Payment overview · 2025
General Payments
3 reported records · 2 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism · ASHEVILLE, NC · NPI 1144304288
Verified facts
CMS Open Payments records show Brian Christopher Cumbie, MD received $59.03 in general payments during 2025 across 3 reported records.
Amgen Inc. accounted for 56.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
Amgen 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 PROLIA as an associated drug or biological on 20867 records involving 11744 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Prolia by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
3 reported records · 2 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Amgen Inc. | Unresolved — no canonical attribution shown | $33.47 | 56.7% | 2 | 2025 |
| Ascensia Diabetes Care Us Inc. | Unresolved — no canonical attribution shown | $25.56 | 43.3% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $59.03 | 3 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| TEPEZZA Normalized: tepezza |
Biological | Amgen Inc. | $17.20 | 1 | 2025 |
Source payment records
|
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $16.27 | 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.
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
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 |
|---|---|---|---|---|---|---|
| Amgen Inc. Exact reporting entity; no affiliate inference |
2025 | PROLIA open payments reported associated product |
CMS Open Payments — General Payments 20867 supporting records · 11744 recipient NPIs · example record 1226874448 |
Prolia · 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 805 | 205 |
| Metformin Hcl Er | Metformin Hcl | 481 | 142 |
| Jardiance | Empagliflozin | 425 | 93 |
| Synthroid | Levothyroxine Sodium | 389 | 88 |
| Ozempic | Semaglutide | 380 | 93 |
| Atorvastatin Calcium | Atorvastatin Calcium | 273 | 67 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 273 | 93 |
| Methimazole | Methimazole | 244 | 62 |
| Metformin Hcl | Metformin Hcl | 234 | 58 |
| Novolog Flexpen | Insulin Aspart | 212 | 71 |
| Mounjaro | Tirzepatide | 172 | 40 |
| Humalog Kwikpen U-100 | Insulin Lispro | 153 | 52 |
| Tresiba Flextouch U-100 | Insulin Degludec | 147 | 43 |
| Glimepiride | Glimepiride | 134 | 51 |
| Pioglitazone Hcl | Pioglitazone Hcl | 96 | 27 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 92 | 48 |
| Januvia | Sitagliptin Phosphate | 88 | 19 |
| Fenofibrate | Fenofibrate | 80 | 16 |
| Lisinopril | Lisinopril | 78 | 22 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 77 | 29 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 71 | 22 |
| Alendronate Sodium | Alendronate Sodium | 67 | 21 |
| Trulicity | Dulaglutide | 63 | 22 |
| Novolog | Insulin Aspart | 59 | 21 |
| Calcitriol | Calcitriol | 58 | 13 |
| Repaglinide | Repaglinide | 54 | 11 |
| Glipizide | Glipizide | 53 | 16 |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 53 | 17 |
| Farxiga | Dapagliflozin Propanediol | 50 | 13 |
| Gabapentin | Gabapentin | 50 | 15 |
| Losartan Potassium | Losartan Potassium | 49 | 19 |
| Hydrocortisone | Hydrocortisone | 47 | 13 |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 44 | 11 |
| Tirosint | Levothyroxine Sodium | 43 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 41 | suppressed |
| Glipizide Er | Glipizide | 38 | 12 |
| Ezetimibe | Ezetimibe | 37 | suppressed |
| Simvastatin | Simvastatin | 36 | suppressed |
| Humalog | Insulin Lispro | 34 | 13 |
| Testosterone Cypionate | Testosterone Cypionate | 34 | 11 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 33 | 17 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 32 | 12 |
| Liothyronine Sodium | Liothyronine Sodium | 28 | suppressed |
| Levemir Flexpen | Insulin Detemir | 26 | 15 |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 26 | 13 |
| Amlodipine Besylate | Amlodipine Besylate | 24 | suppressed |
| Testosterone | Testosterone | 24 | suppressed |
| Armour Thyroid | Thyroid,pork | 23 | suppressed |
| Desmopressin Acetate | Desmopressin Acetate | 23 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 23 | 12 |
| Tresiba Flextouch U-200 | Insulin Degludec | 23 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 22 | suppressed |
| Droplet Pen Needle | Pen Needle, Diabetic | 21 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 21 | suppressed |
| Rybelsus | Semaglutide | 21 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 21 | suppressed |
| Vascepa | Icosapent Ethyl | 21 | suppressed |
| Humalog Mix 75-25 Kwikpen | Insulin Lispro Protamin/Lispro | 20 | suppressed |
| Insulin Aspart Flexpen | Insulin Aspart | 20 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 18 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 18 | suppressed |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 17 | suppressed |
| Propylthiouracil | Propylthiouracil | 17 | suppressed |
| Repatha Sureclick | Evolocumab | 17 | suppressed |
| Spironolactone | Spironolactone | 17 | suppressed |
| Teriparatide | Teriparatide | 17 | suppressed |
| Humulin R U-500 Kwikpen | Insulin Regular, Human | 16 | suppressed |
| Invokana | Canagliflozin | 16 | suppressed |
| Potassium Chloride | Potassium Chloride | 16 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 14 | suppressed |
| Insulin Lispro | Insulin Lispro | 14 | suppressed |
| Omnipod 5 Dexg7g6 Pods (Gen 5) | Insulin Pump Cart,auto,bt,g6/7 | 14 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 13 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 13 | suppressed |
| Klor-Con M20 | Potassium Chloride | 13 | suppressed |
| Synjardy | Empagliflozin/Metformin Hcl | 13 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 13 | suppressed |
| Ultra-Fine Micro Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Cabergoline | Cabergoline | 12 | suppressed |
| Nateglinide | Nateglinide | 12 | suppressed |
| Prolia | Denosumab | 12 | suppressed |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 12 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 11 | suppressed |
| Gvoke Hypopen 2-Pack | Glucagon | 11 | suppressed |
Timeline
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 | $59.03 · 3 records | Amgen Inc. | EVENITY, TEPEZZA | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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 |
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