Healthcare provider profile · identity verified

Sean Koch, MD

Allopathic & Osteopathic Physicians|Family Medicine · WYNNE, AR · NPI 1184112112

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 Sean Koch, MD received $781.53 in general payments during 2025 across 48 reported records.

AstraZeneca Pharmaceuticals LP accounted for 37.0% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 24 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Linzess, Nurtec Odt, Ozempic, Trelegy Ellipta.

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 46 claims for Linzess by this doctor in 2024.

AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 57 claims for Farxiga by this doctor in 2024.

AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Symbicort by this doctor in 2024.

GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 78 claims for Trelegy Ellipta 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 158 claims for Ozempic 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 79 claims for Eliquis 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 NURTEC ODT as an associated drug or biological on 217574 records involving 54025 distinct recipient NPIs. Public Medicare Part D data also shows 25 claims for Nurtec Odt by this doctor in 2024.

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

Payment overview · 2025

General Payments

$781.53

48 reported records · 14 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
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $288.9637.0%52025
ABBVIE INC. Unresolved — no canonical attribution shown $205.4826.3%252025
Novo Nordisk Inc Unresolved — no canonical attribution shown $60.947.8%42025
Bayer Healthcare Pharmaceuticals Inc. Unresolved — no canonical attribution shown $40.985.2%22025
Reprise Biomedical, Inc. Unresolved — no canonical attribution shown $34.704.4%22025
Exact Sciences Corporation Unresolved — no canonical attribution shown $27.693.5%22025
Dexcom, Inc. Unresolved — no canonical attribution shown $18.682.4%12025
Medtronic, Inc. Medtronic, Inc.
exact · evidence 2025-07-22
$18.202.3%12025
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) Unresolved — no canonical attribution shown $16.122.1%12025
Salix Pharmaceuticals, a division of Bausch Health US, LLC Unresolved — no canonical attribution shown $15.282.0%12025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $15.251.9%12025
Paratek Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $14.361.8%12025
PFIZER INC. Unresolved — no canonical attribution shown $14.021.8%12025
Phathom Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $10.871.4%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$781.5348

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
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $197.56 4 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $133.84 11 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $133.84 11 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $91.40 1 2025
Source payment records
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $46.38 1 2025
Source payment records
Kerendia
Normalized: kerendia
Drug Bayer Healthcare Pharmaceuticals Inc. $40.98 2 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $38.28 5 2025
Source payment records
LINZESS
Normalized: linzess
Drug ABBVIE INC. $33.36 9 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $29.26 2 2025
Source payment records
The Cologuard Plus Collection Kit
Normalized: the cologuard plus collection kit
Device Exact Sciences Corporation $27.69 2 2025
Source payment records
Miro 3D
Normalized: miro 3d
Device Reprise Biomedical, Inc. $22.22 1 2025
Source payment records
CREON
Normalized: creon
Drug ABBVIE INC. $21.16 8 2025
Source payment records
Dexcom G6 Transmitter
Normalized: dexcom g6 transmitter
Medical Supply Dexcom, Inc. $18.68 1 2025
Source payment records
MINIMED 780G
Normalized: minimed 780g
Device Medtronic, Inc. $18.20 1 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $17.50 1 2025
Source payment records
CAPLYTA
Normalized: caplyta
Drug ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.12 1 2025
Source payment records
XIFAXAN
Normalized: xifaxan
Drug Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.28 1 2025
Source payment records
  • 2025-06-03 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $15.28 · Open Payments source
TRELEGY ELLIPTA
Normalized: trelegy ellipta
Drug GlaxoSmithKline, LLC. $15.25 1 2025
Source payment records
NUZYRA
Normalized: nuzyra
Drug Paratek Pharmaceuticals, Inc. $14.36 1 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $14.02 1 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $14.02 1 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $13.48 1 2025
Source payment records
Miro3D
Normalized: miro3d
Device Reprise Biomedical, Inc. $12.48 1 2025
Source payment records
VOQUEZNA
Normalized: voquezna
Drug Phathom Pharmaceuticals, Inc. $10.87 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
FARXIGA
farxiga
2025 Farxiga 2024 57 exact normalized Medicare Part D
LINZESS
linzess
2025 Linzess 2024 46 exact normalized Medicare Part D
NURTEC ODT
nurtec odt
2025 Nurtec Odt 2024 25
Beneficiary count suppressed
exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 158 exact normalized Medicare Part D
TRELEGY ELLIPTA
trelegy ellipta
2025 Trelegy Ellipta 2024 78 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
46 16
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 FARXIGA
open payments reported associated product
CMS Open Payments — General Payments
106133 supporting records · 42906 recipient NPIs · example record 1206131362
Farxiga · 2024
Exact normalized brand match · 1 Part D row
57 11
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 SYMBICORT
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 51 recipient NPIs · example record 1206132610
Symbicort · 2024
Exact normalized brand match · 1 Part D row
21 suppressed by CMS
GlaxoSmithKline, LLC.
Exact reporting entity; no affiliate inference
2025 TRELEGY ELLIPTA
open payments reported associated product
CMS Open Payments — General Payments
131532 supporting records · 37148 recipient NPIs · example record 1190332369
Trelegy Ellipta · 2024
Exact normalized brand match · 1 Part D row
78 20
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
158 33
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
79 22
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 NURTEC ODT
open payments reported associated product
CMS Open Payments — General Payments
217574 supporting records · 54025 recipient NPIs · example record 1228794063
Nurtec Odt · 2024
Exact normalized brand match · 1 Part D row
25 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 Calcium469180
Amlodipine BesylateAmlodipine Besylate381144
GabapentinGabapentin28894
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen26386
Losartan PotassiumLosartan Potassium25889
OmeprazoleOmeprazole21591
Pantoprazole SodiumPantoprazole Sodium20790
Albuterol Sulfate HfaAlbuterol Sulfate18956
MounjaroTirzepatide18334
AlprazolamAlprazolam17542
Tramadol HclTramadol Hcl17050
Trazodone HclTrazodone Hcl16660
OzempicSemaglutide15833
LisinoprilLisinopril14859
FurosemideFurosemide14655
Levothyroxine SodiumLevothyroxine Sodium13944
Duloxetine HclDuloxetine Hcl13847
MeloxicamMeloxicam13552
Metformin HclMetformin Hcl12946
Rosuvastatin CalciumRosuvastatin Calcium12544
Cyclobenzaprine HclCyclobenzaprine Hcl12041
Escitalopram OxalateEscitalopram Oxalate11646
Potassium ChloridePotassium Chloride11040
Pravastatin SodiumPravastatin Sodium10935
AllopurinolAllopurinol10329
Tizanidine HclTizanidine Hcl10232
Metoprolol SuccinateMetoprolol Succinate9542
ClopidogrelClopidogrel Bisulfate8837
SpironolactoneSpironolactone8339
Metoprolol TartrateMetoprolol Tartrate8031
Tamsulosin HclTamsulosin Hcl8037
EliquisApixaban7922
ClonazepamClonazepam7815
Glipizide ErGlipizide7825
Trelegy ElliptaFluticasone/Umeclidin/Vilanter7820
Zolpidem TartrateZolpidem Tartrate7821
JardianceEmpagliflozin7727
SimvastatinSimvastatin7730
HydrochlorothiazideHydrochlorothiazide7223
CarvedilolCarvedilol7132
Donepezil HclDonepezil Hcl7122
Fluticasone PropionateFluticasone Propionate7035
LorazepamLorazepam6921
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav6857
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide6828
PregabalinPregabalin6827
Bupropion XlBupropion Hcl6627
Montelukast SodiumMontelukast Sodium6427
Amitriptyline HclAmitriptyline Hcl6121
CelecoxibCelecoxib5815
FamotidineFamotidine5820
FarxigaDapagliflozin Propanediol5711
Sertraline HclSertraline Hcl5730
EzetimibeEzetimibe5622
Metformin Hcl ErMetformin Hcl5619
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide5318
AtenololAtenolol5116
GlimepirideGlimepiride5014
FluconazoleFluconazole4824
PrednisonePrednisone4832
Fluoxetine HclFluoxetine Hcl4719
Hydralazine HclHydralazine Hcl4621
LinzessLinaclotide4616
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid4616
Diclofenac SodiumDiclofenac Sodium4314
Promethazine HclPromethazine Hcl4313
Doxycycline HyclateDoxycycline Hyclate4132
MethylprednisoloneMethylprednisolone3932
Acetaminophen-CodeineAcetaminophen With Codeine38suppressed
Quetiapine FumarateQuetiapine Fumarate3815
Buspirone HclBuspirone Hcl3717
AzithromycinAzithromycin3526
Breztri AerosphereBudesonide/Glycopyr/Formoterol35suppressed
LovastatinLovastatin35suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog3412
Ondansetron OdtOndansetron3423
DiazepamDiazepam3316
Sumatriptan SuccinateSumatriptan Succinate3313
Citalopram HbrCitalopram Hydrobromide3212
PrimidonePrimidone32suppressed
TopiramateTopiramate3215
Alendronate SodiumAlendronate Sodium3112
MirtazapineMirtazapine30suppressed
Benazepril HclBenazepril Hcl29suppressed
Hydroxyzine HclHydroxyzine Hcl2916
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr28suppressed
Ventolin HfaAlbuterol Sulfate2811
Warfarin SodiumWarfarin Sodium28suppressed
EntrestoSacubitril/Valsartan27suppressed
JanuviaSitagliptin Phosphate27suppressed
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst2719
Propranolol HclPropranolol Hcl27suppressed
RamiprilRamipril27suppressed
Oxybutynin Chloride ErOxybutynin Chloride2612
IbuprofenIbuprofen25suppressed
Nurtec OdtRimegepant Sulfate25suppressed
NystatinNystatin2414
Pioglitazone HclPioglitazone Hcl24suppressed
SucralfateSucralfate24suppressed
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen23suppressed
Repatha SureclickEvolocumab23suppressed
GlipizideGlipizide22suppressed
Soliqua 100-33Insulin Glargine/Lixisenatide22suppressed
KetoconazoleKetoconazole2111
Oxycodone HclOxycodone Hcl21suppressed
SymbicortBudesonide/Formoterol Fumarate21suppressed
Venlafaxine Hcl ErVenlafaxine Hcl21suppressed
Aimovig AutoinjectorErenumab-Aooe20suppressed
AripiprazoleAripiprazole20suppressed
LactuloseLactulose20suppressed
Nifedipine ErNifedipine20suppressed
Ropinirole HclRopinirole Hcl20suppressed
Tresiba Flextouch U-200Insulin Degludec20suppressed
Verapamil ErVerapamil Hcl20suppressed
FinasterideFinasteride19suppressed
Oxybutynin ChlorideOxybutynin Chloride19suppressed
Isosorbide Mononitrate ErIsosorbide Mononitrate18suppressed
Triamcinolone AcetonideTriamcinolone Acetonide18suppressed
Amiodarone HclAmiodarone Hcl17suppressed
LamotrigineLamotrigine17suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim1713
Verapamil Er PmVerapamil Hcl17suppressed
Memantine HclMemantine Hcl16suppressed
MethimazoleMethimazole16suppressed
MyrbetriqMirabegron16suppressed
NitroglycerinNitroglycerin1614
Synjardy XrEmpagliflozin/Metformin Hcl16suppressed
XareltoRivaroxaban16suppressed
Breo ElliptaFluticasone/Vilanterol15suppressed
Carbidopa-Levodopa ErCarbidopa/Levodopa15suppressed
EstradiolEstradiol15suppressed
Novolog FlexpenInsulin Aspart15suppressed
Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril14suppressed
BumetanideBumetanide14suppressed
Clonidine HclClonidine Hcl14suppressed
Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine14suppressed
LevofloxacinLevofloxacin1412
Paroxetine HclParoxetine Hcl14suppressed
Ondansetron HclOndansetron Hcl13suppressed
Stiolto RespimatTiotropium Br/Olodaterol Hcl13suppressed
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog13suppressed
TrulicityDulaglutide13suppressed
Ulticare Pen NeedlePen Needle, Diabetic13suppressed
FenofibrateFenofibrate12suppressed
Humira PenAdalimumab12suppressed
Lisdexamfetamine DimesylateLisdexamfetamine Dimesylate12suppressed
MethocarbamolMethocarbamol12suppressed
RizatriptanRizatriptan Benzoate12suppressed
Atomoxetine HclAtomoxetine Hcl11suppressed
Doxazosin MesylateDoxazosin Mesylate11suppressed
Metoclopramide HclMetoclopramide Hcl11suppressed
MetolazoneMetolazone11suppressed
Mometasone FuroateMometasone Furoate11suppressed
MupirocinMupirocin1111
Venlafaxine HclVenlafaxine Hcl11suppressed

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 $781.53 · 48 records AstraZeneca Pharmaceuticals LP AIRSUPRA, BREZTRI, CAPLYTA, CREON, Dexcom G6 Transmitter, FARXIGA, Kerendia, LINZESS, MINIMED 780G, Miro 3D, Miro3D, NURTEC ODT, NUZYRA, Ozempic, QULIPTA, Rybelsus, TRELEGY ELLIPTA, The Cologuard Plus Collection Kit, UBRELVY, VOQUEZNA, VRAYLAR, Wegovy, XIFAXAN, ZAVZPRET 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