Payment overview · 2025
General Payments
We did not find matching Open Payments records for this doctor in the selected program year.
Healthcare provider profile · identity verified
Karen M Fleming, NP
Nurse Practitioner · AUBURN, MA · NPI 1194790758
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.
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 | 660 | 178 |
| Lisinopril | Lisinopril | 416 | 117 |
| Levothyroxine Sodium | Levothyroxine Sodium | 372 | 85 |
| Gabapentin | Gabapentin | 327 | 62 |
| Omeprazole | Omeprazole | 319 | 88 |
| Amlodipine Besylate | Amlodipine Besylate | 282 | 75 |
| Lorazepam | Lorazepam | 222 | 66 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 210 | 57 |
| Ezetimibe | Ezetimibe | 196 | 47 |
| Hydrochlorothiazide | Hydrochlorothiazide | 181 | 49 |
| Furosemide | Furosemide | 169 | 49 |
| Eliquis | Apixaban | 150 | 31 |
| Metoprolol Succinate | Metoprolol Succinate | 150 | 43 |
| Atenolol | Atenolol | 145 | 36 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 134 | 54 |
| Pantoprazole Sodium | Pantoprazole Sodium | 134 | 35 |
| Sertraline Hcl | Sertraline Hcl | 130 | 31 |
| Simvastatin | Simvastatin | 130 | 36 |
| Losartan Potassium | Losartan Potassium | 127 | 37 |
| Oxycodone Hcl | Oxycodone Hcl | 126 | 23 |
| Fluticasone Propionate | Fluticasone Propionate | 125 | 35 |
| Ibuprofen | Ibuprofen | 121 | 34 |
| Metformin Hcl Er | Metformin Hcl | 121 | 41 |
| Tamsulosin Hcl | Tamsulosin Hcl | 118 | 26 |
| Clonazepam | Clonazepam | 117 | 16 |
| Escitalopram Oxalate | Escitalopram Oxalate | 115 | 31 |
| Pravastatin Sodium | Pravastatin Sodium | 111 | 32 |
| Citalopram Hbr | Citalopram Hydrobromide | 103 | 26 |
| Famotidine | Famotidine | 102 | 30 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 99 | 13 |
| Trazodone Hcl | Trazodone Hcl | 99 | 25 |
| Trulicity | Dulaglutide | 97 | 18 |
| Fluoxetine Hcl | Fluoxetine Hcl | 94 | 21 |
| Metformin Hcl | Metformin Hcl | 94 | 31 |
| Valsartan | Valsartan | 94 | 28 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 93 | suppressed |
| Prednisone | Prednisone | 77 | 42 |
| Celecoxib | Celecoxib | 75 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 74 | 20 |
| Montelukast Sodium | Montelukast Sodium | 72 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 69 | 21 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 66 | 31 |
| Diclofenac Sodium | Diclofenac Sodium | 64 | 17 |
| Potassium Chloride | Potassium Chloride | 64 | 15 |
| Spironolactone | Spironolactone | 62 | 15 |
| Diazepam | Diazepam | 61 | suppressed |
| Mirtazapine | Mirtazapine | 60 | 14 |
| Ozempic | Semaglutide | 59 | 12 |
| Bupropion Xl | Bupropion Hcl | 57 | 17 |
| Quetiapine Fumarate | Quetiapine Fumarate | 55 | 12 |
| Tramadol Hcl | Tramadol Hcl | 53 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 50 | suppressed |
| Jardiance | Empagliflozin | 50 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 50 | 20 |
| Alprazolam | Alprazolam | 48 | suppressed |
| Glipizide Er | Glipizide | 45 | 12 |
| Zolpidem Tartrate | Zolpidem Tartrate | 43 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 42 | suppressed |
| Methocarbamol | Methocarbamol | 41 | suppressed |
| Nystatin | Nystatin | 41 | 17 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 41 | 14 |
| Ventolin Hfa | Albuterol Sulfate | 40 | suppressed |
| Allopurinol | Allopurinol | 39 | 11 |
| Baclofen | Baclofen | 38 | suppressed |
| Cephalexin | Cephalexin | 38 | 29 |
| Lovastatin | Lovastatin | 38 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 37 | 13 |
| Azithromycin | Azithromycin | 36 | 16 |
| Pregabalin | Pregabalin | 36 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 35 | suppressed |
| Topiramate | Topiramate | 35 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 34 | 31 |
| Glipizide | Glipizide | 33 | 11 |
| Clopidogrel | Clopidogrel Bisulfate | 32 | 11 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 32 | 11 |
| Paroxetine Hcl | Paroxetine Hcl | 30 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 30 | 14 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 29 | 21 |
| Amoxicillin | Amoxicillin | 26 | 21 |
| Dexlansoprazole Dr | Dexlansoprazole | 26 | suppressed |
| Mounjaro | Tirzepatide | 25 | suppressed |
| Synthroid | Levothyroxine Sodium | 25 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 25 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 24 | 20 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 24 | suppressed |
| Naproxen | Naproxen | 24 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 24 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 24 | suppressed |
| Carvedilol | Carvedilol | 23 | suppressed |
| Ketoconazole | Ketoconazole | 23 | 15 |
| Loperamide | Loperamide Hcl | 22 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 22 | suppressed |
| Memantine Hcl | Memantine Hcl | 22 | suppressed |
| Rybelsus | Semaglutide | 22 | suppressed |
| Acyclovir | Acyclovir | 21 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 21 | suppressed |
| Nifedipine Er | Nifedipine | 21 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 21 | suppressed |
| Sucralfate | Sucralfate | 21 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 21 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 20 | suppressed |
| Lidocaine | Lidocaine | 20 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 20 | suppressed |
| Primidone | Primidone | 20 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 20 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 20 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 19 | 12 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 18 | suppressed |
| Verapamil Er | Verapamil Hcl | 18 | suppressed |
| Amantadine | Amantadine Hcl | 17 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 17 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 17 | 11 |
| Desloratadine | Desloratadine | 17 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 17 | suppressed |
| Meloxicam | Meloxicam | 17 | suppressed |
| Methenamine Hippurate | Methenamine Hippurate | 17 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 17 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 17 | 14 |
| Temazepam | Temazepam | 17 | suppressed |
| Lansoprazole | Lansoprazole | 16 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 16 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 16 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 16 | suppressed |
| Clotrimazole | Clotrimazole | 15 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 15 | suppressed |
| Hydrocortisone | Hydrocortisone | 15 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 15 | suppressed |
| Minocycline Hcl | Minocycline Hcl | 15 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 15 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 14 | suppressed |
| Chlorthalidone | Chlorthalidone | 14 | suppressed |
| Digoxin | Digoxin | 14 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 14 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 14 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 14 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 13 | suppressed |
| Estradiol | Estradiol | 13 | suppressed |
| Levetiracetam | Levetiracetam | 13 | suppressed |
| Repatha Sureclick | Evolocumab | 13 | suppressed |
| Cromolyn Sodium | Cromolyn Sodium | 12 | suppressed |
| Klor-Con M20 | Potassium Chloride | 12 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 12 | suppressed |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 12 | suppressed |
| Ursodiol | Ursodiol | 12 | suppressed |
| Xarelto | Rivaroxaban | 12 | suppressed |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 11 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 11 | suppressed |
| Flovent Diskus | Fluticasone Propionate | 11 | suppressed |
| Fluconazole | Fluconazole | 11 | suppressed |
| Humulin N | Insulin Nph Human Isophane | 11 | suppressed |
| Lamotrigine | Lamotrigine | 11 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 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 |
Full methodology · Questions & answers · Report a possible error