Payment overview · 2025
General Payments
$43.13
2 reported records · 1 companies
Healthcare provider profile · identity verified
Cecilie Macosko, MD
Allopathic & Osteopathic Physicians|Family Medicine · WINSTON SALEM, NC · NPI 1316075963
Verified facts
What the public records show
CMS Open Payments records show Cecilie Macosko, MD received $43.13 in general payments during 2025 across 2 reported records.
Novo Nordisk Inc accounted for 100.0% of that reported general-payment amount.
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 39 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $43.13 | 100.0% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $43.13 | 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
Payment records were found, but the reported records did not identify a specific associated product for this analysis.
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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
39 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 206 | 69 |
| Lisinopril | Lisinopril | 173 | 63 |
| Amlodipine Besylate | Amlodipine Besylate | 151 | 50 |
| Levothyroxine Sodium | Levothyroxine Sodium | 139 | 45 |
| Alprazolam | Alprazolam | 132 | 39 |
| Gabapentin | Gabapentin | 122 | 38 |
| Losartan Potassium | Losartan Potassium | 110 | 35 |
| Hydrochlorothiazide | Hydrochlorothiazide | 108 | 41 |
| Furosemide | Furosemide | 100 | 27 |
| Omeprazole | Omeprazole | 99 | 31 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 90 | 30 |
| Metformin Hcl | Metformin Hcl | 74 | 24 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 70 | 25 |
| Pantoprazole Sodium | Pantoprazole Sodium | 65 | 22 |
| Metformin Hcl Er | Metformin Hcl | 64 | 25 |
| Metoprolol Succinate | Metoprolol Succinate | 62 | 19 |
| Clonazepam | Clonazepam | 56 | 12 |
| Fluoxetine Hcl | Fluoxetine Hcl | 54 | 14 |
| Simvastatin | Simvastatin | 51 | 17 |
| Fluticasone Propionate | Fluticasone Propionate | 48 | 19 |
| Pravastatin Sodium | Pravastatin Sodium | 47 | 14 |
| Eliquis | Apixaban | 39 | 11 |
| Ozempic | Semaglutide | 39 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 39 | 11 |
| Atenolol | Atenolol | 38 | 11 |
| Glipizide Er | Glipizide | 38 | 16 |
| Sertraline Hcl | Sertraline Hcl | 38 | 14 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 37 | 11 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 37 | 20 |
| Doxycycline Hyclate | Doxycycline Hyclate | 36 | 35 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 34 | 31 |
| Diclofenac Sodium | Diclofenac Sodium | 34 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 34 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 33 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 32 | 21 |
| Carvedilol | Carvedilol | 31 | 11 |
| Metoprolol Tartrate | Metoprolol Tartrate | 30 | 11 |
| Trazodone Hcl | Trazodone Hcl | 30 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 29 | 27 |
| Pregabalin | Pregabalin | 29 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 28 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 28 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 27 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 26 | 12 |
| Myrbetriq | Mirabegron | 25 | suppressed |
| Meloxicam | Meloxicam | 24 | suppressed |
| Potassium Chloride | Potassium Chloride | 24 | suppressed |
| Prednisone | Prednisone | 24 | 19 |
| Tizanidine Hcl | Tizanidine Hcl | 23 | suppressed |
| Chlorthalidone | Chlorthalidone | 22 | suppressed |
| Fluconazole | Fluconazole | 22 | 15 |
| Allopurinol | Allopurinol | 21 | suppressed |
| Baclofen | Baclofen | 21 | suppressed |
| Bupropion Xl | Bupropion Hcl | 21 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 21 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 21 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 19 | suppressed |
| Naproxen | Naproxen | 18 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 18 | suppressed |
| Topiramate | Topiramate | 17 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 16 | suppressed |
| Glipizide | Glipizide | 16 | suppressed |
| Jardiance | Empagliflozin | 16 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 16 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 15 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 15 | suppressed |
| Amoxicillin | Amoxicillin | 14 | 13 |
| Bumetanide | Bumetanide | 14 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 14 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 14 | suppressed |
| Clotrimazole | Clotrimazole | 13 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 13 | suppressed |
| Temazepam | Temazepam | 13 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 13 | suppressed |
| Glimepiride | Glimepiride | 12 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 12 | suppressed |
| Ibuprofen | Ibuprofen | 12 | suppressed |
| Mounjaro | Tirzepatide | 12 | suppressed |
| Qvar Redihaler | Beclomethasone Dipropionate | 12 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 12 | suppressed |
| Celecoxib | Celecoxib | 11 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 11 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 11 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 11 | 11 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 11 | suppressed |
| Verapamil Er | Verapamil Hcl | 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 | $43.13 · 2 records | Novo Nordisk Inc | — | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk 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