Healthcare provider profile · identity verified

Alfonso D Brochero, MD

Internal Medicine · ROANOKE, VA · NPI 1306005665

Profile state: partd only 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

We did not find matching Open Payments records for this doctor in 2025.

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

Payment overview · 2025

General Payments

We did not find matching Open Payments records for this doctor in the selected program year.

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.

Analysis 1 · Payment-linked products

Products named in Open Payments records

No payment-linked product analysis is available because no matching General Payment records were found for the selected year.

Public prescribing for products named in payments

There is no explicit payment-product set available for a Part D comparison.

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.

There is no payer-company set available for this comparison.

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
Eliquis	Apixaban	1867	185
Atorvastatin Calcium	Atorvastatin Calcium	1623	301
Furosemide	Furosemide	1383	248
Levothyroxine Sodium	Levothyroxine Sodium	1301	207
Amlodipine Besylate	Amlodipine Besylate	931	195
Sertraline Hcl	Sertraline Hcl	863	185
Metoprolol Tartrate	Metoprolol Tartrate	851	178
Tamsulosin Hcl	Tamsulosin Hcl	761	153
Clopidogrel	Clopidogrel Bisulfate	726	113
Potassium Chloride	Potassium Chloride	663	137
Trazodone Hcl	Trazodone Hcl	652	161
Lisinopril	Lisinopril	587	113
Losartan Potassium	Losartan Potassium	566	123
Memantine Hcl	Memantine Hcl	561	90
Levetiracetam	Levetiracetam	536	86
Divalproex Sodium	Divalproex Sodium	491	102
Metoprolol Succinate	Metoprolol Succinate	484	103
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	475	83
Buspirone Hcl	Buspirone Hcl	463	110
Metformin Hcl	Metformin Hcl	441	88
Donepezil Hcl	Donepezil Hcl	437	96
Carvedilol	Carvedilol	419	83
Pantoprazole Sodium	Pantoprazole Sodium	369	100
Escitalopram Oxalate	Escitalopram Oxalate	365	76
Mirtazapine	Mirtazapine	362	90
Hydralazine Hcl	Hydralazine Hcl	351	62
Duloxetine Hcl	Duloxetine Hcl	316	66
Omeprazole	Omeprazole	290	88
Ipratropium-Albuterol	Ipratropium/Albuterol Sulfate	277	68
Finasteride	Finasteride	251	43
Baclofen	Baclofen	219	40
Lamotrigine	Lamotrigine	218	30
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	215	30
Carbidopa-Levodopa	Carbidopa/Levodopa	215	35
Pravastatin Sodium	Pravastatin Sodium	213	36
Quetiapine Fumarate	Quetiapine Fumarate	212	61
Latanoprost	Latanoprost	211	55
Isosorbide Mononitrate Er	Isosorbide Mononitrate	207	32
Sucralfate	Sucralfate	205	33
Trulicity	Dulaglutide	194	39
Allopurinol	Allopurinol	190	41
Montelukast Sodium	Montelukast Sodium	173	34
Ondansetron Hcl	Ondansetron Hcl	168	69
Risperidone	Risperidone	162	31
Warfarin Sodium	Warfarin Sodium	162	15
Jardiance	Empagliflozin	161	23
Entresto	Sacubitril/Valsartan	159	13
Midodrine Hcl	Midodrine Hcl	157	41
Tresiba Flextouch U-100	Insulin Degludec	154	21
Xarelto	Rivaroxaban	151	15
Januvia	Sitagliptin Phosphate	150	17
Oxybutynin Chloride Er	Oxybutynin Chloride	150	24
Ropinirole Hcl	Ropinirole Hcl	150	27
Bumetanide	Bumetanide	148	46
Rosuvastatin Calcium	Rosuvastatin Calcium	146	30
Ceftriaxone	Ceftriaxone Sodium	142	98
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	139	27
Hydroxyzine Hcl	Hydroxyzine Hcl	132	36
Lidocaine Hcl	Lidocaine Hcl	132	93
Fluticasone Propionate	Fluticasone Propionate	130	44
Myrbetriq	Mirabegron	130	19
Paroxetine Hcl	Paroxetine Hcl	130	24
Fluoxetine Hcl	Fluoxetine Hcl	129	34
Prednisone	Prednisone	128	46
Citalopram Hbr	Citalopram Hydrobromide	127	29
Cephalexin	Cephalexin	126	60
Venlafaxine Hcl Er	Venlafaxine Hcl	122	22
Simvastatin	Simvastatin	118	30
Olanzapine	Olanzapine	113	28
Famotidine	Famotidine	112	38
Atenolol	Atenolol	111	20
Hydrochlorothiazide	Hydrochlorothiazide	111	22
Sodium Chloride	0.9 % Sodium Chloride	111	72
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	109	24
Breo Ellipta	Fluticasone/Vilanterol	108	27
Oxybutynin Chloride	Oxybutynin Chloride	103	21
Timolol Maleate	Timolol Maleate	103	17
Amiodarone Hcl	Amiodarone Hcl	102	27
Spironolactone	Spironolactone	101	32
Doxycycline Hyclate	Doxycycline Hyclate	99	55
Brimonidine Tartrate	Brimonidine Tartrate	97	14
Scopolamine	Scopolamine	97	11
Lantus	Insulin Glargine,hum.Rec.Anlog	92	34
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	89	51
Glipizide	Glipizide	89	14
Autoshield Duo Pen Needle	Pen Needle,dual Safety,diabetc	86	22
Bupropion Xl	Bupropion Hcl	85	15
Budesonide	Budesonide	84	16
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	84	25
Aripiprazole	Aripiprazole	81	21
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	81	13
Labetalol Hcl	Labetalol Hcl	79	14
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	77	suppressed
Insulin Glargine-Yfgn	Insulin Glargine-Yfgn	77	26
Memantine Hcl Er	Memantine Hcl	77	12
Nystatin	Nystatin	77	40
Metoclopramide Hcl	Metoclopramide Hcl	76	22
Torsemide	Torsemide	76	17
Ciprofloxacin Hcl	Ciprofloxacin Hcl	75	59
Esomeprazole Magnesium	Esomeprazole Magnesium	74	15
Celecoxib	Celecoxib	73	13
Diclofenac Sodium	Diclofenac Sodium	72	25
Insulin Lispro Kwikpen U-100	Insulin Lispro	72	22
Benztropine Mesylate	Benztropine Mesylate	71	14
Dicyclomine Hcl	Dicyclomine Hcl	69	16
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	67	28
Divalproex Sodium Er	Divalproex Sodium	64	11
Lovastatin	Lovastatin	64	suppressed
Alendronate Sodium	Alendronate Sodium	63	21
Metformin Hcl Er	Metformin Hcl	62	17
Albuterol Sulfate Hfa	Albuterol Sulfate	61	43
Clonidine Hcl	Clonidine Hcl	60	22
Humalog Kwikpen U-100	Insulin Lispro	60	23
Lansoprazole	Lansoprazole	59	suppressed
Fiasp Flextouch	Insulin Aspart (Niacinamide)	58	18
Megestrol Acetate	Megestrol Acetate	58	11
Nifedipine Er	Nifedipine	58	suppressed
Sevelamer Carbonate	Sevelamer Carbonate	58	suppressed
Levofloxacin	Levofloxacin	57	34
Meloxicam	Meloxicam	57	16
Enulose	Lactulose	56	suppressed
Novolog Flexpen	Insulin Aspart	56	20
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	56	34
Amitriptyline Hcl	Amitriptyline Hcl	55	suppressed
Glimepiride	Glimepiride	54	suppressed
Farxiga	Dapagliflozin Propanediol	53	suppressed
Tizanidine Hcl	Tizanidine Hcl	53	19
Ezetimibe	Ezetimibe	52	13
Fludrocortisone Acetate	Fludrocortisone Acetate	51	suppressed
Azithromycin	Azithromycin	50	30
Gabapentin	Gabapentin	50	38
Humalog	Insulin Lispro	48	20
Methotrexate	Methotrexate Sodium	48	suppressed
Bupropion Hcl Sr	Bupropion Hcl	47	14
Doxazosin Mesylate	Doxazosin Mesylate	47	suppressed
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	46	12
Lurasidone Hcl	Lurasidone Hcl	46	suppressed
Methocarbamol	Methocarbamol	46	23
Venlafaxine Hcl	Venlafaxine Hcl	46	suppressed
Cefdinir	Cefdinir	45	30
Cefepime Hcl	Cefepime Hcl	45	21
Topiramate	Topiramate	45	suppressed
Prednisolone Acetate	Prednisolone Acetate	44	17
Triamcinolone Acetonide	Triamcinolone Acetonide	44	21
Xifaxan	Rifaximin	44	suppressed
Creon	Lipase/Protease/Amylase	43	suppressed
Hydroxyzine Pamoate	Hydroxyzine Pamoate	42	14
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	42	suppressed
Toujeo Solostar	Insulin Glargine,hum.Rec.Anlog	42	12
Digoxin	Digoxin	41	suppressed
Rivastigmine	Rivastigmine	41	suppressed
Valproic Acid	Valproic Acid (As Sodium Salt)	40	suppressed
Isosorbide Dinitrate	Isosorbide Dinitrate	39	suppressed
Valsartan	Valsartan	39	suppressed
Gvoke Hypopen 1-Pack	Glucagon	38	13
Insulin Aspart Flexpen	Insulin Aspart	38	17
Insulin Lispro	Insulin Lispro	38	21
Prazosin Hcl	Prazosin Hcl	38	suppressed
Fluconazole	Fluconazole	37	26
Diltiazem 24hr Er	Diltiazem Hcl	36	suppressed
Brilinta	Ticagrelor	35	suppressed
Ondansetron Odt	Ondansetron	35	20
Spiriva Respimat	Tiotropium Bromide	35	suppressed
Linzess	Linaclotide	34	suppressed
Rexulti	Brexpiprazole	34	suppressed
Calcium Acetate	Calcium Acetate	33	suppressed
Metolazone	Metolazone	33	suppressed
Promethazine Hcl	Promethazine Hcl	33	17
Veltassa	Patiromer Calcium Sorbitex	33	suppressed
Pentoxifylline	Pentoxifylline	32	suppressed
Primidone	Primidone	32	12
Propranolol Hcl	Propranolol Hcl	32	suppressed
Amantadine	Amantadine Hcl	31	suppressed
Clonidine	Clonidine	31	suppressed
Glycopyrrolate	Glycopyrrolate	31	suppressed
Tolterodine Tartrate	Tolterodine Tartrate	31	suppressed
Albuterol Sulfate	Albuterol Sulfate	30	13
Carbamazepine	Carbamazepine	30	suppressed
Novolog	Insulin Aspart	30	suppressed
Sps	Sodium Polystyrene Sulfon/Sorb	30	14
Symbicort	Budesonide/Formoterol Fumarate	30	suppressed
Amoxicillin	Amoxicillin	29	20
Breyna	Budesonide/Formoterol Fumarate	29	13
Clozapine	Clozapine	29	suppressed
Ertapenem	Ertapenem Sodium	29	12
Incruse Ellipta	Umeclidinium Bromide	29	suppressed
Lyumjev Kwikpen U-100	Insulin Lispro-Aabc	29	suppressed
Ozempic	Semaglutide	29	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	29	suppressed
Probenecid	Probenecid	29	suppressed
Ipratropium Bromide	Ipratropium Bromide	28	suppressed
Rivastigmine	Rivastigmine Tartrate	28	suppressed
Ranolazine Er	Ranolazine	27	suppressed
Fluvoxamine Maleate	Fluvoxamine Maleate	26	suppressed
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	26	suppressed
Trihexyphenidyl Hcl	Trihexyphenidyl Hcl	26	suppressed
Azelastine Hcl	Azelastine Hcl	25	suppressed
Diltiazem Hcl	Diltiazem Hcl	25	suppressed
Ramelteon	Ramelteon	25	12
Haloperidol Lactate	Haloperidol Lactate	24	16
Ibuprofen	Ibuprofen	24	14
Pioglitazone Hcl	Pioglitazone Hcl	24	suppressed
Desmopressin Acetate	Desmopressin Acetate	23	suppressed
Erythromycin	Erythromycin Base	23	16
Sodium Bicarbonate	Sodium Bicarbonate	23	suppressed
Vraylar	Cariprazine Hcl	23	suppressed
Enoxaparin Sodium	Enoxaparin Sodium	22	13
Janumet Xr	Sitagliptin Phos/Metformin Hcl	22	suppressed
Klor-Con 10	Potassium Chloride	22	suppressed
Lidocaine Hcl	Lidocaine Hcl/Pf	22	17
Methimazole	Methimazole	22	suppressed
Metronidazole	Metronidazole	22	13
Budesonide-Formoterol Fumarate	Budesonide/Formoterol Fumarate	21	suppressed
Carbidopa-Levodopa Er	Carbidopa/Levodopa	21	suppressed
Doxycycline Monohydrate	Doxycycline Monohydrate	21	11
Ketoconazole	Ketoconazole	21	13
Meropenem	Meropenem	21	11
Oxcarbazepine	Oxcarbazepine	21	suppressed
Raloxifene Hcl	Raloxifene Hcl	21	suppressed
Calcitriol	Calcitriol	20	suppressed
Glipizide Er	Glipizide	20	suppressed
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	20	suppressed
Medroxyprogesterone Acetate	Medroxyprogesterone Acetate	20	suppressed
Mirabegron Er	Mirabegron	20	suppressed
Sulfasalazine Dr	Sulfasalazine	20	suppressed
Bupropion Hcl	Bupropion Hcl	19	suppressed
Haloperidol Decanoate	Haloperidol Decanoate	19	suppressed
Synthroid	Levothyroxine Sodium	19	suppressed
Invega Sustenna	Paliperidone Palmitate	18	suppressed
Lamotrigine Odt	Lamotrigine	18	suppressed
Multaq	Dronedarone Hcl	18	suppressed
Amlodipine Besylate-Benazepril	Amlodipine Besylate/Benazepril	17	suppressed
Carbamazepine Er	Carbamazepine	17	suppressed
Lactulose	Lactulose	17	suppressed
Lithium Carbonate	Lithium Carbonate	17	suppressed
Meclizine Hcl	Meclizine Hcl	17	suppressed
Wixela Inhub	Fluticasone Propion/Salmeterol	17	suppressed
Acetazolamide Er	Acetazolamide	16	suppressed
Arnuity Ellipta	Fluticasone Furoate	16	suppressed
Chlorthalidone	Chlorthalidone	16	suppressed
Cilostazol	Cilostazol	16	suppressed
Fluticasone-Vilanterol	Fluticasone/Vilanterol	16	suppressed
Gemtesa	Vibegron	16	suppressed
Insulin Degludec Pen (U-100)	Insulin Degludec	16	suppressed
Restasis	Cyclosporine	16	suppressed
Vancomycin Hcl	Vancomycin Hcl	16	11
Vascepa	Icosapent Ethyl	16	suppressed
Arexvy	Rsvpref3 Antigen/As01e/Pf	15	15
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	15	suppressed
Diltiazem 24hr Er (La)	Diltiazem Hcl	15	suppressed
Entacapone	Entacapone	15	suppressed
Simbrinza	Brinzolamide/Brimonidine Tart	15	suppressed
Ursodiol	Ursodiol	15	suppressed
Advair Hfa	Fluticasone Propion/Salmeterol	14	suppressed
Aptiom	Eslicarbazepine Acetate	14	suppressed
Benazepril Hcl	Benazepril Hcl	14	suppressed
Cholestyramine	Cholestyramine (With Sugar)	14	suppressed
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	14	suppressed
Dexamethasone	Dexamethasone	14	suppressed
Febuxostat	Febuxostat	14	suppressed
Flecainide Acetate	Flecainide Acetate	14	suppressed
Fluphenazine Hcl	Fluphenazine Hcl	14	suppressed
Hydrocortisone	Hydrocortisone	14	suppressed
Loperamide	Loperamide Hcl	14	suppressed
Nitroglycerin	Nitroglycerin	14	13
Nurtec Odt	Rimegepant Sulfate	14	suppressed
Pilocarpine Hcl	Pilocarpine Hcl	14	suppressed
Solu-Medrol	Methylprednisolone Sod Succ/Pf	14	suppressed
Tiotropium Bromide	Tiotropium Bromide	14	suppressed
Alphagan P	Brimonidine Tartrate	13	suppressed
Bisoprolol Fumarate	Bisoprolol Fumarate	13	suppressed
Cyanocobalamin Injection	Cyanocobalamin (Vitamin B-12)	13	suppressed
Kionex	Sodium Polystyrene Sulfon/Sorb	13	suppressed
Methylprednisolone Sodium Succ	Methylprednisolone Sod Succ	13	suppressed
Nitrofurantoin	Nitrofurantoin Macrocrystal	13	11
Olmesartan Medoxomil	Olmesartan Medoxomil	13	suppressed
Semglee (Yfgn)	Insulin Glargine-Yfgn	13	suppressed
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	12	suppressed
Dabigatran Etexilate	Dabigatran Etexilate Mesylate	12	suppressed
Dutasteride	Dutasteride	12	suppressed
Klayesta	Nystatin	12	11
Levemir Flexpen	Insulin Detemir	12	suppressed
Phenytoin	Phenytoin	12	suppressed
Phenytoin Sodium Extended	Phenytoin Sodium Extended	12	suppressed
Riluzole	Riluzole	12	suppressed
Valacyclovir	Valacyclovir Hcl	12	suppressed
Verapamil Sr	Verapamil Hcl	12	suppressed
Atrovent Hfa	Ipratropium Bromide	11	suppressed
Brimonidine Tartrate-Timolol	Brimonidine Tartrate/Timolol	11	suppressed
Carvedilol Er	Carvedilol Phosphate	11	suppressed
Cinacalcet Hcl	Cinacalcet Hcl	11	suppressed
Dapagliflozin	Dapagliflozin Propanediol	11	suppressed
Dimethyl Fumarate	Dimethyl Fumarate	11	suppressed
Ezetimibe-Simvastatin	Ezetimibe/Simvastatin	11	suppressed
Fenofibrate	Fenofibrate Nanocrystallized	11	suppressed
Livalo	Pitavastatin Calcium	11	suppressed
Mupirocin	Mupirocin	11	suppressed
Nebivolol Hcl	Nebivolol Hcl	11	suppressed
Nuedexta	Dextromethorphan Hbr/Quinidine	11	suppressed
Nystop	Nystatin	11	suppressed
Permethrin	Permethrin	11	suppressed
Tradjenta	Linagliptin	11	suppressed
Trifluoperazine Hcl	Trifluoperazine Hcl	11	suppressed
Vancomycin Hcl	Vancomycin/Water For Inj (Peg)	11	suppressed
Ventolin Hfa	Albuterol Sulfate	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	—	—	—	—	—
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

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