Payment overview · 2025
General Payments
$142.04
2 reported records · 2 companies
Healthcare provider profile · identity verified
George Ryan Declerk, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · ROGERS, AR · NPI 1205037611
Verified facts
What the public records show
CMS Open Payments records show George Ryan Declerk, M.D. received $142.04 in general payments during 2025 across 2 reported records.
PFIZER INC. accounted for 76.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 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 62 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 13 claims for Nurtec Odt 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 |
|---|---|---|---|---|---|
| PFIZER INC. | Unresolved — no canonical attribution shown | $109.18 | 76.9% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $32.86 | 23.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $142.04 | 2 |
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 |
|---|---|---|---|---|---|
| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $109.18 | 1 | 2025 |
Source payment records
|
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| Symbravo Normalized: symbravo |
Drug | Axsome Therapeutics, Inc. | $32.86 | 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.
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 |
62 | 17 |
| 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 |
13 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 329 | 101 |
| Levothyroxine Sodium | Levothyroxine Sodium | 323 | 80 |
| Lisinopril | Lisinopril | 259 | 77 |
| Amlodipine Besylate | Amlodipine Besylate | 212 | 56 |
| Losartan Potassium | Losartan Potassium | 190 | 55 |
| Metformin Hcl | Metformin Hcl | 184 | 48 |
| Omeprazole | Omeprazole | 175 | 49 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 147 | 46 |
| Furosemide | Furosemide | 139 | 44 |
| Gabapentin | Gabapentin | 138 | 46 |
| Hydrochlorothiazide | Hydrochlorothiazide | 135 | 38 |
| Meloxicam | Meloxicam | 130 | 33 |
| Tamsulosin Hcl | Tamsulosin Hcl | 129 | 44 |
| Clonazepam | Clonazepam | 114 | 19 |
| Azelastine Hcl | Azelastine Hcl | 110 | 58 |
| Zolpidem Tartrate | Zolpidem Tartrate | 107 | 28 |
| Alprazolam | Alprazolam | 104 | 16 |
| Pantoprazole Sodium | Pantoprazole Sodium | 94 | 25 |
| Farxiga | Dapagliflozin Propanediol | 93 | 28 |
| Tramadol Hcl | Tramadol Hcl | 92 | 17 |
| Metoprolol Tartrate | Metoprolol Tartrate | 91 | 24 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 87 | 33 |
| Potassium Chloride | Potassium Chloride | 84 | 27 |
| Methylprednisolone | Methylprednisolone | 81 | 72 |
| Pravastatin Sodium | Pravastatin Sodium | 81 | 21 |
| Carvedilol | Carvedilol | 72 | 22 |
| Montelukast Sodium | Montelukast Sodium | 71 | 18 |
| Duloxetine Hcl | Duloxetine Hcl | 69 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 68 | 23 |
| Fluticasone Propionate | Fluticasone Propionate | 66 | 18 |
| Pregabalin | Pregabalin | 66 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 63 | 16 |
| Eliquis | Apixaban | 62 | 17 |
| Jardiance | Empagliflozin | 59 | 15 |
| Fluoxetine Hcl | Fluoxetine Hcl | 57 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 56 | 16 |
| Testosterone Cypionate | Testosterone Cypionate | 56 | 14 |
| Trazodone Hcl | Trazodone Hcl | 56 | 12 |
| Allopurinol | Allopurinol | 50 | 15 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 48 | 13 |
| Ondansetron Odt | Ondansetron | 48 | 23 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 47 | 14 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 45 | 15 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 44 | suppressed |
| Ozempic | Semaglutide | 43 | 13 |
| Bupropion Xl | Bupropion Hcl | 42 | suppressed |
| Celecoxib | Celecoxib | 42 | 11 |
| Famotidine | Famotidine | 42 | 12 |
| Glipizide | Glipizide | 42 | 12 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 42 | 31 |
| Sertraline Hcl | Sertraline Hcl | 41 | 11 |
| Xarelto | Rivaroxaban | 41 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 39 | 11 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 39 | 21 |
| Mounjaro | Tirzepatide | 38 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 38 | 17 |
| Nifedipine Er | Nifedipine | 37 | suppressed |
| Spironolactone | Spironolactone | 37 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 37 | 12 |
| Fluconazole | Fluconazole | 36 | 16 |
| Simvastatin | Simvastatin | 35 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 34 | 31 |
| Escitalopram Oxalate | Escitalopram Oxalate | 33 | 11 |
| Nystatin | Nystatin | 33 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 32 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 32 | 28 |
| Metformin Hcl Er | Metformin Hcl | 32 | suppressed |
| Tradjenta | Linagliptin | 32 | suppressed |
| Atenolol | Atenolol | 31 | suppressed |
| Synthroid | Levothyroxine Sodium | 31 | suppressed |
| Lovastatin | Lovastatin | 29 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 28 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 27 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 26 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 25 | suppressed |
| Cephalexin | Cephalexin | 25 | 21 |
| Propranolol Hcl | Propranolol Hcl | 25 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 24 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 24 | suppressed |
| Lorazepam | Lorazepam | 23 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 23 | suppressed |
| Ezetimibe | Ezetimibe | 22 | suppressed |
| Glimepiride | Glimepiride | 22 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 22 | suppressed |
| Prednisone | Prednisone | 22 | 18 |
| Ropinirole Hcl | Ropinirole Hcl | 22 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 19 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 19 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 18 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 18 | suppressed |
| Azithromycin | Azithromycin | 17 | 16 |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 17 | suppressed |
| Carisoprodol | Carisoprodol | 17 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 17 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 17 | suppressed |
| Hydrocortisone | Hydrocortisone | 16 | suppressed |
| Myrbetriq | Mirabegron | 16 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 16 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 12 |
| Breo Ellipta | Fluticasone/Vilanterol | 15 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 15 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 15 | suppressed |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Lansoprazole | Lansoprazole | 14 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 14 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 14 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 14 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 14 | suppressed |
| Levetiracetam | Levetiracetam | 13 | suppressed |
| Nurtec Odt | Rimegepant Sulfate | 13 | suppressed |
| Dapagliflozin | Dapagliflozin Propanediol | 12 | suppressed |
| Digoxin | Digoxin | 12 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 12 | suppressed |
| Finasteride | Finasteride | 12 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 12 | suppressed |
| Novolog Flexpen | Insulin Aspart | 12 | suppressed |
| Olanzapine | Olanzapine | 12 | suppressed |
| Ramipril | Ramipril | 12 | suppressed |
| Temazepam | Temazepam | 12 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 12 | suppressed |
| Cefdinir | Cefdinir | 11 | 11 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 11 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 11 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 11 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 11 | suppressed |
| Torsemide | Torsemide | 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 | $142.04 · 2 records | PFIZER INC. | Symbravo, ZAVZPRET | 2 | — |
| 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