Healthcare provider profile · identity verified

Larry Kramer, CRNP

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · SALISBURY, MD · NPI 1134118664

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 Larry Kramer, CRNP received $399.93 in general payments during 2025 across 23 reported records.

ABBVIE INC. accounted for 18.5% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 16 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic, Rybelsus, Ubrelvy.

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 20 claims for Linzess by this doctor in 2024.

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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Synthroid by this doctor in 2024.

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 UBRELVY as an associated drug or biological on 299803 records involving 61203 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Ubrelvy 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 69 claims for Jardiance by this doctor in 2024.

Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 112 claims for Ozempic by this doctor in 2024.

Novo Nordisk 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Rybelsus by this doctor in 2024.

PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 34 claims for Eliquis by this doctor in 2024.

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

Payment overview · 2025

General Payments

$399.93

23 reported records · 9 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 companyCanonical companyAmountShareRecordsYear
ABBVIE INC. Unresolved — no canonical attribution shown $73.9418.5%42025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $71.2417.8%42025
Novo Nordisk Inc Unresolved — no canonical attribution shown $49.1212.3%32025
Salix Pharmaceuticals, a division of Bausch Health US, LLC Unresolved — no canonical attribution shown $40.2110.1%22025
Bayer Healthcare Pharmaceuticals Inc. Unresolved — no canonical attribution shown $36.739.2%22025
Phathom Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $36.669.2%32025
Abbott Laboratories Unresolved — no canonical attribution shown $35.128.8%22025
Lilly USA, LLC Unresolved — no canonical attribution shown $34.698.7%22025
PFIZER INC. Unresolved — no canonical attribution shown $22.225.6%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$399.9323

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 productTypeReported companyRelated amount*RecordsYear
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $49.64 3 2025
Source payment records
XIFAXAN
Normalized: xifaxan
Drug Salix Pharmaceuticals, a division of Bausch Health US, LLC $40.21 2 2025
Source payment records
  • 2025-03-06 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $19.48 · Open Payments source
  • 2025-06-30 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $20.73 · Open Payments source
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $39.20 2 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $39.20 2 2025
Source payment records
Kerendia
Normalized: kerendia
Drug Bayer Healthcare Pharmaceuticals Inc. $36.73 2 2025
Source payment records
VOQUEZNA
Normalized: voquezna
Drug Phathom Pharmaceuticals, Inc. $36.66 3 2025
Source payment records
FREESTYLE LIBRE 3
Normalized: freestyle libre 3
Device Abbott Laboratories $35.12 2 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $34.74 2 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $34.69 2 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $34.69 2 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $27.76 2 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $27.76 2 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $22.22 1 2025
Source payment records
PAXLOVID
Normalized: paxlovid
Drug PFIZER INC. $22.22 1 2025
Source payment records
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $21.60 1 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $21.36 1 2025
Source payment records

* 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 productPayment yearPart D brandPart D yearClaimsMatch methodSource
Ozempic
ozempic
2025 Ozempic 2024 112 exact normalized Medicare Part D
Rybelsus
rybelsus
2025 Rybelsus 2024 19
Beneficiary count suppressed
exact normalized Medicare Part D
UBRELVY
ubrelvy
2025 Ubrelvy 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 companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
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
20 suppressed by CMS
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 SYNTHROID
open payments reported associated product
CMS Open Payments — General Payments
10655 supporting records · 4881 recipient NPIs · example record 1201352636
Synthroid · 2024
Exact normalized brand match · 1 Part D row
15 suppressed by CMS
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 UBRELVY
open payments reported associated product
CMS Open Payments — General Payments
299803 supporting records · 61203 recipient NPIs · example record 1201352530
Ubrelvy · 2024
Exact normalized brand match · 1 Part D row
15 suppressed by CMS
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
69 12
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Ozempic
open payments reported associated product
CMS Open Payments — General Payments
261625 supporting records · 77793 recipient NPIs · example record 1188130076
Ozempic · 2024
Exact normalized brand match · 1 Part D row
112 17
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Rybelsus
open payments reported associated product
CMS Open Payments — General Payments
161257 supporting records · 55409 recipient NPIs · example record 1188130076
Rybelsus · 2024
Exact normalized brand match · 1 Part D row
19 suppressed by CMS
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 ELIQUIS
open payments reported associated product
CMS Open Payments — General Payments
87112 supporting records · 36032 recipient NPIs · example record 1228794063
Eliquis · 2024
Exact normalized brand match · 1 Part D row
34 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

BrandGenericClaimsBeneficiaries
Atorvastatin CalciumAtorvastatin Calcium569141
Amlodipine BesylateAmlodipine Besylate28671
AlprazolamAlprazolam21640
Levothyroxine SodiumLevothyroxine Sodium20541
Albuterol Sulfate HfaAlbuterol Sulfate18861
GabapentinGabapentin18746
Potassium ChloridePotassium Chloride17942
OmeprazoleOmeprazole17845
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide16839
Pantoprazole SodiumPantoprazole Sodium15739
Tamsulosin HclTamsulosin Hcl14232
FamotidineFamotidine12830
LisinoprilLisinopril12624
Rosuvastatin CalciumRosuvastatin Calcium12630
Metoprolol SuccinateMetoprolol Succinate12431
FurosemideFurosemide11933
Metformin Hcl ErMetformin Hcl11933
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide11333
OzempicSemaglutide11217
Montelukast SodiumMontelukast Sodium11026
FenofibrateFenofibrate Nanocrystallized10717
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide10427
Fluticasone PropionateFluticasone Propionate9933
CarvedilolCarvedilol9729
Glipizide ErGlipizide9731
Losartan PotassiumLosartan Potassium9119
AmoxicillinAmoxicillin9046
MeloxicamMeloxicam8427
Escitalopram OxalateEscitalopram Oxalate8324
Oxycodone HclOxycodone Hcl83suppressed
Metoprolol TartrateMetoprolol Tartrate8021
HydrochlorothiazideHydrochlorothiazide7620
IbuprofenIbuprofen6924
JardianceEmpagliflozin6912
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen68suppressed
AllopurinolAllopurinol6716
SimvastatinSimvastatin6723
NaproxenNaproxen6627
Ventolin HfaAlbuterol Sulfate6614
Clonidine HclClonidine Hcl6513
BaclofenBaclofen6224
Duloxetine HclDuloxetine Hcl6219
Trazodone HclTrazodone Hcl6111
AtenololAtenolol5614
Pravastatin SodiumPravastatin Sodium5415
Triamcinolone AcetonideTriamcinolone Acetonide5420
Zolpidem TartrateZolpidem Tartrate5412
ClopidogrelClopidogrel Bisulfate5114
EzetimibeEzetimibe5120
ClonazepamClonazepam50suppressed
Fluoxetine HclFluoxetine Hcl5011
GlipizideGlipizide48suppressed
Tramadol HclTramadol Hcl4113
MirtazapineMirtazapine4011
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen36suppressed
Nifedipine ErNifedipine3612
TopiramateTopiramate36suppressed
Sertraline HclSertraline Hcl35suppressed
EliquisApixaban34suppressed
FluconazoleFluconazole3414
Trelegy ElliptaFluticasone/Umeclidin/Vilanter34suppressed
Ciprofloxacin HclCiprofloxacin Hcl3327
JanuviaSitagliptin Phosphate33suppressed
Meclizine HclMeclizine Hcl33suppressed
Quetiapine FumarateQuetiapine Fumarate33suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim3328
PrednisonePrednisone3226
Advair HfaFluticasone Propion/Salmeterol31suppressed
Citalopram HbrCitalopram Hydrobromide30suppressed
Fluticasone-SalmeterolFluticasone Propion/Salmeterol29suppressed
Metformin HclMetformin Hcl29suppressed
Pioglitazone HclPioglitazone Hcl29suppressed
Janumet XrSitagliptin Phos/Metformin Hcl28suppressed
Hydroxyzine PamoateHydroxyzine Pamoate27suppressed
Labetalol HclLabetalol Hcl27suppressed
FinasterideFinasteride26suppressed
LorazepamLorazepam26suppressed
Solifenacin SuccinateSolifenacin Succinate26suppressed
Atenolol-ChlorthalidoneAtenolol/Chlorthalidone24suppressed
AzithromycinAzithromycin2418
Bupropion XlBupropion Hcl24suppressed
CelecoxibCelecoxib24suppressed
Hydroxyzine HclHydroxyzine Hcl24suppressed
Alogliptin-MetforminAlogliptin Benz/Metformin Hcl23suppressed
FenofibrateFenofibrate23suppressed
Bisoprolol-HydrochlorothiazideBisoprolol/Hydrochlorothiazide22suppressed
Chlorhexidine GluconateChlorhexidine Gluconate22suppressed
Vitamin D2Ergocalciferol (Vitamin D2)22suppressed
Cyclobenzaprine HclCyclobenzaprine Hcl21suppressed
Donepezil HclDonepezil Hcl21suppressed
EntrestoSacubitril/Valsartan21suppressed
Venlafaxine Hcl ErVenlafaxine Hcl21suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav2016
DiazepamDiazepam20suppressed
Divalproex SodiumDivalproex Sodium20suppressed
Hydralazine HclHydralazine Hcl20suppressed
Isosorbide Mononitrate ErIsosorbide Mononitrate20suppressed
LinzessLinaclotide20suppressed
Omega-3 Acid Ethyl EstersOmega-3 Acid Ethyl Esters20suppressed
Oxybutynin Chloride ErOxybutynin Chloride20suppressed
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog19suppressed
RybelsusSemaglutide19suppressed
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid19suppressed
Azelastine-FluticasoneAzelastine/Fluticasone18suppressed
Enalapril MaleateEnalapril Maleate18suppressed
Hydroxychloroquine SulfateHydroxychloroquine Sulfate18suppressed
NitroglycerinNitroglycerin1811
CarisoprodolCarisoprodol17suppressed
GlimepirideGlimepiride17suppressed
Ondansetron OdtOndansetron17suppressed
LidocaineLidocaine16suppressed
LubiprostoneLubiprostone16suppressed
Paliperidone ErPaliperidone16suppressed
Ropinirole HclRopinirole Hcl16suppressed
Trospium ChlorideTrospium Chloride16suppressed
XareltoRivaroxaban16suppressed
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip15suppressed
FentanylFentanyl15suppressed
Olmesartan-Amlodipine-HctzOlmesartan/Amlodipin/Hcthiazid15suppressed
Procto-Med HcHydrocortisone15suppressed
SynthroidLevothyroxine Sodium15suppressed
UbrelvyUbrogepant15suppressed
Verapamil SrVerapamil Hcl15suppressed
Buspirone HclBuspirone Hcl14suppressed
ConstuloseLactulose14suppressed
GlyxambiEmpagliflozin/Linagliptin14suppressed
Metoclopramide HclMetoclopramide Hcl14suppressed
SpironolactoneSpironolactone14suppressed
Terazosin HclTerazosin Hcl14suppressed
Xtampza ErOxycodone Myristate14suppressed
DutasterideDutasteride13suppressed
EtodolacEtodolac13suppressed
NystatinNystatin13suppressed
SucralfateSucralfate13suppressed
ValsartanValsartan13suppressed
Arnuity ElliptaFluticasone Furoate12suppressed
Betamethasone DipropionateBetamethasone Dipropionate12suppressed
Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine12suppressed
Carbamazepine ErCarbamazepine12suppressed
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine12suppressed
Esomeprazole MagnesiumEsomeprazole Magnesium12suppressed
MupirocinMupirocin12suppressed
Promethazine HclPromethazine Hcl12suppressed
Ranolazine ErRanolazine12suppressed
Synjardy XrEmpagliflozin/Metformin Hcl12suppressed
ValacyclovirValacyclovir Hcl12suppressed
Varenicline TartrateVarenicline Tartrate12suppressed
Amitriptyline HclAmitriptyline Hcl11suppressed
Breo ElliptaFluticasone/Vilanterol11suppressed
Dropsafe Prep PadsAlcohol Antiseptic Pads11suppressed
Klor-Con M20Potassium Chloride11suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog11suppressed
TemazepamTemazepam11suppressed
TorsemideTorsemide11suppressed
Ultra-Fine Nano Pen NeedlePen Needle, Diabetic11suppressed

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.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $399.93 · 23 records ABBVIE INC. AIRSUPRA, BREZTRI, FREESTYLE LIBRE 3, Kerendia, MOUNJARO, NURTEC ODT, Ozempic, PAXLOVID, QULIPTA, Rybelsus, UBRELVY, VOQUEZNA, VRAYLAR, Wegovy, XIFAXAN, ZEPBOUND 7
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
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