Payment overview · 2025
General Payments
$2,459.40
100 reported records · 19 companies
Healthcare provider profile · identity verified
Natalia E Almodovar Arbelo, MD
Allopathic & Osteopathic Physicians|Internal Medicine · SAN JUAN, PR · NPI 1114381902
Verified facts
What the public records show
CMS Open Payments records show Natalia E Almodovar Arbelo, MD received $2,459.40 in general payments during 2025 across 100 reported records.
PBG PUERTO RICO LLC accounted for 13.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 52 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ibrance, Lynparza.
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 LYNPARZA as an associated drug or biological on 9531 records involving 5030 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Lynparza by this doctor in 2024.
Merck Sharp & Dohme 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 LYNPARZA as an associated drug or biological on 10903 records involving 6595 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Lynparza by this doctor in 2024.
Novartis Pharmaceuticals 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 PROMACTA as an associated drug or biological on 47 records involving 47 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Promacta by this doctor in 2024.
PBG PUERTO RICO 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 IBRANCE as an associated drug or biological on 367 records involving 97 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Ibrance 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 |
|---|---|---|---|---|---|
| PBG PUERTO RICO LLC | Unresolved — no canonical attribution shown | $319.95 | 13.0% | 14 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $312.61 | 12.7% | 13 | 2025 |
| Janssen Pharmaceuticals, Inc | Unresolved — no canonical attribution shown | $281.64 | 11.4% | 10 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $275.46 | 11.2% | 12 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $230.33 | 9.4% | 10 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $157.22 | 6.4% | 7 | 2025 |
| Eli Lilly Export S.A. Puerto Rico Branch | Unresolved — no canonical attribution shown | $124.96 | 5.1% | 5 | 2025 |
| Caris MPI, Inc. | Unresolved — no canonical attribution shown | $105.70 | 4.3% | 4 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $100.89 | 4.1% | 4 | 2025 |
| SEAGEN INC. | Unresolved — no canonical attribution shown | $99.99 | 4.1% | 1 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $96.88 | 3.9% | 4 | 2025 |
| Bayer Puerto Rico Inc. | Unresolved — no canonical attribution shown | $87.66 | 3.6% | 4 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $51.97 | 2.1% | 3 | 2025 |
| Telix Pharmaceuticals | Unresolved — no canonical attribution shown | $50.17 | 2.0% | 2 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $44.54 | 1.8% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $40.89 | 1.7% | 2 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $28.55 | 1.2% | 1 | 2025 |
| Tempus AI, Inc | Unresolved — no canonical attribution shown | $25.00 | 1.0% | 1 | 2025 |
| PUMA BIOTECHNOLOGY, INC. | Unresolved — no canonical attribution shown | $24.99 | 1.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,359.41 | 99 |
| Education | $99.99 | 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
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $230.33 | 10 | 2025 |
Source payment records
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| DARZALEX Normalized: darzalex |
Biological | Janssen Pharmaceuticals, Inc | $127.62 | 4 | 2025 |
Source payment records
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| ORGOVYX Normalized: orgovyx |
Drug | PBG PUERTO RICO LLC | $125.00 | 5 | 2025 |
Source payment records
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| TALZENNA Normalized: talzenna |
Drug | PBG PUERTO RICO LLC | $125.00 | 5 | 2025 |
Source payment records
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| XTANDI Normalized: xtandi |
Drug | PBG PUERTO RICO LLC | $125.00 | 5 | 2025 |
Source payment records
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| OPDIVO Normalized: opdivo |
Biological | E.R. Squibb & Sons, L.L.C. | $118.49 | 5 | 2025 |
Source payment records
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| MI CANCER SEEK Normalized: mi cancer seek |
Device | Caris MPI, Inc. | $105.70 | 4 | 2025 |
Source payment records
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| IMFINZI Normalized: imfinzi |
Biological | AstraZeneca Pharmaceuticals LP | $92.36 | 4 | 2025 |
Source payment records
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| ELAHERE Normalized: elahere |
Drug | ABBVIE INC. | $91.62 | 4 | 2025 |
Source payment records
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Puerto Rico Inc. | $87.66 | 4 | 2025 |
Source payment records
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| LYNPARZA Normalized: lynparza |
Drug | AstraZeneca Pharmaceuticals LP | $85.45 | 4 | 2025 |
Source payment records
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| LIBTAYO Normalized: libtayo |
Biological | Regeneron Healthcare Solutions, Inc. | $75.00 | 3 | 2025 |
Source payment records
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| VERZENIO Normalized: verzenio |
Drug | Eli Lilly Export S.A. Puerto Rico Branch | $74.98 | 3 | 2025 |
Source payment records
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| REBLOZYL Normalized: reblozyl |
Biological | E.R. Squibb & Sons, L.L.C. | $74.54 | 3 | 2025 |
Source payment records
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| Stivarga Normalized: stivarga |
Drug | Bayer Puerto Rico Inc. | $74.03 | 3 | 2025 |
Source payment records
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| ERLEADA Normalized: erleada |
Drug | Janssen Pharmaceuticals, Inc | $73.22 | 3 | 2025 |
Source payment records
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| RYBREVANT Normalized: rybrevant |
Drug | Janssen Pharmaceuticals, Inc | $72.91 | 3 | 2025 |
Source payment records
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| KISQALI Normalized: kisqali |
Drug | Novartis Pharmaceuticals Corporation | $72.15 | 3 | 2025 |
Source payment records
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| BREYANZI Normalized: breyanzi |
Biological | E.R. Squibb & Sons, L.L.C. | $71.96 | 3 | 2025 |
Source payment records
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| ADCETRIS Normalized: adcetris |
Biological | PBG PUERTO RICO LLC | $70.83 | 3 | 2025 |
Source payment records
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| ELREXFIO Normalized: elrexfio |
Drug | PBG PUERTO RICO LLC | $70.83 | 3 | 2025 |
Source payment records
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| IBRANCE Normalized: ibrance |
Drug | PBG PUERTO RICO LLC | $69.55 | 3 | 2025 |
Source payment records
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| EMRELIS Normalized: emrelis |
Drug | ABBVIE INC. | $68.97 | 3 | 2025 |
Source payment records
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| EPKINLY Normalized: epkinly |
Drug | ABBVIE INC. | $65.60 | 3 | 2025 |
Source payment records
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| VENCLEXTA Normalized: venclexta |
Drug | ABBVIE INC. | $65.60 | 3 | 2025 |
Source payment records
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| XYNTHA Normalized: xyntha |
Biological | PBG PUERTO RICO LLC | $54.57 | 3 | 2025 |
Source payment records
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| SARCLISA Normalized: sarclisa |
Biological | GENZYME CORPORATION | $51.97 | 3 | 2025 |
Source payment records
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| ILLUCCIX Normalized: illuccix |
Drug | Telix Pharmaceuticals | $50.17 | 2 | 2025 |
Source payment records
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| JAYPIRCA Normalized: jaypirca |
Drug | Eli Lilly Export S.A. Puerto Rico Branch | $50.00 | 2 | 2025 |
Source payment records
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| TAGRISSO Normalized: tagrisso |
Drug | AstraZeneca Pharmaceuticals LP | $47.65 | 2 | 2025 |
Source payment records
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| OPDUALAG Normalized: opdualag |
Drug | E.R. Squibb & Sons, L.L.C. | $47.62 | 2 | 2025 |
Source payment records
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| WELIREG Normalized: welireg |
Drug | Merck Sharp & Dohme LLC | $46.88 | 2 | 2025 |
Source payment records
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| Trodelvy Normalized: trodelvy |
Drug | Gilead Sciences, Inc. | $44.54 | 2 | 2025 |
Source payment records
|
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| BENEFIX Normalized: benefix |
Biological | PBG PUERTO RICO LLC | $36.38 | 2 | 2025 |
Source payment records
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| HYMPAVZI Normalized: hympavzi |
Drug | PBG PUERTO RICO LLC | $36.38 | 2 | 2025 |
Source payment records
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| TECVAYLI Normalized: tecvayli |
Biological | Janssen Pharmaceuticals, Inc | $32.89 | 1 | 2025 |
Source payment records
|
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| Fabhalta Normalized: fabhalta |
Drug | Novartis Pharmaceuticals Corporation | $28.74 | 1 | 2025 |
Source payment records
|
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| SCEMBLIX Normalized: scemblix |
Drug | Novartis Pharmaceuticals Corporation | $28.74 | 1 | 2025 |
Source payment records
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| NINLARO Normalized: ninlaro |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $28.55 | 1 | 2025 |
Source payment records
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| BOSULIF Normalized: bosulif |
Drug | PBG PUERTO RICO LLC | $25.76 | 1 | 2025 |
Source payment records
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| CALQUENCE Normalized: calquence |
Drug | AstraZeneca Pharmaceuticals LP | $25.00 | 1 | 2025 |
Source payment records
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| ENHERTU Normalized: enhertu |
Biological | AstraZeneca Pharmaceuticals LP | $25.00 | 1 | 2025 |
Source payment records
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| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $25.00 | 1 | 2025 |
Source payment records
|
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| KYPROLIS Normalized: kyprolis |
Drug | Amgen Inc. | $25.00 | 1 | 2025 |
Source payment records
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| XT CDX Normalized: xt cdx |
Device | Tempus AI, Inc | $25.00 | 1 | 2025 |
Source payment records
|
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| NERLYNX Normalized: nerlynx |
Drug | PUMA BIOTECHNOLOGY, INC. | $24.99 | 1 | 2025 |
Source payment records
|
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| RETEVMO Normalized: retevmo |
Drug | Eli Lilly Export S.A. Puerto Rico Branch | $24.98 | 1 | 2025 |
Source payment records
|
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| LYNOZYFIC Normalized: lynozyfic |
Biological | Regeneron Healthcare Solutions, Inc. | $21.88 | 1 | 2025 |
Source payment records
|
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| IMDELLTRA (AMG757) Normalized: imdelltra amg757 |
Biological | Amgen Inc. | $15.89 | 1 | 2025 |
Source payment records
|
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| LUMAKRAS Normalized: lumakras |
Drug | Amgen Inc. | $15.89 | 1 | 2025 |
Source payment records
|
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| XGEVA Normalized: xgeva |
Biological | Amgen Inc. | $15.89 | 1 | 2025 |
Source payment records
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| Vitrakvi Normalized: vitrakvi |
Drug | Bayer Puerto Rico Inc. | $13.63 | 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 |
|---|---|---|---|---|---|---|
| IBRANCE ibrance |
2025 | Ibrance | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| LYNPARZA lynparza |
2025 | Lynparza | 2024 | 15 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | LYNPARZA open payments reported associated product |
CMS Open Payments — General Payments 9531 supporting records · 5030 recipient NPIs · example record 1206131376 |
Lynparza · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Merck Sharp & Dohme LLC Exact reporting entity; no affiliate inference |
2025 | LYNPARZA open payments reported associated product |
CMS Open Payments — General Payments 10903 supporting records · 6595 recipient NPIs · example record 1237992238 |
Lynparza · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | PROMACTA open payments reported associated product |
CMS Open Payments — General Payments 47 supporting records · 47 recipient NPIs · example record 1200028032 |
Promacta · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| PBG PUERTO RICO LLC Exact reporting entity; no affiliate inference |
2025 | IBRANCE open payments reported associated product |
CMS Open Payments — General Payments 367 supporting records · 97 recipient NPIs · example record 1228798303 |
Ibrance · 2024 Exact normalized brand match · 1 Part D row |
12 | 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 |
|---|---|---|---|
| Anastrozole | Anastrozole | 90 | 17 |
| Pantoprazole Sodium | Pantoprazole Sodium | 40 | 13 |
| Dexamethasone | Dexamethasone | 38 | 12 |
| Omeprazole | Omeprazole | 31 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 28 | 19 |
| Prednisone | Prednisone | 28 | 16 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 27 | suppressed |
| Famotidine | Famotidine | 22 | suppressed |
| Fentanyl | Fentanyl | 20 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 19 | 11 |
| Hydroxyurea | Hydroxyurea | 15 | suppressed |
| Lynparza | Olaparib | 15 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 14 | suppressed |
| Abiraterone Acetate | Abiraterone Acetate | 13 | suppressed |
| Finasteride | Finasteride | 12 | suppressed |
| Ibrance | Palbociclib | 12 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 12 | suppressed |
| Promacta | Eltrombopag Olamine | 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 | $2,459.40 · 100 records | PBG PUERTO RICO LLC | ADCETRIS, BENEFIX, BOSULIF, BREYANZI, CALQUENCE, DARZALEX, ELAHERE, ELREXFIO, EMRELIS, ENHERTU, EPKINLY, ERLEADA, Fabhalta, HYMPAVZI, IBRANCE, ILLUCCIX, IMDELLTRA (AMG757), IMFINZI, JAYPIRCA, KEYTRUDA, KEYTRUDA QLEX, KISQALI, KYPROLIS, LIBTAYO, LUMAKRAS, LYNOZYFIC, LYNPARZA, MI CANCER SEEK, NERLYNX, NINLARO, Nubeqa, OPDIVO, OPDUALAG, ORGOVYX, REBLOZYL, RETEVMO, RYBREVANT, SARCLISA, SCEMBLIX, Stivarga, TAGRISSO, TALZENNA, TECVAYLI, Trodelvy, VENCLEXTA, VERZENIO, Vitrakvi, WELIREG, XGEVA, XT CDX, XTANDI, XYNTHA | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ibrance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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