Payment overview · 2025
General Payments
$49.31
2 reported records · 1 companies
Healthcare provider profile · identity verified
Dominick Defrances
Allopathic & Osteopathic Physicians|Internal Medicine · NATRONA HEIGHTS, PA · NPI 1255301123
Verified facts
What the public records show
CMS Open Payments records show Dominick Defrances received $49.31 in general payments during 2025 across 2 reported records.
Exact Sciences Corporation accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $49.31 | 100.0% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $49.31 | 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 |
|---|---|---|---|---|---|
| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $49.31 | 2 | 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.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
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 | 587 | 212 |
| Amlodipine Besylate | Amlodipine Besylate | 445 | 158 |
| Levothyroxine Sodium | Levothyroxine Sodium | 381 | 126 |
| Lisinopril | Lisinopril | 349 | 128 |
| Omeprazole | Omeprazole | 303 | 95 |
| Pantoprazole Sodium | Pantoprazole Sodium | 265 | 102 |
| Gabapentin | Gabapentin | 261 | 62 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 231 | 87 |
| Losartan Potassium | Losartan Potassium | 220 | 83 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 179 | 76 |
| Metformin Hcl | Metformin Hcl | 164 | 65 |
| Ezetimibe | Ezetimibe | 152 | 48 |
| Fluticasone Propionate | Fluticasone Propionate | 151 | 50 |
| Metoprolol Succinate | Metoprolol Succinate | 130 | 49 |
| Trazodone Hcl | Trazodone Hcl | 123 | 43 |
| Ibuprofen | Ibuprofen | 121 | 48 |
| Montelukast Sodium | Montelukast Sodium | 118 | 49 |
| Hydrochlorothiazide | Hydrochlorothiazide | 112 | 44 |
| Furosemide | Furosemide | 106 | 45 |
| Eliquis | Apixaban | 104 | 39 |
| Hydralazine Hcl | Hydralazine Hcl | 102 | 35 |
| Tamsulosin Hcl | Tamsulosin Hcl | 98 | 39 |
| Carvedilol | Carvedilol | 91 | 31 |
| Clopidogrel | Clopidogrel Bisulfate | 91 | 33 |
| Methylprednisolone | Methylprednisolone | 91 | 76 |
| Meloxicam | Meloxicam | 90 | 39 |
| Metoprolol Tartrate | Metoprolol Tartrate | 88 | 38 |
| Jardiance | Empagliflozin | 86 | 34 |
| Ozempic | Semaglutide | 85 | 23 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 83 | 33 |
| Famotidine | Famotidine | 82 | 31 |
| Duloxetine Hcl | Duloxetine Hcl | 80 | 30 |
| Atenolol | Atenolol | 76 | 26 |
| Citalopram Hbr | Citalopram Hydrobromide | 75 | 25 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 74 | 38 |
| Doxazosin Mesylate | Doxazosin Mesylate | 68 | 17 |
| Escitalopram Oxalate | Escitalopram Oxalate | 68 | 25 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 67 | 18 |
| Metformin Hcl Er | Metformin Hcl | 62 | 16 |
| Ropinirole Hcl | Ropinirole Hcl | 59 | 24 |
| Ventolin Hfa | Albuterol Sulfate | 58 | 19 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 56 | 20 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 55 | 48 |
| Sertraline Hcl | Sertraline Hcl | 52 | 24 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 51 | 22 |
| Fenofibrate | Fenofibrate | 49 | suppressed |
| Simvastatin | Simvastatin | 47 | 20 |
| Azithromycin | Azithromycin | 46 | 39 |
| Ondansetron Hcl | Ondansetron Hcl | 46 | 16 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 45 | 38 |
| Propranolol Hcl | Propranolol Hcl | 45 | 12 |
| Baclofen | Baclofen | 42 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 42 | 16 |
| Glipizide Er | Glipizide | 40 | 16 |
| Zolpidem Tartrate | Zolpidem Tartrate | 40 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 39 | 18 |
| Xarelto | Rivaroxaban | 39 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 38 | 11 |
| Meclizine Hcl | Meclizine Hcl | 38 | 22 |
| Synthroid | Levothyroxine Sodium | 38 | 11 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 38 | 13 |
| Januvia | Sitagliptin Phosphate | 37 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 36 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 36 | suppressed |
| Finasteride | Finasteride | 36 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 34 | 12 |
| Glipizide | Glipizide | 32 | suppressed |
| Lactated Ringers | Ringer's Solution,lactated | 32 | suppressed |
| Mirtazapine | Mirtazapine | 32 | 12 |
| Prednisone | Prednisone | 32 | 27 |
| Spiriva Respimat | Tiotropium Bromide | 32 | suppressed |
| Allopurinol | Allopurinol | 31 | 12 |
| Fenofibrate | Fenofibrate,micronized | 31 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 31 | 14 |
| Potassium Chloride | Potassium Chloride | 31 | 14 |
| Buspirone Hcl | Buspirone Hcl | 30 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 30 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 30 | 24 |
| Ibu | Ibuprofen | 30 | 16 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 30 | suppressed |
| Topiramate | Topiramate | 30 | suppressed |
| Tradjenta | Linagliptin | 30 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 29 | suppressed |
| Naproxen | Naproxen | 29 | 15 |
| Pregabalin | Pregabalin | 29 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 28 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 27 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 27 | 16 |
| Paxlovid | Nirmatrelvir/Ritonavir | 27 | 26 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 26 | 11 |
| Lansoprazole | Lansoprazole | 26 | suppressed |
| Lorazepam | Lorazepam | 26 | 13 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 26 | suppressed |
| Mounjaro | Tirzepatide | 25 | 11 |
| Amoxicillin | Amoxicillin | 24 | 13 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 24 | suppressed |
| Mupirocin | Mupirocin | 24 | 21 |
| Spironolactone | Spironolactone | 24 | 11 |
| Fluoxetine Hcl | Fluoxetine Hcl | 23 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 21 | suppressed |
| Celecoxib | Celecoxib | 21 | 11 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 21 | suppressed |
| Nystatin | Nystatin | 21 | 13 |
| Paroxetine Hcl | Paroxetine Hcl | 21 | suppressed |
| Trulicity | Dulaglutide | 21 | suppressed |
| Alprazolam | Alprazolam | 20 | 13 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 20 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 19 | suppressed |
| Fluconazole | Fluconazole | 19 | 15 |
| Nitroglycerin | Nitroglycerin | 19 | 11 |
| Clonazepam | Clonazepam | 18 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 18 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 18 | suppressed |
| Bumetanide | Bumetanide | 17 | suppressed |
| Repatha Sureclick | Evolocumab | 17 | suppressed |
| Creon | Lipase/Protease/Amylase | 16 | suppressed |
| Methocarbamol | Methocarbamol | 16 | 11 |
| Repaglinide | Repaglinide | 16 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 15 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 15 | suppressed |
| Lamotrigine | Lamotrigine | 15 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 15 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 15 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 15 | suppressed |
| Bupropion Xl | Bupropion Hcl | 14 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 14 | 11 |
| Colchicine | Colchicine | 14 | suppressed |
| Veo Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 14 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 13 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 13 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 13 | suppressed |
| Levofloxacin | Levofloxacin | 13 | 12 |
| Metoclopramide Hcl | Metoclopramide Hcl | 13 | suppressed |
| Olanzapine | Olanzapine | 13 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 12 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 11 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 11 | suppressed |
| Glimepiride | Glimepiride | 11 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 11 | suppressed |
| Nadolol | Nadolol | 11 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 11 | 11 |
| Sumatriptan Succinate | Sumatriptan Succinate | 11 | suppressed |
| Tolterodine Tartrate | Tolterodine Tartrate | 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 | $49.31 · 2 records | Exact Sciences Corporation | The Cologuard Plus Collection Kit | — | — |
| 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