Payment overview · 2025
General Payments
We did not find matching Open Payments records for this doctor in the selected program year.
Healthcare provider profile · identity verified
Toby Lee Smith, D.O.
Internal Medicine · KAILUA KONA, HI · NPI 1124239389
Verified facts
What the public records show
We did not find matching Open Payments records for this doctor in 2025.
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.
Analysis 1 · Payment-linked products
Products named in Open Payments records
No payment-linked product analysis is available because no matching General Payment records were found for the selected year.
Public prescribing for products named in payments
There is no explicit payment-product set available for a Part D comparison.
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.
There is no payer-company set available for this comparison.
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 | 217 | 42 |
| Amlodipine Besylate | Amlodipine Besylate | 129 | 30 |
| Furosemide | Furosemide | 113 | 27 |
| Pantoprazole Sodium | Pantoprazole Sodium | 109 | 23 |
| Gabapentin | Gabapentin | 108 | 25 |
| Eliquis | Apixaban | 99 | 20 |
| Metoprolol Tartrate | Metoprolol Tartrate | 86 | 18 |
| Tamsulosin Hcl | Tamsulosin Hcl | 85 | 17 |
| Losartan Potassium | Losartan Potassium | 78 | 22 |
| Omeprazole | Omeprazole | 68 | 14 |
| Klayesta | Nystatin | 67 | 28 |
| Lactulose | Lactulose | 63 | 24 |
| Metoprolol Succinate | Metoprolol Succinate | 63 | 13 |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 60 | suppressed |
| Levothyroxine Sodium | Levothyroxine Sodium | 60 | 16 |
| Lisinopril | Lisinopril | 60 | 15 |
| Levetiracetam | Levetiracetam | 58 | suppressed |
| Metformin Hcl | Metformin Hcl | 57 | 11 |
| Carvedilol | Carvedilol | 53 | 16 |
| Trazodone Hcl | Trazodone Hcl | 51 | 14 |
| Finasteride | Finasteride | 49 | suppressed |
| Ipratropium-Albuterol | Ipratropium/Albuterol Sulfate | 47 | 25 |
| Hydralazine Hcl | Hydralazine Hcl | 44 | 13 |
| Donepezil Hcl | Donepezil Hcl | 43 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 40 | suppressed |
| Januvia | Sitagliptin Phosphate | 40 | suppressed |
| Entresto | Sacubitril/Valsartan | 39 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 39 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 38 | 11 |
| Doxycycline Hyclate | Doxycycline Hyclate | 37 | 11 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 32 | 18 |
| Duloxetine Hcl | Duloxetine Hcl | 31 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 31 | 13 |
| Tramadol Hcl | Tramadol Hcl | 31 | 12 |
| Spironolactone | Spironolactone | 29 | suppressed |
| Prednisone | Prednisone | 27 | 16 |
| Sevelamer Carbonate | Sevelamer Carbonate | 26 | suppressed |
| Cephalexin | Cephalexin | 25 | 12 |
| Hydrocortisone | Hydrocortisone | 25 | suppressed |
| Jardiance | Empagliflozin | 24 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 23 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 23 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 23 | 14 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 23 | suppressed |
| Allopurinol | Allopurinol | 22 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 22 | 16 |
| Potassium Chloride | Potassium Chloride | 21 | suppressed |
| Ondansetron Odt | Ondansetron | 20 | 16 |
| Sertraline Hcl | Sertraline Hcl | 19 | suppressed |
| Breyna | Budesonide/Formoterol Fumarate | 18 | 11 |
| Hydrochlorothiazide | Hydrochlorothiazide | 18 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 17 | suppressed |
| Simvastatin | Simvastatin | 17 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 16 | suppressed |
| Celecoxib | Celecoxib | 16 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 16 | suppressed |
| Lamotrigine | Lamotrigine | 16 | suppressed |
| Latanoprost | Latanoprost | 16 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 16 | suppressed |
| Daptomycin | Daptomycin | 15 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 15 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 15 | suppressed |
| Olanzapine | Olanzapine | 15 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 14 | suppressed |
| Brilinta | Ticagrelor | 14 | suppressed |
| Clonidine | Clonidine | 14 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 14 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 14 | suppressed |
| Lovastatin | Lovastatin | 14 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 14 | suppressed |
| Baclofen | Baclofen | 13 | suppressed |
| Cefdinir | Cefdinir | 13 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 13 | 13 |
| Pilocarpine Hcl | Pilocarpine Hcl | 13 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 13 | suppressed |
| Trintellix | Vortioxetine Hydrobromide | 13 | suppressed |
| Aripiprazole | Aripiprazole | 12 | suppressed |
| Fentanyl | Fentanyl | 12 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 12 | suppressed |
| Levofloxacin | Levofloxacin | 12 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 12 | suppressed |
| Mirtazapine | Mirtazapine | 12 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 12 | suppressed |
| Ammonium Lactate | Ammonium Lactate | 11 | suppressed |
| Clotrimazole | Clotrimazole | 11 | suppressed |
| Methadone Hcl | Methadone Hcl | 11 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | suppressed |
| Pregabalin | Pregabalin | 11 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 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 | — | — | — | — | — |
| 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