Payment overview · 2025
General Payments
$116.98
2 reported records · 1 companies
Healthcare provider profile · identity verified
James C. Creech, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · ESTHERVILLE, IA · NPI 1336190685
Verified facts
What the public records show
CMS Open Payments records show James C. Creech, M.D. received $116.98 in general payments during 2025 across 2 reported records.
Astellas Pharma US Inc accounted for 100.0% of that reported general-payment amount.
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 |
|---|---|---|---|---|---|
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $116.98 | 100.0% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Education | $116.98 | 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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 315 | 53 |
| Omeprazole | Omeprazole | 309 | 63 |
| Amlodipine Besylate | Amlodipine Besylate | 283 | 55 |
| Atorvastatin Calcium | Atorvastatin Calcium | 283 | 71 |
| Lisinopril | Lisinopril | 244 | 56 |
| Losartan Potassium | Losartan Potassium | 227 | 55 |
| Potassium Chloride | Potassium Chloride | 190 | 30 |
| Meloxicam | Meloxicam | 187 | 39 |
| Furosemide | Furosemide | 175 | 33 |
| Hydrochlorothiazide | Hydrochlorothiazide | 165 | 31 |
| Metoprolol Succinate | Metoprolol Succinate | 155 | 34 |
| Metformin Hcl | Metformin Hcl | 153 | 32 |
| Simvastatin | Simvastatin | 152 | 28 |
| Gabapentin | Gabapentin | 146 | 29 |
| Trazodone Hcl | Trazodone Hcl | 146 | 29 |
| Diclofenac Sodium | Diclofenac Sodium | 127 | 26 |
| Eliquis | Apixaban | 125 | 16 |
| Tamsulosin Hcl | Tamsulosin Hcl | 123 | 26 |
| Allopurinol | Allopurinol | 117 | 21 |
| Famotidine | Famotidine | 114 | 20 |
| Pantoprazole Sodium | Pantoprazole Sodium | 107 | 21 |
| Fluticasone Propionate | Fluticasone Propionate | 104 | 23 |
| Metoprolol Tartrate | Metoprolol Tartrate | 103 | 24 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 96 | 24 |
| Tramadol Hcl | Tramadol Hcl | 83 | 16 |
| Sertraline Hcl | Sertraline Hcl | 81 | 18 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 72 | 21 |
| Carvedilol | Carvedilol | 70 | 13 |
| Labetalol Hcl | Labetalol Hcl | 67 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 63 | 15 |
| Cephalexin | Cephalexin | 62 | 48 |
| Glipizide Er | Glipizide | 59 | 14 |
| Lorazepam | Lorazepam | 58 | 13 |
| Atenolol | Atenolol | 53 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 49 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 49 | 27 |
| Quetiapine Fumarate | Quetiapine Fumarate | 47 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 47 | 13 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 42 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 40 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 38 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 38 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 37 | 11 |
| Acetic Acid | Acetic Acid | 34 | suppressed |
| Alprazolam | Alprazolam | 33 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 32 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 32 | suppressed |
| Cefdinir | Cefdinir | 31 | 22 |
| Zolpidem Tartrate | Zolpidem Tartrate | 31 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 30 | suppressed |
| Jardiance | Empagliflozin | 30 | suppressed |
| Memantine Hcl | Memantine Hcl | 30 | suppressed |
| Mirtazapine | Mirtazapine | 30 | suppressed |
| Spironolactone | Spironolactone | 30 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 29 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 29 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 28 | suppressed |
| Gemfibrozil | Gemfibrozil | 28 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 27 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 27 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 26 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 26 | suppressed |
| Calcitonin-Salmon | Calcitonin,salmon,synthetic | 25 | suppressed |
| Xarelto | Rivaroxaban | 25 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 24 | suppressed |
| Latanoprost | Latanoprost | 24 | suppressed |
| Clonazepam | Clonazepam | 23 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 23 | suppressed |
| Ibuprofen | Ibuprofen | 22 | suppressed |
| Amoxicillin | Amoxicillin | 20 | suppressed |
| Boostrix Tdap | Diphth,pertuss(Acell),tet Vac | 20 | 20 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 20 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 19 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 18 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 18 | suppressed |
| Levetiracetam | Levetiracetam | 18 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 18 | suppressed |
| Prednisone | Prednisone | 18 | 13 |
| Propranolol Hcl Er | Propranolol Hcl | 18 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 18 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 18 | suppressed |
| Primidone | Primidone | 17 | suppressed |
| Shingrix | Varicella-Zoster Ge/As01b/Pf | 17 | 13 |
| Abrysvo | Rsv Vacc, Pref A And Pref B/Pf | 16 | 16 |
| Propranolol Hcl | Propranolol Hcl | 16 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 16 | suppressed |
| Trulicity | Dulaglutide | 16 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 15 | suppressed |
| Finasteride | Finasteride | 15 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 15 | 11 |
| Januvia | Sitagliptin Phosphate | 15 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 15 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 14 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 14 | suppressed |
| Bumetanide | Bumetanide | 14 | suppressed |
| Celecoxib | Celecoxib | 14 | suppressed |
| Chlorthalidone | Chlorthalidone | 14 | suppressed |
| Nystatin | Nystatin | 14 | suppressed |
| Glimepiride | Glimepiride | 13 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 13 | suppressed |
| Diclofenac Potassium | Diclofenac Potassium | 12 | suppressed |
| Eszopiclone | Eszopiclone | 12 | suppressed |
| Fenofibrate | Fenofibrate | 12 | suppressed |
| Fentanyl | Fentanyl | 12 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 12 | suppressed |
| Lamotrigine | Lamotrigine | 12 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 12 | suppressed |
| Methylprednisolone | Methylprednisolone | 12 | suppressed |
| Nitroglycerin | Nitroglycerin | 12 | 11 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 12 | suppressed |
| Phenobarbital | Phenobarbital | 12 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 12 | suppressed |
| Risperidone | Risperidone | 12 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 11 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 11 | suppressed |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 11 | suppressed |
| Clindamycin Phosphate | Clindamycin Phosphate | 11 | suppressed |
| Colesevelam Hcl | Colesevelam Hcl | 11 | suppressed |
| Hydromorphone Hcl | Hydromorphone Hcl | 11 | suppressed |
| Nifedipine Er | Nifedipine | 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 | $116.98 · 2 records | Astellas Pharma US Inc | — | — | — |
| 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