Payment overview · 2025
General Payments
$15.34
1 reported records · 1 companies
Healthcare provider profile · identity verified
Richard Carl Fleming, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · WHITEVILLE, NC · NPI 1124081930
Verified facts
What the public records show
CMS Open Payments records show Richard Carl Fleming, M.D. received $15.34 in general payments during 2025 across 1 reported records.
Esperion Therapeutics, Inc. accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| Esperion Therapeutics, Inc. | Unresolved — no canonical attribution shown | $15.34 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $15.34 | 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 |
|---|---|---|---|---|---|
| NEXLETOL Normalized: nexletol |
Drug | Esperion Therapeutics, Inc. | $15.34 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 | 359 | 87 |
| Levothyroxine Sodium | Levothyroxine Sodium | 326 | 71 |
| Omeprazole | Omeprazole | 292 | 65 |
| Gabapentin | Gabapentin | 285 | 78 |
| Metoprolol Succinate | Metoprolol Succinate | 276 | 64 |
| Potassium Chloride | Potassium Chloride | 262 | 52 |
| Atorvastatin Calcium | Atorvastatin Calcium | 237 | 55 |
| Amlodipine Besylate | Amlodipine Besylate | 230 | 55 |
| Pravastatin Sodium | Pravastatin Sodium | 190 | 50 |
| Alprazolam | Alprazolam | 189 | 37 |
| Tramadol Hcl | Tramadol Hcl | 169 | 47 |
| Meloxicam | Meloxicam | 156 | 42 |
| Oxycodone Hcl | Oxycodone Hcl | 153 | 25 |
| Montelukast Sodium | Montelukast Sodium | 146 | 45 |
| Losartan Potassium | Losartan Potassium | 143 | 34 |
| Paroxetine Hcl | Paroxetine Hcl | 141 | 31 |
| Fluticasone Propionate | Fluticasone Propionate | 134 | 49 |
| Tamsulosin Hcl | Tamsulosin Hcl | 129 | 36 |
| Glimepiride | Glimepiride | 122 | 27 |
| Clopidogrel | Clopidogrel Bisulfate | 120 | 31 |
| Azithromycin | Azithromycin | 113 | 86 |
| Temazepam | Temazepam | 105 | 16 |
| Xarelto | Rivaroxaban | 103 | 18 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 102 | 24 |
| Ondansetron Hcl | Ondansetron Hcl | 99 | 37 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 98 | 22 |
| Atenolol | Atenolol | 93 | 25 |
| Januvia | Sitagliptin Phosphate | 92 | 13 |
| Torsemide | Torsemide | 92 | 30 |
| Dexamethasone | Dexamethasone | 91 | 71 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 88 | 64 |
| Furosemide | Furosemide | 85 | 29 |
| Zolpidem Tartrate | Zolpidem Tartrate | 82 | 13 |
| Hydrochlorothiazide | Hydrochlorothiazide | 80 | 25 |
| Duloxetine Hcl | Duloxetine Hcl | 77 | 14 |
| Allopurinol | Allopurinol | 69 | 21 |
| Fluoxetine Hcl | Fluoxetine Hcl | 69 | 12 |
| Celecoxib | Celecoxib | 68 | 16 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 68 | 20 |
| Ezetimibe | Ezetimibe | 68 | 15 |
| Ropinirole Hcl | Ropinirole Hcl | 67 | 11 |
| Sertraline Hcl | Sertraline Hcl | 66 | 18 |
| Estradiol | Estradiol | 61 | 11 |
| Finasteride | Finasteride | 58 | 14 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 58 | 13 |
| Cefdinir | Cefdinir | 52 | 42 |
| Spironolactone | Spironolactone | 51 | 12 |
| Metformin Hcl | Metformin Hcl | 50 | 16 |
| Cefuroxime | Cefuroxime Axetil | 49 | 41 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 49 | suppressed |
| Simvastatin | Simvastatin | 49 | 15 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 43 | 13 |
| Propranolol Hcl Er | Propranolol Hcl | 43 | suppressed |
| Calcitriol | Calcitriol | 42 | suppressed |
| Eliquis | Apixaban | 41 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 40 | suppressed |
| Lisinopril | Lisinopril | 40 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 38 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 38 | 12 |
| Clonazepam | Clonazepam | 37 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 36 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 36 | 16 |
| Oxybutynin Chloride | Oxybutynin Chloride | 36 | suppressed |
| Sucralfate | Sucralfate | 36 | 17 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 36 | suppressed |
| Diazepam | Diazepam | 34 | suppressed |
| Lovastatin | Lovastatin | 34 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 34 | suppressed |
| Tradjenta | Linagliptin | 34 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 33 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 33 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 32 | suppressed |
| Pregabalin | Pregabalin | 32 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 31 | 24 |
| Linzess | Linaclotide | 31 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 31 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 30 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 30 | suppressed |
| Synthroid | Levothyroxine Sodium | 30 | suppressed |
| Lorazepam | Lorazepam | 29 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 29 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 29 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 29 | 17 |
| Verapamil Er | Verapamil Hcl | 29 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 28 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 28 | suppressed |
| Jardiance | Empagliflozin | 28 | suppressed |
| Methadone Hcl | Methadone Hcl | 27 | suppressed |
| Repatha Sureclick | Evolocumab | 27 | suppressed |
| Oseltamivir Phosphate | Oseltamivir Phosphate | 26 | 23 |
| Liothyronine Sodium | Liothyronine Sodium | 25 | suppressed |
| Prednisone | Prednisone | 25 | suppressed |
| Famotidine | Famotidine | 24 | suppressed |
| Levofloxacin | Levofloxacin | 24 | 19 |
| Oxycontin | Oxycodone Hcl | 24 | suppressed |
| Clindamycin Hcl | Clindamycin Hcl | 23 | 20 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 23 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 23 | 17 |
| Pioglitazone Hcl | Pioglitazone Hcl | 23 | suppressed |
| Verapamil Sr | Verapamil Hcl | 23 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 22 | suppressed |
| Amoxicillin | Amoxicillin | 22 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 21 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 21 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 20 | suppressed |
| Gemfibrozil | Gemfibrozil | 20 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 20 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 20 | 11 |
| Tizanidine Hcl | Tizanidine Hcl | 20 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 20 | 15 |
| Amitriptyline Hcl | Amitriptyline Hcl | 19 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 19 | 18 |
| Escitalopram Oxalate | Escitalopram Oxalate | 19 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 19 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 19 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 19 | 15 |
| Methenamine Hippurate | Methenamine Hippurate | 19 | suppressed |
| Minoxidil | Minoxidil | 17 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 16 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 16 | 11 |
| Fluconazole | Fluconazole | 16 | 11 |
| Mirtazapine | Mirtazapine | 16 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 16 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 15 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 14 | suppressed |
| Carvedilol | Carvedilol | 14 | suppressed |
| Ozempic | Semaglutide | 14 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 14 | suppressed |
| Aripiprazole | Aripiprazole | 13 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 13 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 13 | suppressed |
| Digoxin | Digoxin | 13 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 13 | suppressed |
| Hydrocortisone | Hydrocortisone | 13 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 13 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 13 | 13 |
| Rybelsus | Semaglutide | 13 | suppressed |
| Theophylline Er | Theophylline Anhydrous | 13 | suppressed |
| Triazolam | Triazolam | 13 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 12 | suppressed |
| Armour Thyroid | Thyroid,pork | 12 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 12 | suppressed |
| Plavix | Clopidogrel Bisulfate | 12 | suppressed |
| Ramipril | Ramipril | 12 | suppressed |
| Rhopressa | Netarsudil Mesylate | 12 | suppressed |
| Carisoprodol | Carisoprodol | 11 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 11 | suppressed |
| Fenofibrate | Fenofibrate | 11 | suppressed |
| Glipizide Er | Glipizide | 11 | suppressed |
| Klor-Con M20 | Potassium Chloride | 11 | suppressed |
| Levetiracetam | Levetiracetam | 11 | suppressed |
| Methimazole | Methimazole | 11 | suppressed |
| Ranolazine Er | Ranolazine | 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 | $15.34 · 1 records | Esperion Therapeutics, Inc. | NEXLETOL | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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