Payment overview · 2025
General Payments
$137.50
8 reported records · 7 companies
Healthcare provider profile · identity verified
Leandra G Smith
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · HAZARD, KY · NPI 1154966703
Verified facts
What the public records show
CMS Open Payments records show Leandra G Smith received $137.50 in general payments during 2025 across 8 reported records.
Exact Sciences Corporation accounted for 25.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 associated products.
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 26 claims for Eliquis by this doctor in 2024.
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 |
|---|---|---|---|---|---|
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $35.31 | 25.7% | 2 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $23.81 | 17.3% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $19.71 | 14.3% | 1 | 2025 |
| Phadia US Inc. | Unresolved — no canonical attribution shown | $15.59 | 11.3% | 1 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $14.88 | 10.8% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $14.66 | 10.7% | 1 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $13.54 | 9.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $137.50 | 8 |
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 |
|---|---|---|---|---|---|
| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $23.81 | 1 | 2025 |
Source payment records
|
|||||
| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $21.17 | 1 | 2025 |
Source payment records
|
|||||
| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $19.71 | 1 | 2025 |
Source payment records
|
|||||
| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $19.71 | 1 | 2025 |
Source payment records
|
|||||
| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $19.71 | 1 | 2025 |
Source payment records
|
|||||
| ImmunoCAP Normalized: immunocap |
Device | Phadia US Inc. | $15.59 | 1 | 2025 |
Source payment records
|
|||||
| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $14.88 | 1 | 2025 |
Source payment records
|
|||||
| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $14.66 | 1 | 2025 |
Source payment records
|
|||||
| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $14.14 | 1 | 2025 |
Source payment records
|
|||||
| UZEDY Normalized: uzedy |
Drug | Teva Pharmaceuticals USA, Inc. | $13.54 | 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
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 |
|---|---|---|---|---|---|---|
| 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 |
26 | 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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 223 | 54 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 200 | 63 |
| Amlodipine Besylate | Amlodipine Besylate | 170 | 57 |
| Lisinopril | Lisinopril | 163 | 54 |
| Atorvastatin Calcium | Atorvastatin Calcium | 147 | 52 |
| Fluticasone Propionate | Fluticasone Propionate | 139 | 46 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 134 | 42 |
| Montelukast Sodium | Montelukast Sodium | 129 | 41 |
| Omeprazole | Omeprazole | 127 | 39 |
| Gabapentin | Gabapentin | 121 | 18 |
| Mounjaro | Tirzepatide | 100 | 19 |
| Famotidine | Famotidine | 94 | 33 |
| Metformin Hcl | Metformin Hcl | 81 | 27 |
| Metoprolol Tartrate | Metoprolol Tartrate | 77 | 28 |
| Losartan Potassium | Losartan Potassium | 75 | 24 |
| Pantoprazole Sodium | Pantoprazole Sodium | 73 | 30 |
| Ezetimibe | Ezetimibe | 70 | 22 |
| Pravastatin Sodium | Pravastatin Sodium | 68 | 17 |
| Metformin Hcl Er | Metformin Hcl | 66 | 17 |
| Jardiance | Empagliflozin | 63 | 17 |
| Duloxetine Hcl | Duloxetine Hcl | 62 | 17 |
| Hydrochlorothiazide | Hydrochlorothiazide | 60 | 23 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 54 | 13 |
| Furosemide | Furosemide | 53 | 20 |
| Tamsulosin Hcl | Tamsulosin Hcl | 51 | 13 |
| Buspirone Hcl | Buspirone Hcl | 50 | 16 |
| Simvastatin | Simvastatin | 49 | 13 |
| Diclofenac Sodium | Diclofenac Sodium | 46 | 18 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 45 | 18 |
| Carvedilol | Carvedilol | 43 | suppressed |
| Meloxicam | Meloxicam | 43 | 20 |
| Ozempic | Semaglutide | 43 | suppressed |
| Potassium Chloride | Potassium Chloride | 43 | 17 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 40 | 12 |
| Tizanidine Hcl | Tizanidine Hcl | 38 | 15 |
| Trazodone Hcl | Trazodone Hcl | 38 | 12 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 37 | 12 |
| Sertraline Hcl | Sertraline Hcl | 37 | 11 |
| Amoxicillin | Amoxicillin | 34 | 28 |
| Cefdinir | Cefdinir | 33 | 30 |
| Metoprolol Succinate | Metoprolol Succinate | 33 | 14 |
| Tramadol Hcl | Tramadol Hcl | 33 | suppressed |
| Methocarbamol | Methocarbamol | 32 | suppressed |
| Glipizide Er | Glipizide | 31 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 31 | 13 |
| Alendronate Sodium | Alendronate Sodium | 30 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 30 | 11 |
| Januvia | Sitagliptin Phosphate | 30 | suppressed |
| Ondansetron Odt | Ondansetron | 30 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 29 | 15 |
| Fluoxetine Hcl | Fluoxetine Hcl | 29 | suppressed |
| Azithromycin | Azithromycin | 28 | 28 |
| Fluconazole | Fluconazole | 28 | 21 |
| Eliquis | Apixaban | 26 | suppressed |
| Estradiol | Estradiol | 26 | suppressed |
| Trulicity | Dulaglutide | 26 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 25 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 25 | 12 |
| Hydralazine Hcl | Hydralazine Hcl | 22 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 22 | suppressed |
| Allopurinol | Allopurinol | 21 | suppressed |
| Cephalexin | Cephalexin | 21 | 16 |
| Glipizide | Glipizide | 21 | suppressed |
| Nystatin | Nystatin | 21 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 21 | suppressed |
| Baclofen | Baclofen | 20 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 20 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 20 | suppressed |
| Shingrix | Varicella-Zoster Ge/As01b/Pf | 20 | 14 |
| Fenofibrate | Fenofibrate | 19 | suppressed |
| Alprazolam | Alprazolam | 18 | suppressed |
| Bupropion Xl | Bupropion Hcl | 18 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 18 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 18 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 18 | suppressed |
| Mupirocin | Mupirocin | 18 | 14 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 18 | 14 |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 18 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 17 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 17 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 17 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 17 | suppressed |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 17 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 16 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 16 | suppressed |
| Myrbetriq | Mirabegron | 16 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 16 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 15 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 14 | suppressed |
| Atenolol | Atenolol | 14 | suppressed |
| Prednisone | Prednisone | 14 | 13 |
| Promethazine Hcl | Promethazine Hcl | 14 | suppressed |
| Topiramate | Topiramate | 14 | suppressed |
| Vascepa | Icosapent Ethyl | 14 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 13 | suppressed |
| Ibu | Ibuprofen | 13 | suppressed |
| Ibuprofen | Ibuprofen | 13 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 13 | suppressed |
| Pregabalin | Pregabalin | 13 | suppressed |
| Valsartan | Valsartan | 13 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | 12 |
| Clonidine Hcl | Clonidine Hcl | 12 | suppressed |
| Colchicine | Colchicine | 12 | suppressed |
| Ciprofloxacin-Dexamethasone | Ciprofloxacin Hcl/Dexameth | 11 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 11 | suppressed |
| Epinephrine | Epinephrine | 11 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 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 | $137.50 · 8 records | Exact Sciences Corporation | ABRYSVO, Auvelity, CAPLYTA, COMIRNATY, Cologuard Collection Kit, FANAPT, ImmunoCAP, PREVNAR 20, The Cologuard Plus Collection Kit, UZEDY | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with PFIZER INC.?
- 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