | 25 |
| Xifaxan | Rifaximin | 49 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 39 | 12 |
| Budesonide Dr | Budesonide | 38 | 13 |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 36 | suppressed |
| Mercaptopurine | Mercaptopurine | 32 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 28 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 28 | 21 |
| Hydrocortisone | Hydrocortisone | 25 | 15 |
| Mesalamine | Mesalamine | 25 | suppressed |
| Ursodiol | Ursodiol | 24 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 23 | suppressed |
| Budesonide Ec | Budesonide | 21 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 21 | suppressed |
| Furosemide | Furosemide | 20 | suppressed |
| Metronidazole | Metronidazole | 20 | 19 |
| Azathioprine | Azathioprine | 18 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 15 | 14 |
| Dexlansoprazole Dr | Dexlansoprazole | 15 | suppressed |
| Ocaliva | Obeticholic Acid | 15 | suppressed |
| Allopurinol | Allopurinol | 14 | suppressed |
| Sutab | Sod Sulf/Pot Chloride/Mag Sulf | 13 | 13 |
| Colestipol Hcl | Colestipol Hcl | 12 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 12 | suppressed |
| Spironolactone | Spironolactone | 12 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 11 | suppressed |
| Fluconazole | Fluconazole | 11 | suppressed |
| Gavilyte-C | Peg3350/Sod Sulf,bicarb,cl/Kcl | 11 | 11 |
| Sod Sulf-Potass Sulf-Mag Sulf | Sodium, Potassium,mag Sulfates | 11 | 11 |
| Zenpep | Lipase/Protease/Amylase | 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 | $809.96 · 37 records | ABBVIE INC. | CREON, ENTYVIO, EOHILIA, GATTEX, IQIRVO, LINZESS, OCALIVA, REBYOTA, REZDIFFRA, RINVOQ, SKYRIZI, TREMFYA, VELSIPITY, VIBERZI, VOQUEZNA, XELJANZ, XIFAXAN, ZENPEP | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Linzess 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