Healthcare provider profile · identity verified

Thomas D Vrable, D.O.

Family Practice · EAST PALESTINE, OH · NPI 1174522064

Profile state: partd only 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

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.

Payment overview · 2025

General Payments

We did not find matching Open Payments records for this doctor in the selected program year.

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	746	113
Levothyroxine Sodium	Levothyroxine Sodium	715	90
Potassium Chloride	Potassium Chloride	623	82
Eliquis	Apixaban	561	54
Furosemide	Furosemide	509	85
Memantine Hcl	Memantine Hcl	439	63
Amlodipine Besylate	Amlodipine Besylate	380	56
Pantoprazole Sodium	Pantoprazole Sodium	379	63
Mirtazapine	Mirtazapine	368	68
Donepezil Hcl	Donepezil Hcl	359	52
Famotidine	Famotidine	355	51
Sertraline Hcl	Sertraline Hcl	283	34
Lisinopril	Lisinopril	266	43
Bumetanide	Bumetanide	241	27
Metoprolol Succinate	Metoprolol Succinate	230	39
Omeprazole	Omeprazole	225	38
Gabapentin	Gabapentin	223	37
Lorazepam	Lorazepam	205	58
Myrbetriq	Mirabegron	198	16
Citalopram Hbr	Citalopram Hydrobromide	191	31
Prednisone	Prednisone	186	48
Jardiance	Empagliflozin	180	12
Losartan Potassium	Losartan Potassium	173	24
Metoprolol Tartrate	Metoprolol Tartrate	155	29
Tradjenta	Linagliptin	154	13
Carvedilol	Carvedilol	147	23
Tamsulosin Hcl	Tamsulosin Hcl	146	29
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	138	19
Metformin Hcl	Metformin Hcl	138	24
Buspirone Hcl	Buspirone Hcl	137	24
Tramadol Hcl	Tramadol Hcl	131	31
Montelukast Sodium	Montelukast Sodium	128	21
Spironolactone	Spironolactone	128	23
Escitalopram Oxalate	Escitalopram Oxalate	125	19
Metolazone	Metolazone	124	21
Trazodone Hcl	Trazodone Hcl	120	24
Clopidogrel	Clopidogrel Bisulfate	118	20
Ipratropium-Albuterol	Ipratropium/Albuterol Sulfate	116	53
Fenofibrate	Fenofibrate	99	13
Fluticasone Propionate	Fluticasone Propionate	97	25
Venlafaxine Hcl Er	Venlafaxine Hcl	96	11
Quetiapine Fumarate	Quetiapine Fumarate	95	17
Hydralazine Hcl	Hydralazine Hcl	93	11
Ciprofloxacin Hcl	Ciprofloxacin Hcl	89	52
Ropinirole Hcl	Ropinirole Hcl	83	suppressed
Warfarin Sodium	Warfarin Sodium	82	suppressed
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	81	16
Levofloxacin	Levofloxacin	81	46
Duloxetine Hcl	Duloxetine Hcl	80	12
Methenamine Hippurate	Methenamine Hippurate	80	16
Mupirocin	Mupirocin	80	27
Sucralfate	Sucralfate	80	16
Xarelto	Rivaroxaban	77	suppressed
Memantine Hcl Er	Memantine Hcl	74	suppressed
Ceftriaxone	Ceftriaxone Sodium	73	38
Meloxicam	Meloxicam	73	15
Divalproex Sodium	Divalproex Sodium	72	14
Lidocaine Hcl	Lidocaine Hcl	71	39
Oxybutynin Chloride Er	Oxybutynin Chloride	71	17
Diclofenac Sodium	Diclofenac Sodium	70	19
Januvia	Sitagliptin Phosphate	70	suppressed
Alprazolam	Alprazolam	69	13
Simvastatin	Simvastatin	69	17
Midodrine Hcl	Midodrine Hcl	68	suppressed
Azithromycin	Azithromycin	66	44
Misoprostol	Misoprostol	62	suppressed
Isosorbide Mononitrate Er	Isosorbide Mononitrate	60	suppressed
Kapspargo Sprinkle	Metoprolol Succinate	60	suppressed
Allopurinol	Allopurinol	59	suppressed
Cephalexin	Cephalexin	59	29
Primidone	Primidone	59	suppressed
Alendronate Sodium	Alendronate Sodium	58	suppressed
Enulose	Lactulose	58	suppressed
Ondansetron Hcl	Ondansetron Hcl	57	23
Trulicity	Dulaglutide	57	suppressed
Carbidopa-Levodopa	Carbidopa/Levodopa	55	suppressed
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	55	20
Levetiracetam	Levetiracetam	54	11
Insulin Lispro Kwikpen U-100	Insulin Lispro	52	12
Abrysvo	Rsv Vacc, Pref A And Pref B/Pf	50	50
Doxycycline Hyclate	Doxycycline Hyclate	50	29
Vascepa	Icosapent Ethyl	47	suppressed
Albuterol Sulfate Hfa	Albuterol Sulfate	46	15
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	46	suppressed
Paroxetine Hcl	Paroxetine Hcl	46	suppressed
Triamcinolone Acetonide	Triamcinolone Acetonide	45	21
Glipizide	Glipizide	44	suppressed
Fluoxetine Hcl	Fluoxetine Hcl	43	suppressed
Loperamide	Loperamide Hcl	43	27
Adacel Tdap	Diph,pertuss(Acell),tet Vac/Pf	42	40
Shingrix	Varicella-Zoster Ge/As01b/Pf	41	39
Gemtesa	Vibegron	40	suppressed
Levalbuterol Hcl	Levalbuterol Hcl	40	suppressed
Humalog Kwikpen U-100	Insulin Lispro	39	suppressed
Latanoprost	Latanoprost	39	suppressed
Esomeprazole Magnesium	Esomeprazole Magnesium	38	suppressed
Fenofibric Acid	Fenofibric Acid (Choline)	38	suppressed
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	38	suppressed
Solifenacin Succinate	Solifenacin Succinate	37	suppressed
Hydrochlorothiazide	Hydrochlorothiazide	35	12
Methimazole	Methimazole	35	suppressed
Olanzapine	Olanzapine	35	suppressed
Celecoxib	Celecoxib	34	suppressed
Hydroxyzine Hcl	Hydroxyzine Hcl	34	11
Amiodarone Hcl	Amiodarone Hcl	33	suppressed
Cimetidine	Cimetidine	33	suppressed
Rivastigmine	Rivastigmine	33	suppressed
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	30	suppressed
Chlorhexidine Gluconate	Chlorhexidine Gluconate	30	suppressed
Doxazosin Mesylate	Doxazosin Mesylate	30	suppressed
Glimepiride	Glimepiride	30	suppressed
Nystatin	Nystatin	30	19
Entresto	Sacubitril/Valsartan	29	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	29	16
Chlorthalidone	Chlorthalidone	28	suppressed
Ertapenem	Ertapenem Sodium	28	11
Pravastatin Sodium	Pravastatin Sodium	28	suppressed
Rivastigmine	Rivastigmine Tartrate	28	suppressed
Sotalol	Sotalol Hcl	28	suppressed
Ezetimibe	Ezetimibe	27	suppressed
Tresiba Flextouch U-100	Insulin Degludec	27	suppressed
Tizanidine Hcl	Tizanidine Hcl	26	suppressed
Vitamin D2	Ergocalciferol (Vitamin D2)	26	suppressed
Boostrix Tdap	Diphth,pertuss(Acell),tet Vac	25	25
Methylprednisolone	Methylprednisolone	25	22
Propranolol Hcl	Propranolol Hcl	25	suppressed
Santyl	Collagenase Clostridium Hist.	25	suppressed
Clonazepam	Clonazepam	23	suppressed
Clonidine Hcl	Clonidine Hcl	23	suppressed
Finasteride	Finasteride	23	suppressed
Livalo	Pitavastatin Calcium	23	suppressed
Nitrofurantoin	Nitrofurantoin Macrocrystal	23	suppressed
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	23	15
Simbrinza	Brinzolamide/Brimonidine Tart	23	suppressed
Oxybutynin Chloride	Oxybutynin Chloride	22	suppressed
Amoxicillin	Amoxicillin	21	12
Anastrozole	Anastrozole	21	suppressed
Baclofen	Baclofen	21	suppressed
Dexamethasone Sodium Phosphate	Dexamethasone Sodium Phosphate	21	14
Ibuprofen	Ibuprofen	21	suppressed
Irbesartan	Irbesartan	21	suppressed
Ketoconazole	Ketoconazole	21	suppressed
Meclizine Hcl	Meclizine Hcl	21	suppressed
Neomycin-Polymyxin-Dexameth	Neomycin/Polymyxin B/Dexametha	21	16
Aripiprazole	Aripiprazole	20	suppressed
Budesonide	Budesonide	20	suppressed
Cinacalcet Hcl	Cinacalcet Hcl	20	suppressed
Risperidone	Risperidone	20	suppressed
Linzess	Linaclotide	19	suppressed
Hydroxyzine Pamoate	Hydroxyzine Pamoate	18	suppressed
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	18	suppressed
Pregabalin	Pregabalin	18	suppressed
Dicyclomine Hcl	Dicyclomine Hcl	17	suppressed
Letrozole	Letrozole	17	suppressed
Levemir Flexpen	Insulin Detemir	17	suppressed
Metformin Hcl Er	Metformin Hcl	17	suppressed
Bethanechol Chloride	Bethanechol Chloride	16	suppressed
Bupropion Hcl Sr	Bupropion Hcl	16	suppressed
Digoxin	Digoxin	16	suppressed
Estradiol	Estradiol	16	suppressed
Rosuvastatin Calcium	Rosuvastatin Calcium	16	suppressed
Amitriptyline Hcl	Amitriptyline Hcl	15	suppressed
Ondansetron Hcl	Ondansetron Hcl/Pf	15	14
Ozempic	Semaglutide	15	suppressed
Temazepam	Temazepam	15	suppressed
Valproic Acid	Valproic Acid (As Sodium Salt)	15	suppressed
Cefdinir	Cefdinir	14	11
Exelon	Rivastigmine	14	suppressed
Fenofibrate	Fenofibrate Nanocrystallized	14	suppressed
Fluconazole	Fluconazole	14	11
Venlafaxine Hcl	Venlafaxine Hcl	14	suppressed
Verapamil Er	Verapamil Hcl	14	suppressed
Azelastine Hcl	Azelastine Hcl	13	suppressed
Benztropine Mesylate	Benztropine Mesylate	13	suppressed
Lacosamide	Lacosamide	13	suppressed
Lamotrigine	Lamotrigine	13	suppressed
Restasis	Cyclosporine	13	suppressed
Sulfasalazine	Sulfasalazine	13	suppressed
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	13	suppressed
Amantadine	Amantadine Hcl	12	suppressed
Breo Ellipta	Fluticasone/Vilanterol	12	suppressed
Bupropion Xl	Bupropion Hcl	12	suppressed
Candesartan Cilexetil	Candesartan Cilexetil	12	suppressed
Cholestyramine	Cholestyramine (With Sugar)	12	suppressed
Cholestyramine Light	Cholestyramine	12	suppressed
Erythromycin	Erythromycin Base	12	suppressed
Metoclopramide Hcl	Metoclopramide Hcl	12	suppressed
Nebivolol Hcl	Nebivolol Hcl	12	suppressed
Pentoxifylline	Pentoxifylline	12	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	12	suppressed
Rasagiline Mesylate	Rasagiline Mesylate	12	suppressed
Terazosin Hcl	Terazosin Hcl	12	suppressed
Zolpidem Tartrate	Zolpidem Tartrate	12	suppressed
Advair Diskus	Fluticasone Propion/Salmeterol	11	suppressed
Carbidopa-Levodopa Er	Carbidopa/Levodopa	11	suppressed
Guanfacine Hcl	Guanfacine Hcl	11	suppressed
Nitroglycerin	Nitroglycerin	11	suppressed
Silodosin	Silodosin	11	suppressed
Xifaxan	Rifaximin	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

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