Payment overview · 2025
General Payments
$374.21
4 reported records · 4 companies
Healthcare provider profile · identity verified
Nitai Riegler, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease · MILFORD, CT · NPI 1225124514
Verified facts
What the public records show
CMS Open Payments records show Nitai Riegler, MD received $374.21 in general payments during 2025 across 4 reported records.
Lilly USA, LLC accounted for 32.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
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 61 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 24 claims for Symbicort 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 55 claims for Jardiance 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 |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $122.88 | 32.8% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $120.17 | 32.1% | 1 | 2025 |
| Verona Pharma, Inc. | Unresolved — no canonical attribution shown | $113.28 | 30.3% | 1 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $17.88 | 4.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $374.21 | 4 |
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 |
|---|---|---|---|---|---|
| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $122.88 | 1 | 2025 |
Source payment records
|
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $120.17 | 1 | 2025 |
Source payment records
|
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| Ohtuvayre Normalized: ohtuvayre |
Drug | Verona Pharma, Inc. | $113.28 | 1 | 2025 |
Source payment records
|
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $17.88 | 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 |
|---|---|---|---|---|---|---|
| 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 |
61 | 16 |
| 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 |
24 | suppressed by CMS |
| 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 |
55 | 13 |
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 |
|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 257 | 83 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 246 | 85 |
| Amlodipine Besylate | Amlodipine Besylate | 224 | 62 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 199 | 69 |
| Atorvastatin Calcium | Atorvastatin Calcium | 186 | 52 |
| Pravastatin Sodium | Pravastatin Sodium | 182 | 57 |
| Gabapentin | Gabapentin | 177 | 47 |
| Levothyroxine Sodium | Levothyroxine Sodium | 164 | 48 |
| Lisinopril | Lisinopril | 152 | 41 |
| Metformin Hcl | Metformin Hcl | 112 | 34 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 110 | 24 |
| Metoprolol Succinate | Metoprolol Succinate | 102 | 36 |
| Duloxetine Hcl | Duloxetine Hcl | 101 | 34 |
| Ozempic | Semaglutide | 99 | 17 |
| Montelukast Sodium | Montelukast Sodium | 96 | 32 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 82 | 26 |
| Alprazolam | Alprazolam | 78 | 14 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 76 | 15 |
| Pantoprazole Sodium | Pantoprazole Sodium | 76 | 24 |
| Clonazepam | Clonazepam | 75 | 14 |
| Zolpidem Tartrate | Zolpidem Tartrate | 63 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 61 | 16 |
| Azithromycin | Azithromycin | 59 | 49 |
| Furosemide | Furosemide | 57 | 16 |
| Omeprazole | Omeprazole | 57 | 18 |
| Jardiance | Empagliflozin | 55 | 13 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 51 | 12 |
| Eliquis | Apixaban | 51 | 12 |
| Rybelsus | Semaglutide | 51 | 12 |
| Nebivolol Hcl | Nebivolol Hcl | 50 | 14 |
| Citalopram Hbr | Citalopram Hydrobromide | 49 | 14 |
| Mirtazapine | Mirtazapine | 48 | 19 |
| Hydrochlorothiazide | Hydrochlorothiazide | 47 | 21 |
| Meloxicam | Meloxicam | 46 | 18 |
| Irbesartan | Irbesartan | 44 | 16 |
| Synthroid | Levothyroxine Sodium | 43 | 11 |
| Alendronate Sodium | Alendronate Sodium | 42 | suppressed |
| Allopurinol | Allopurinol | 42 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 42 | 13 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 40 | 11 |
| Valsartan | Valsartan | 40 | 11 |
| Methocarbamol | Methocarbamol | 39 | 11 |
| Trazodone Hcl | Trazodone Hcl | 38 | 11 |
| Bupropion Xl | Bupropion Hcl | 37 | suppressed |
| Ezetimibe | Ezetimibe | 37 | 13 |
| Tizanidine Hcl | Tizanidine Hcl | 37 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 35 | 11 |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 31 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 30 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 27 | suppressed |
| Simvastatin | Simvastatin | 27 | 12 |
| Roflumilast | Roflumilast | 26 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 26 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 25 | suppressed |
| Methylprednisolone | Methylprednisolone | 25 | 21 |
| Potassium Chloride | Potassium Chloride | 25 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 24 | suppressed |
| Prednisone | Prednisone | 24 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 24 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 24 | suppressed |
| Lorazepam | Lorazepam | 23 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 23 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 21 | suppressed |
| Carvedilol | Carvedilol | 20 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 20 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 20 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 20 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 20 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 19 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 19 | suppressed |
| Pregabalin | Pregabalin | 19 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 18 | suppressed |
| Atenolol | Atenolol | 17 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 17 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 17 | suppressed |
| Spironolactone | Spironolactone | 17 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 16 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 16 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 16 | 14 |
| Nystatin | Nystatin | 16 | 11 |
| Buspirone Hcl | Buspirone Hcl | 15 | suppressed |
| Diazepam | Diazepam | 15 | suppressed |
| Famotidine | Famotidine | 15 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 15 | suppressed |
| Vascepa | Icosapent Ethyl | 15 | suppressed |
| Pilocarpine Hcl | Pilocarpine Hcl | 14 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 14 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 14 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 13 | 11 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 13 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 13 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 13 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 13 | suppressed |
| Butalb-Acetaminoph-Caff-Codein | Butalbit/Acetamin/Caff/Codeine | 12 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 12 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Olmesartan-Amlodipine-Hctz | Olmesartan/Amlodipin/Hcthiazid | 12 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 12 | suppressed |
| Testosterone | Testosterone | 12 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 11 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Namzaric | Memantine Hcl/Donepezil Hcl | 11 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 11 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 11 | suppressed |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 11 | suppressed |
| Temazepam | Temazepam | 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 | $374.21 · 4 records | Lilly USA, LLC | AIRSUPRA, Dexcom G6 Transmitter, Ohtuvayre, ZEPBOUND | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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