Healthcare provider profile · identity verified

Zheni Avram, M.D.

Allopathic & Osteopathic Physicians|Internal Medicine · RICHMOND, VA · NPI 1215113196

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 Zheni Avram, M.D. received $721.43 in general payments during 2025 across 36 reported records.

ABBVIE INC. accounted for 38.5% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 19 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro, Ozempic, Wegovy.

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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 108 claims for Synthroid by this doctor in 2024.

Lilly USA, 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 83 claims for Jardiance by this doctor in 2024.

Lilly USA, 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 35 claims for Mounjaro by this doctor in 2024.

Lilly USA, 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 37 claims for Trulicity 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 89 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Rybelsus 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 Wegovy as an associated drug or biological on 183056 records involving 75256 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Wegovy 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 112 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 PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 32 claims for Paxlovid by this doctor in 2024.

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

Payment overview · 2025

General Payments

$721.43

36 reported records · 13 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
ABBVIE INC. Unresolved — no canonical attribution shown $277.4338.5%202025
Novo Nordisk Inc Unresolved — no canonical attribution shown $214.0429.7%52025
Inspire Medical Systems, Inc. Unresolved — no canonical attribution shown $54.607.6%12025
Medtronic, Inc. Medtronic, Inc.
exact · evidence 2025-07-22
$25.943.6%12025
PFIZER INC. Unresolved — no canonical attribution shown $20.182.8%12025
Novartis Pharmaceuticals Corporation Unresolved — no canonical attribution shown $18.372.5%12025
Axsome Therapeutics, Inc. Unresolved — no canonical attribution shown $17.722.5%12025
Salix Pharmaceuticals, a division of Bausch Health US, LLC Unresolved — no canonical attribution shown $17.372.4%12025
Edwards Lifesciences Corporation Unresolved — no canonical attribution shown $17.092.4%12025
Abbott Laboratories Unresolved — no canonical attribution shown $15.762.2%12025
Seqirus USA Inc Unresolved — no canonical attribution shown $15.292.1%12025
Lilly USA, LLC Unresolved — no canonical attribution shown $13.831.9%12025
Amgen Inc. Unresolved — no canonical attribution shown $13.811.9%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$721.4336

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
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $156.59 2 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $121.32 11 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $119.53 7 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $118.83 11 2025
Source payment records
INSPIRE
Normalized: inspire
Device Inspire Medical Systems, Inc. $54.60 1 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $30.45 2 2025
Source payment records
INCEPTIV
Normalized: inceptiv
Device Medtronic, Inc. $25.94 1 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $20.18 1 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $20.18 1 2025
Source payment records
LEQVIO
Normalized: leqvio
Drug Novartis Pharmaceuticals Corporation $18.37 1 2025
Source payment records
Sunosi
Normalized: sunosi
Drug Axsome Therapeutics, Inc. $17.72 1 2025
Source payment records
XIFAXAN
Normalized: xifaxan
Drug Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.37 1 2025
Source payment records
  • 2025-08-18 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $17.37 · Open Payments source
EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV)
Normalized: edwards sapien 3 transcatheter heart valve thv
Device Edwards Lifesciences Corporation $17.09 1 2025
Source payment records
FREESTYLE LIBRE 3
Normalized: freestyle libre 3
Device Abbott Laboratories $15.76 1 2025
Source payment records
Fluad
Normalized: fluad
Biological Seqirus USA Inc $15.29 1 2025
Source payment records
Flucelvax
Normalized: flucelvax
Biological Seqirus USA Inc $15.29 1 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $13.83 1 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $13.83 1 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $13.81 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
MOUNJARO
mounjaro
2025 Mounjaro 2024 35
Beneficiary count suppressed
exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 89 exact normalized Medicare Part D
Wegovy
wegovy
2025 Wegovy 2024 14
Beneficiary count suppressed
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 SYNTHROID
open payments reported associated product
CMS Open Payments — General Payments
10655 supporting records · 4881 recipient NPIs · example record 1201352636
Synthroid · 2024
Exact normalized brand match · 1 Part D row
108 27
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
47708 supporting records · 23833 recipient NPIs · example record 1186464557
Jardiance · 2024
Exact normalized brand match · 1 Part D row
83 20
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 MOUNJARO
open payments reported associated product
CMS Open Payments — General Payments
186719 supporting records · 66436 recipient NPIs · example record 1186464455
Mounjaro · 2024
Exact normalized brand match · 1 Part D row
35 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 TRULICITY
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 57 recipient NPIs · example record 1186464601
Trulicity · 2024
Exact normalized brand match · 1 Part D row
37 suppressed by CMS
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
89 12
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Rybelsus
open payments reported associated product
CMS Open Payments — General Payments
161257 supporting records · 55409 recipient NPIs · example record 1188130076
Rybelsus · 2024
Exact normalized brand match · 1 Part D row
16 suppressed by CMS
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Wegovy
open payments reported associated product
CMS Open Payments — General Payments
183056 supporting records · 75256 recipient NPIs · example record 1188130070
Wegovy · 2024
Exact normalized brand match · 1 Part D row
14 suppressed by CMS
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
112 27
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 PAXLOVID
open payments reported associated product
CMS Open Payments — General Payments
24465 supporting records · 15715 recipient NPIs · example record 1228794432
Paxlovid · 2024
Exact normalized brand match · 1 Part D row
32 30

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 Calcium932258
Levothyroxine SodiumLevothyroxine Sodium576159
Amlodipine BesylateAmlodipine Besylate565155
Losartan PotassiumLosartan Potassium516136
HydrochlorothiazideHydrochlorothiazide410111
Rosuvastatin CalciumRosuvastatin Calcium366107
LisinoprilLisinopril33988
Pravastatin SodiumPravastatin Sodium28173
SimvastatinSimvastatin28082
EzetimibeEzetimibe26577
Escitalopram OxalateEscitalopram Oxalate21854
Metformin HclMetformin Hcl20765
OmeprazoleOmeprazole20456
Sertraline HclSertraline Hcl19549
GabapentinGabapentin18443
Pantoprazole SodiumPantoprazole Sodium17855
Metformin Hcl ErMetformin Hcl17149
Montelukast SodiumMontelukast Sodium16849
Alendronate SodiumAlendronate Sodium16639
Metoprolol SuccinateMetoprolol Succinate16246
Trazodone HclTrazodone Hcl14837
Potassium ChloridePotassium Chloride12341
AtenololAtenolol11326
EliquisApixaban11227
Olmesartan MedoxomilOlmesartan Medoxomil11229
SynthroidLevothyroxine Sodium10827
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid9427
Zolpidem TartrateZolpidem Tartrate9323
AzithromycinAzithromycin9282
FurosemideFurosemide8932
OzempicSemaglutide8912
Tamsulosin HclTamsulosin Hcl8723
Bupropion Hcl SrBupropion Hcl8624
JardianceEmpagliflozin8320
Duloxetine HclDuloxetine Hcl8217
Bupropion XlBupropion Hcl8020
Albuterol Sulfate HfaAlbuterol Sulfate7833
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide7820
Citalopram HbrCitalopram Hydrobromide7723
FamotidineFamotidine7422
CarvedilolCarvedilol7017
ValsartanValsartan7019
Donepezil HclDonepezil Hcl6920
Fluoxetine HclFluoxetine Hcl6920
GlimepirideGlimepiride6621
MeloxicamMeloxicam6621
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide6516
Warfarin SodiumWarfarin Sodium6312
Azelastine HclAzelastine Hcl6126
CefuroximeCefuroxime Axetil6144
Glipizide ErGlipizide6119
Metoprolol TartrateMetoprolol Tartrate5920
Venlafaxine Hcl ErVenlafaxine Hcl5713
Benazepril HclBenazepril Hcl5413
ClopidogrelClopidogrel Bisulfate5215
Hydralazine HclHydralazine Hcl5218
Diltiazem 24hr Er (Cd)Diltiazem Hcl5113
Diclofenac SodiumDiclofenac Sodium4912
SpironolactoneSpironolactone4819
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide4812
AllopurinolAllopurinol4713
Ciprofloxacin HclCiprofloxacin Hcl4640
Paroxetine HclParoxetine Hcl4614
AlprazolamAlprazolam4428
MirtazapineMirtazapine44suppressed
LorazepamLorazepam4313
ClonazepamClonazepam41suppressed
Fluticasone PropionateFluticasone Propionate3916
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst3930
XareltoRivaroxaban39suppressed
Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril38suppressed
Pioglitazone HclPioglitazone Hcl3711
TrulicityDulaglutide37suppressed
ValacyclovirValacyclovir Hcl3719
Enalapril MaleateEnalapril Maleate36suppressed
Meclizine HclMeclizine Hcl3617
Verapamil ErVerapamil Hcl36suppressed
MethylprednisoloneMethylprednisolone3531
MounjaroTirzepatide35suppressed
Propranolol HclPropranolol Hcl35suppressed
Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide34suppressed
Raloxifene HclRaloxifene Hcl33suppressed
Doxycycline HyclateDoxycycline Hyclate3229
PaxlovidNirmatrelvir/Ritonavir3230
BumetanideBumetanide31suppressed
ChlorthalidoneChlorthalidone3111
DiazepamDiazepam31suppressed
Dilt-XrDiltiazem Hcl31suppressed
IrbesartanIrbesartan31suppressed
LovastatinLovastatin29suppressed
AcyclovirAcyclovir27suppressed
Doxazosin MesylateDoxazosin Mesylate27suppressed
FluconazoleFluconazole2720
PregabalinPregabalin27suppressed
Tolterodine Tartrate ErTolterodine Tartrate27suppressed
Amitriptyline HclAmitriptyline Hcl26suppressed
TopiramateTopiramate26suppressed
Buspirone HclBuspirone Hcl25suppressed
CarbamazepineCarbamazepine25suppressed
Ropinirole HclRopinirole Hcl25suppressed
Tramadol HclTramadol Hcl25suppressed
KetoconazoleKetoconazole24suppressed
PrednisonePrednisone2418
Quetiapine FumarateQuetiapine Fumarate24suppressed
Diltiazem 24hr ErDiltiazem Hcl23suppressed
Memantine HclMemantine Hcl23suppressed
Nano 2nd Gen Pen NeedlePen Needle, Diabetic23suppressed
Sumatriptan SuccinateSumatriptan Succinate23suppressed
Clonidine HclClonidine Hcl22suppressed
FenofibrateFenofibrate22suppressed
FenofibrateFenofibrate Nanocrystallized22suppressed
JanuviaSitagliptin Phosphate22suppressed
MyrbetriqMirabegron22suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav2120
Midodrine HclMidodrine Hcl21suppressed
Nebivolol HclNebivolol Hcl21suppressed
EstradiolEstradiol2011
FenofibrateFenofibrate,micronized20suppressed
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen20suppressed
Trelegy ElliptaFluticasone/Umeclidin/Vilanter20suppressed
Verapamil SrVerapamil Hcl20suppressed
Dicyclomine HclDicyclomine Hcl19suppressed
Klor-Con M20Potassium Chloride19suppressed
SymbicortBudesonide/Formoterol Fumarate18suppressed
DigoxinDigoxin17suppressed
GlipizideGlipizide17suppressed
CefdinirCefdinir1615
LevetiracetamLevetiracetam16suppressed
Memantine Hcl ErMemantine Hcl16suppressed
Ondansetron HclOndansetron Hcl16suppressed
RivastigmineRivastigmine16suppressed
RybelsusSemaglutide16suppressed
Solifenacin SuccinateSolifenacin Succinate16suppressed
TelmisartanTelmisartan16suppressed
Ventolin HfaAlbuterol Sulfate16suppressed
Felodipine ErFelodipine15suppressed
FinasterideFinasteride15suppressed
Icosapent EthylIcosapent Ethyl15suppressed
MethocarbamolMethocarbamol15suppressed
NystatinNystatin15suppressed
TemazepamTemazepam15suppressed
Triamcinolone AcetonideTriamcinolone Acetonide1513
BaclofenBaclofen14suppressed
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog14suppressed
Cyclobenzaprine HclCyclobenzaprine Hcl14suppressed
Dropsafe Prep PadsAlcohol Antiseptic Pads14suppressed
Humulin 70-30Insulin Nph Hum/Reg Insulin Hm14suppressed
Propranolol Hcl ErPropranolol Hcl14suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim1413
WegovySemaglutide14suppressed
LatanoprostLatanoprost13suppressed
Oxybutynin ChlorideOxybutynin Chloride13suppressed
Clobetasol PropionateClobetasol Propionate12suppressed
ColchicineColchicine12suppressed
Divalproex Sodium ErDivalproex Sodium12suppressed
Oxybutynin Chloride ErOxybutynin Chloride12suppressed
Saxagliptin HclSaxagliptin Hcl12suppressed
Wixela InhubFluticasone Propion/Salmeterol12suppressed
HydrocortisoneHydrocortisone11suppressed
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride11suppressed
RamiprilRamipril11suppressed

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 $721.43 · 36 records ABBVIE INC. EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV), FREESTYLE LIBRE 3, Fluad, Flucelvax, INCEPTIV, INSPIRE, LEQVIO, MOUNJARO, NURTEC ODT, Ozempic, QULIPTA, REPATHA, Sunosi, UBRELVY, VRAYLAR, Wegovy, XIFAXAN, ZAVZPRET, ZEPBOUND 9
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