Healthcare provider profile · identity verified

Ravish I Narvel, MD

Allopathic & Osteopathic Physicians|Internal Medicine · JACKSONVILLE, FL · NPI 1124088604

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Ravish I Narvel, MD received $142.20 in general payments during 2025 across 2 reported records.

Lilly USA, LLC accounted for 70.6% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 2 associated products.

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 72 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 27 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 40 claims for Trulicity by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$142.20

2 reported records · 2 companies

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
Lilly USA, LLC	Unresolved — no canonical attribution shown	$100.43	70.6%	1	2025
Stryker Corporation	Unresolved — no canonical attribution shown	$41.77	29.4%	1	2025

What were the payments for?

Payment categories

Category	Amount	Records
Food and Beverage	$142.20	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
ZEPBOUND Normalized: zepbound	Drug	Lilly USA, LLC	$100.43	1	2025
Source payment records 2025-10-28 · Lilly USA, LLC · $100.43 · Open Payments source
CLOTTRIEVER BOLD CATHETER Normalized: clottriever bold catheter	Device	Stryker Corporation	$41.77	1	2025
Source payment records 2025-06-25 · Stryker Corporation · $41.77 · Open Payments source

* 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.

Paying company	Payment year	Drug reported by same entity	Open Payments evidence	Part D	Claims	Beneficiaries
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	72	suppressed by CMS
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	27	suppressed by CMS
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	40	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
Atorvastatin Calcium	Atorvastatin Calcium	872	169
Amlodipine Besylate	Amlodipine Besylate	789	163
Gabapentin	Gabapentin	737	122
Rosuvastatin Calcium	Rosuvastatin Calcium	662	173
Eliquis	Apixaban	568	85
Potassium Chloride	Potassium Chloride	561	116
Levothyroxine Sodium	Levothyroxine Sodium	555	107
Trazodone Hcl	Trazodone Hcl	454	79
Pantoprazole Sodium	Pantoprazole Sodium	442	94
Losartan Potassium	Losartan Potassium	424	92
Furosemide	Furosemide	382	97
Famotidine	Famotidine	356	73
Lisinopril	Lisinopril	331	58
Carvedilol	Carvedilol	330	62
Escitalopram Oxalate	Escitalopram Oxalate	315	67
Metoprolol Tartrate	Metoprolol Tartrate	300	55
Hydralazine Hcl	Hydralazine Hcl	297	62
Tamsulosin Hcl	Tamsulosin Hcl	290	67
Buspirone Hcl	Buspirone Hcl	277	58
Metformin Hcl	Metformin Hcl	254	47
Sertraline Hcl	Sertraline Hcl	238	42
Donepezil Hcl	Donepezil Hcl	221	38
Metoprolol Succinate	Metoprolol Succinate	219	56
Clopidogrel	Clopidogrel Bisulfate	206	44
Januvia	Sitagliptin Phosphate	190	23
Omeprazole	Omeprazole	183	56
Fluticasone Propionate	Fluticasone Propionate	178	66
Quetiapine Fumarate	Quetiapine Fumarate	159	29
Mirtazapine	Mirtazapine	158	37
Hydrochlorothiazide	Hydrochlorothiazide	151	38
Doxycycline Hyclate	Doxycycline Hyclate	148	74
Lactulose	Lactulose	148	37
Novolog Flexpen	Insulin Aspart	137	23
Pioglitazone Hcl	Pioglitazone Hcl	135	26
Levetiracetam	Levetiracetam	134	22
Baclofen	Baclofen	131	18
Albuterol Sulfate Hfa	Albuterol Sulfate	127	58
Valsartan	Valsartan	127	29
Duloxetine Hcl	Duloxetine Hcl	125	29
Memantine Hcl	Memantine Hcl	124	18
Tizanidine Hcl	Tizanidine Hcl	117	39
Ezetimibe	Ezetimibe	115	36
Bumetanide	Bumetanide	113	22
Pravastatin Sodium	Pravastatin Sodium	110	25
Montelukast Sodium	Montelukast Sodium	109	27
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	106	23
Metformin Hcl Er	Metformin Hcl	106	27
Ondansetron Hcl	Ondansetron Hcl	105	63
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	102	21
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	100	73
Cephalexin	Cephalexin	100	55
Spironolactone	Spironolactone	100	22
Prednisone	Prednisone	98	45
Zolpidem Tartrate	Zolpidem Tartrate	98	17
Latanoprost	Latanoprost	95	23
Nifedipine Er	Nifedipine	95	19
Alprazolam	Alprazolam	92	24
Simvastatin	Simvastatin	91	17
Clonidine Hcl	Clonidine Hcl	89	36
Allopurinol	Allopurinol	88	19
Midodrine Hcl	Midodrine Hcl	87	16
Tramadol Hcl	Tramadol Hcl	87	28
Diclofenac Sodium	Diclofenac Sodium	84	40
Levemir Flexpen	Insulin Detemir	82	14
Lacosamide	Lacosamide	80	suppressed
Lorazepam	Lorazepam	80	31
Risperidone	Risperidone	75	11
Humalog Kwikpen U-100	Insulin Lispro	74	15
Sodium Chloride	0.9 % Sodium Chloride	74	21
Jardiance	Empagliflozin	72	suppressed
Fenofibrate	Fenofibrate Nanocrystallized	71	suppressed
Divalproex Sodium	Divalproex Sodium	66	18
Albuterol Sulfate	Albuterol Sulfate	63	37
Atenolol	Atenolol	61	12
Megestrol Acetate	Megestrol Acetate	61	22
Olmesartan Medoxomil	Olmesartan Medoxomil	61	14
Oxybutynin Chloride	Oxybutynin Chloride	61	11
Azithromycin	Azithromycin	60	44
Methocarbamol	Methocarbamol	60	22
Nystatin	Nystatin	58	39
Ozempic	Semaglutide	58	12
Aripiprazole	Aripiprazole	56	suppressed
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	56	17
Tradjenta	Linagliptin	56	suppressed
Topiramate	Topiramate	54	suppressed
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	53	12
Carbidopa-Levodopa	Carbidopa/Levodopa	52	suppressed
Oxybutynin Chloride Er	Oxybutynin Chloride	52	suppressed
Doxazosin Mesylate	Doxazosin Mesylate	51	suppressed
Fenofibrate	Fenofibrate	51	15
Olanzapine	Olanzapine	51	suppressed
Meloxicam	Meloxicam	50	21
Bupropion Xl	Bupropion Hcl	49	15
Fluconazole	Fluconazole	49	22
Ipratropium-Albuterol	Ipratropium/Albuterol Sulfate	49	28
Amitriptyline Hcl	Amitriptyline Hcl	48	suppressed
Fluoxetine Hcl	Fluoxetine Hcl	48	suppressed
Isosorbide Mononitrate Er	Isosorbide Mononitrate	47	suppressed
Insulin Aspart Flexpen	Insulin Aspart	46	11
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	46	suppressed
Amiodarone Hcl	Amiodarone Hcl	45	15
Doxepin Hcl	Doxepin Hcl	45	suppressed
Esomeprazole Magnesium	Esomeprazole Magnesium	44	13
Ketoconazole	Ketoconazole	44	17
Ondansetron Odt	Ondansetron	44	26
Primidone	Primidone	44	suppressed
Venlafaxine Hcl Er	Venlafaxine Hcl	44	suppressed
Entresto	Sacubitril/Valsartan	41	suppressed
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	41	16
Hydrocortisone	Hydrocortisone	40	17
Triamcinolone Acetonide	Triamcinolone Acetonide	40	22
Trulicity	Dulaglutide	40	suppressed
Isosorbide Dinitrate	Isosorbide Dinitrate	39	suppressed
Klayesta	Nystatin	39	17
Lansoprazole	Lansoprazole	39	suppressed
Cefdinir	Cefdinir	38	31
Ciprofloxacin Hcl	Ciprofloxacin Hcl	37	23
Flecainide Acetate	Flecainide Acetate	37	suppressed
Insulin Lispro Kwikpen U-100	Insulin Lispro	37	suppressed
Valproic Acid	Valproic Acid (As Sodium Salt)	37	suppressed
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	36	15
Farxiga	Dapagliflozin Propanediol	36	suppressed
Clonidine	Clonidine	35	suppressed
Ceftriaxone	Ceftriaxone Sodium	34	20
Celecoxib	Celecoxib	34	18
Lokelma	Sodium Zirconium Cyclosilicate	34	suppressed
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	32	suppressed
Insulin Glargine-Yfgn	Insulin Glargine-Yfgn	32	suppressed
Lidocaine	Lidocaine	32	suppressed
Oxcarbazepine	Oxcarbazepine	32	suppressed
Santyl	Collagenase Clostridium Hist.	32	17
Xarelto	Rivaroxaban	32	suppressed
Cinacalcet Hcl	Cinacalcet Hcl	31	suppressed
Divalproex Sodium Er	Divalproex Sodium	30	suppressed
Zonisamide	Zonisamide	30	suppressed
Loperamide	Loperamide Hcl	29	15
Alendronate Sodium	Alendronate Sodium	28	suppressed
Breo Ellipta	Fluticasone/Vilanterol	28	suppressed
Meclizine Hcl	Meclizine Hcl	28	17
Methylprednisolone	Methylprednisolone	28	21
Myrbetriq	Mirabegron	28	suppressed
Propranolol Hcl	Propranolol Hcl	28	suppressed
Benztropine Mesylate	Benztropine Mesylate	27	suppressed
Brimonidine Tartrate	Brimonidine Tartrate	27	suppressed
Ipratropium Bromide	Ipratropium Bromide	27	suppressed
Mounjaro	Tirzepatide	27	suppressed
Synthroid	Levothyroxine Sodium	27	suppressed
Amoxicillin	Amoxicillin	26	15
Chlorhexidine Gluconate	Chlorhexidine Gluconate	26	suppressed
Haloperidol	Haloperidol	26	suppressed
Levemir	Insulin Detemir	26	suppressed
Novolog	Insulin Aspart	26	suppressed
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	26	suppressed
Ventolin Hfa	Albuterol Sulfate	26	13
Vitamin D2	Ergocalciferol (Vitamin D2)	26	suppressed
Benazepril Hcl	Benazepril Hcl	25	suppressed
Desvenlafaxine Succinate Er	Desvenlafaxine Succinate	25	suppressed
Jentadueto	Linagliptin/Metformin Hcl	25	suppressed
Cholestyramine	Cholestyramine (With Sugar)	24	15
Dicyclomine Hcl	Dicyclomine Hcl	24	suppressed
Finasteride	Finasteride	24	suppressed
Paroxetine Hcl	Paroxetine Hcl	24	suppressed
Sucralfate	Sucralfate	24	suppressed
Budesonide	Budesonide	23	suppressed
Citalopram Hbr	Citalopram Hydrobromide	23	suppressed
Ertapenem	Ertapenem Sodium	23	suppressed
Verapamil Er	Verapamil Hcl	23	suppressed
Clonazepam	Clonazepam	22	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	22	suppressed
Pregabalin	Pregabalin	22	suppressed
Bupropion Hcl	Bupropion Hcl	21	suppressed
Clobetasol Propionate	Clobetasol Propionate	21	suppressed
Glimepiride	Glimepiride	21	suppressed
Lantus	Insulin Glargine,hum.Rec.Anlog	21	suppressed
Nitrofurantoin	Nitrofurantoin Macrocrystal	21	suppressed
Phenytoin Sodium Extended	Phenytoin Sodium Extended	21	suppressed
Ramipril	Ramipril	21	suppressed
Carbamazepine	Carbamazepine	20	suppressed
Diltiazem Hcl	Diltiazem Hcl	20	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	20	15
Lamotrigine	Lamotrigine	19	suppressed
Phenobarbital	Phenobarbital	19	suppressed
Piperacillin-Tazobactam	Piperacillin Sodium/Tazobactam	19	suppressed
Cefepime Hcl	Cefepime Hcl	18	suppressed
Digoxin	Digoxin	18	suppressed
Dilt-Xr	Diltiazem Hcl	18	suppressed
Linzess	Linaclotide	18	suppressed
Amantadine	Amantadine Hcl	17	suppressed
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	17	suppressed
Estradiol	Estradiol	17	suppressed
Lidocaine Hcl	Lidocaine Hcl	17	13
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	17	suppressed
Ropinirole Hcl	Ropinirole Hcl	17	suppressed
Terazosin Hcl	Terazosin Hcl	17	suppressed
Fycompa	Perampanel	16	suppressed
Gemtesa	Vibegron	16	suppressed
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	16	suppressed
Scopolamine	Scopolamine	16	suppressed
Sevelamer Carbonate	Sevelamer Carbonate	16	suppressed
Spiriva Handihaler	Tiotropium Bromide	16	suppressed
Telmisartan	Telmisartan	16	suppressed
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	15	suppressed
Difluprednate	Difluprednate	15	suppressed
Fiasp Flextouch	Insulin Aspart (Niacinamide)	15	suppressed
Fludrocortisone Acetate	Fludrocortisone Acetate	15	suppressed
Gentamicin Sulfate	Gentamicin Sulfate	15	suppressed
Nitroglycerin	Nitroglycerin	15	12
Solifenacin Succinate	Solifenacin Succinate	15	suppressed
Sulfasalazine	Sulfasalazine	15	suppressed
Xifaxan	Rifaximin	15	suppressed
Acetaminophen-Codeine	Acetaminophen With Codeine	14	suppressed
Advair Diskus	Fluticasone Propion/Salmeterol	14	suppressed
Budesonide-Formoterol Fumarate	Budesonide/Formoterol Fumarate	14	suppressed
Diltiazem 24hr Er (La)	Diltiazem Hcl	14	suppressed
Irbesartan	Irbesartan	14	suppressed
Minoxidil	Minoxidil	14	suppressed
Mupirocin	Mupirocin	14	suppressed
Nitroglycerin Patch	Nitroglycerin	14	suppressed
Pyridostigmine Bromide	Pyridostigmine Bromide	14	suppressed
Sildenafil Citrate	Sildenafil Citrate	14	suppressed
Admelog Solostar	Insulin Lispro	13	suppressed
Humalog Mix 75-25 Kwikpen	Insulin Lispro Protamin/Lispro	13	suppressed
Incruse Ellipta	Umeclidinium Bromide	13	suppressed
Lamotrigine Er	Lamotrigine	13	suppressed
Levofloxacin	Levofloxacin	13	suppressed
Tenofovir Disoproxil Fumarate	Tenofovir Disoproxil Fumarate	13	suppressed
Timolol Maleate	Timolol Maleate	13	suppressed
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	13	suppressed
Warfarin Sodium	Warfarin Sodium	13	suppressed
Calcitriol	Calcitriol	12	suppressed
Calcium Acetate	Calcium Acetate	12	suppressed
Cilostazol	Cilostazol	12	suppressed
Combigan	Brimonidine Tartrate/Timolol	12	suppressed
Dexamethasone	Dexamethasone	12	suppressed
Felodipine Er	Felodipine	12	suppressed
Memantine Hcl Er	Memantine Hcl	12	suppressed
Nano 2nd Gen Pen Needle	Pen Needle, Diabetic	12	suppressed
Sumatriptan Succinate	Sumatriptan Succinate	12	suppressed
Torsemide	Torsemide	12	suppressed
Valacyclovir	Valacyclovir Hcl	12	suppressed
Bisoprolol Fumarate	Bisoprolol Fumarate	11	suppressed
Brilinta	Ticagrelor	11	suppressed
Fluphenazine Hcl	Fluphenazine Hcl	11	suppressed
Humalog	Insulin Lispro	11	suppressed
Rizatriptan	Rizatriptan Benzoate	11	suppressed
Symbicort	Budesonide/Formoterol Fumarate	11	suppressed
Tacrolimus	Tacrolimus	11	suppressed
Wixela Inhub	Fluticasone Propion/Salmeterol	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	$142.20 · 2 records	Lilly USA, LLC	CLOTTRIEVER BOLD CATHETER, ZEPBOUND	3	—
2024	—	—	—	—	Complete

Questions to ask

Questions you could discuss with your doctor

How do you evaluate evidence when you have a financial relationship with Lilly USA, LLC?
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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error