Payment overview · 2025
General Payments
$1,928.93
79 reported records · 7 companies
Healthcare provider profile · identity verified
David Michael Ourso, FNP-C
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · BATON ROUGE, LA · NPI 1245771385
Verified facts
What the public records show
CMS Open Payments records show David Michael Ourso, FNP-C received $1,928.93 in general payments during 2025 across 79 reported records.
ViiV Healthcare Company accounted for 43.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 11 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Biktarvy, Cabenuva, Dovato.
Gilead Sciences, 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 Biktarvy as an associated drug or biological on 8065 records involving 2759 distinct recipient NPIs. Public Medicare Part D data also shows 248 claims for Biktarvy by this doctor in 2024.
Gilead Sciences, 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 Descovy as an associated drug or biological on 2032 records involving 589 distinct recipient NPIs. Public Medicare Part D data also shows 112 claims for Descovy 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 27 claims for Jardiance by this doctor in 2024.
ViiV Healthcare Company reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported CABENUVA as an associated drug or biological on 13941 records involving 3305 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Cabenuva by this doctor in 2024.
ViiV Healthcare Company reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported DOVATO as an associated drug or biological on 18732 records involving 3540 distinct recipient NPIs. Public Medicare Part D data also shows 46 claims for Dovato 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 |
|---|---|---|---|---|---|
| ViiV Healthcare Company | Unresolved — no canonical attribution shown | $839.30 | 43.5% | 31 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $706.15 | 36.6% | 37 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $165.42 | 8.6% | 6 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $119.02 | 6.2% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $41.06 | 2.1% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $39.75 | 2.1% | 2 | 2025 |
| Theratechnologies Inc. | Unresolved — no canonical attribution shown | $18.23 | 0.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,928.93 | 79 |
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 |
|---|---|---|---|---|---|
| CABENUVA Normalized: cabenuva |
Drug | ViiV Healthcare Company | $464.17 | 16 | 2025 |
Source payment records
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| DOVATO Normalized: dovato |
Drug | ViiV Healthcare Company | $342.67 | 13 | 2025 |
Source payment records
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| Biktarvy Normalized: biktarvy |
Drug | Gilead Sciences, Inc. | $243.55 | 2 | 2025 |
Source payment records
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| PIFELTRO Normalized: pifeltro |
Drug | Merck Sharp & Dohme LLC | $165.42 | 6 | 2025 |
Source payment records
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| Serostim Normalized: serostim |
Drug | EMD Serono, Inc. | $119.02 | 1 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $41.06 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $39.75 | 2 | 2025 |
Source payment records
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| APRETUDE Normalized: apretude |
Drug | ViiV Healthcare Company | $22.04 | 1 | 2025 |
Source payment records
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| EGRIFTA Normalized: egrifta |
Drug | Theratechnologies Inc. | $18.23 | 1 | 2025 |
Source payment records
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| TROGARZO Normalized: trogarzo |
Drug | Theratechnologies Inc. | $18.23 | 1 | 2025 |
Source payment records
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| RUKOBIA Normalized: rukobia |
Drug | ViiV Healthcare Company | $10.42 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Biktarvy biktarvy |
2025 | Biktarvy | 2024 | 248 | exact normalized | Medicare Part D |
| CABENUVA cabenuva |
2025 | Cabenuva | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| DOVATO dovato |
2025 | Dovato | 2024 | 46 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 company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Gilead Sciences, Inc. Exact reporting entity; no affiliate inference |
2025 | Biktarvy open payments reported associated product |
CMS Open Payments — General Payments 8065 supporting records · 2759 recipient NPIs · example record 1234350766 |
Biktarvy · 2024 Exact normalized brand match · 1 Part D row |
248 | 29 |
| Gilead Sciences, Inc. Exact reporting entity; no affiliate inference |
2025 | Descovy open payments reported associated product |
CMS Open Payments — General Payments 2032 supporting records · 589 recipient NPIs · example record 1234351196 |
Descovy · 2024 Exact normalized brand match · 1 Part D row |
112 | 12 |
| 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 |
27 | suppressed by CMS |
| ViiV Healthcare Company Exact reporting entity; no affiliate inference |
2025 | CABENUVA open payments reported associated product |
CMS Open Payments — General Payments 13941 supporting records · 3305 recipient NPIs · example record 1189508908 |
Cabenuva · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| ViiV Healthcare Company Exact reporting entity; no affiliate inference |
2025 | DOVATO open payments reported associated product |
CMS Open Payments — General Payments 18732 supporting records · 3540 recipient NPIs · example record 1189508902 |
Dovato · 2024 Exact normalized brand match · 1 Part D row |
46 | 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 |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 256 | 44 |
| Biktarvy | Bictegrav/Emtricit/Tenofov Ala | 248 | 29 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 204 | 42 |
| Atorvastatin Calcium | Atorvastatin Calcium | 198 | 35 |
| Gabapentin | Gabapentin | 158 | 26 |
| Juluca | Dolutegravir/Rilpivirine | 155 | 14 |
| Losartan Potassium | Losartan Potassium | 138 | 20 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 124 | 17 |
| Tivicay | Dolutegravir Sodium | 123 | 16 |
| Descovy | Emtricitabine/Tenofov Alafenam | 112 | 12 |
| Triumeq | Abacavir/Dolutegravir/Lamivudi | 101 | 14 |
| Carvedilol | Carvedilol | 96 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 92 | 11 |
| Montelukast Sodium | Montelukast Sodium | 86 | 14 |
| Metformin Hcl | Metformin Hcl | 83 | 14 |
| Pantoprazole Sodium | Pantoprazole Sodium | 78 | 14 |
| Trazodone Hcl | Trazodone Hcl | 71 | 12 |
| Valacyclovir | Valacyclovir Hcl | 67 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 66 | suppressed |
| Symtuza | Darunavir/Cob/Emtri/Tenof Alaf | 65 | suppressed |
| Eliquis | Apixaban | 63 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 62 | suppressed |
| Azithromycin | Azithromycin | 57 | 24 |
| Lisinopril | Lisinopril | 52 | 12 |
| Furosemide | Furosemide | 51 | suppressed |
| Famotidine | Famotidine | 49 | 14 |
| Dovato | Dolutegravir Sodium/Lamivudine | 46 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 46 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 42 | suppressed |
| Prezcobix | Darunavir/Cobicistat | 40 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 38 | suppressed |
| Dapsone | Dapsone | 37 | suppressed |
| Fluconazole | Fluconazole | 36 | suppressed |
| Glimepiride | Glimepiride | 36 | suppressed |
| Potassium Chloride | Potassium Chloride | 35 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 34 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 33 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 32 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 32 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 31 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 30 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 30 | suppressed |
| Genvoya | Elviteg/Cob/Emtri/Tenof Alafen | 30 | suppressed |
| Odefsey | Emtricitab/Rilpiviri/Tenof Ala | 30 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 30 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 27 | suppressed |
| Jardiance | Empagliflozin | 27 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 27 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 27 | suppressed |
| Chlorhexidine Gluconate | Chlorhexidine Gluconate | 26 | suppressed |
| Levothyroxine Sodium | Levothyroxine Sodium | 26 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 26 | suppressed |
| Omeprazole | Omeprazole | 26 | suppressed |
| Cyproheptadine Hcl | Cyproheptadine Hcl | 25 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 24 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 24 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 23 | suppressed |
| Tenofovir Disoproxil Fumarate | Tenofovir Disoproxil Fumarate | 23 | suppressed |
| Aripiprazole | Aripiprazole | 22 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 22 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 21 | suppressed |
| Edurant | Rilpivirine Hcl | 21 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 21 | suppressed |
| Bupropion Xl | Bupropion Hcl | 20 | suppressed |
| Linzess | Linaclotide | 20 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 18 | suppressed |
| Spironolactone | Spironolactone | 18 | suppressed |
| Diazepam | Diazepam | 17 | suppressed |
| Methocarbamol | Methocarbamol | 17 | suppressed |
| Abacavir | Abacavir Sulfate | 16 | suppressed |
| Allopurinol | Allopurinol | 16 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 16 | suppressed |
| Atovaquone | Atovaquone | 16 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 16 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 15 | suppressed |
| Clonazepam | Clonazepam | 15 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 15 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 15 | suppressed |
| Januvia | Sitagliptin Phosphate | 15 | suppressed |
| Ondansetron Odt | Ondansetron | 15 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 15 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 14 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 14 | suppressed |
| Meloxicam | Meloxicam | 14 | suppressed |
| Testosterone | Testosterone | 14 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 13 | suppressed |
| Entresto | Sacubitril/Valsartan | 13 | suppressed |
| Fenofibrate | Fenofibrate | 13 | suppressed |
| Mytesi | Crofelemer | 13 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 13 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 13 | suppressed |
| Acyclovir | Acyclovir | 12 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | 12 |
| Bevespi Aerosphere | Glycopyrrolate/Formoterol Fum | 12 | suppressed |
| Cabenuva | Cabotegravir/Rilpivirine | 12 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 12 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 12 | suppressed |
| Temazepam | Temazepam | 12 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 12 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 11 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 11 | suppressed |
| Olanzapine | Olanzapine | 11 | suppressed |
| Ritonavir | Ritonavir | 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 | $1,928.93 · 79 records | ViiV Healthcare Company | APRETUDE, Biktarvy, CABENUVA, DOVATO, EGRIFTA, FREESTYLE LIBRE 3, PIFELTRO, RUKOBIA, Serostim, TROGARZO, ZEPBOUND | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Biktarvy play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Gilead Sciences, 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