Payment overview · 2025
General Payments
We did not find matching Open Payments records for this doctor in the selected program year.
Healthcare provider profile · identity verified
Annette Comes, MD
Family Practice · LEWISTOWN, MT · NPI 1346247087
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.
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 377 | 114 |
| Levothyroxine Sodium | Levothyroxine Sodium | 317 | 85 |
| Lisinopril | Lisinopril | 226 | 65 |
| Losartan Potassium | Losartan Potassium | 218 | 68 |
| Gabapentin | Gabapentin | 196 | 66 |
| Amlodipine Besylate | Amlodipine Besylate | 176 | 52 |
| Eliquis | Apixaban | 168 | 36 |
| Pantoprazole Sodium | Pantoprazole Sodium | 165 | 54 |
| Potassium Chloride | Potassium Chloride | 142 | 40 |
| Omeprazole | Omeprazole | 137 | 45 |
| Hydrochlorothiazide | Hydrochlorothiazide | 135 | 41 |
| Simvastatin | Simvastatin | 134 | 39 |
| Furosemide | Furosemide | 117 | 39 |
| Famotidine | Famotidine | 112 | 33 |
| Metoprolol Succinate | Metoprolol Succinate | 104 | 36 |
| Spironolactone | Spironolactone | 96 | 27 |
| Metoprolol Tartrate | Metoprolol Tartrate | 88 | 23 |
| Sertraline Hcl | Sertraline Hcl | 85 | 24 |
| Allopurinol | Allopurinol | 84 | 22 |
| Alendronate Sodium | Alendronate Sodium | 80 | 20 |
| Oxycodone Hcl | Oxycodone Hcl | 72 | 11 |
| Metformin Hcl Er | Metformin Hcl | 70 | 19 |
| Trazodone Hcl | Trazodone Hcl | 69 | 23 |
| Metformin Hcl | Metformin Hcl | 63 | 18 |
| Tamsulosin Hcl | Tamsulosin Hcl | 63 | 21 |
| Citalopram Hbr | Citalopram Hydrobromide | 60 | 17 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 58 | 14 |
| Escitalopram Oxalate | Escitalopram Oxalate | 57 | 17 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 57 | 17 |
| Celecoxib | Celecoxib | 55 | 16 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 54 | 12 |
| Myrbetriq | Mirabegron | 54 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 52 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 49 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 46 | 17 |
| Ropinirole Hcl | Ropinirole Hcl | 45 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 44 | 13 |
| Prednisone | Prednisone | 43 | 15 |
| Atenolol | Atenolol | 42 | 11 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 42 | 16 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 41 | 25 |
| Ezetimibe | Ezetimibe | 41 | 13 |
| Warfarin Sodium | Warfarin Sodium | 40 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 35 | suppressed |
| Carvedilol | Carvedilol | 34 | 12 |
| Cephalexin | Cephalexin | 34 | 21 |
| Hydralazine Hcl | Hydralazine Hcl | 34 | suppressed |
| Meloxicam | Meloxicam | 34 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 32 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 31 | 13 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 30 | suppressed |
| Finasteride | Finasteride | 30 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 30 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 28 | 14 |
| Oxybutynin Chloride | Oxybutynin Chloride | 28 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 27 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 27 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 26 | suppressed |
| Pregabalin | Pregabalin | 26 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 25 | suppressed |
| Fentanyl | Fentanyl | 25 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 25 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 24 | suppressed |
| Bydureon Bcise | Exenatide Microspheres | 23 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 23 | suppressed |
| Baclofen | Baclofen | 22 | suppressed |
| Trulicity | Dulaglutide | 22 | suppressed |
| Irbesartan | Irbesartan | 21 | suppressed |
| Lorazepam | Lorazepam | 21 | suppressed |
| Ozempic | Semaglutide | 21 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 21 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 20 | suppressed |
| Hydromorphone Hcl | Hydromorphone Hcl | 20 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 20 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 19 | suppressed |
| Synthroid | Levothyroxine Sodium | 19 | suppressed |
| Clonazepam | Clonazepam | 18 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 18 | suppressed |
| Methylprednisolone | Methylprednisolone | 18 | 16 |
| Jardiance | Empagliflozin | 17 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 17 | 12 |
| Estradiol | Estradiol | 16 | 12 |
| Fluticasone Propionate | Fluticasone Propionate | 16 | suppressed |
| Acyclovir | Acyclovir | 15 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 15 | suppressed |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 15 | 12 |
| Budesonide Dr | Budesonide | 15 | suppressed |
| Bupropion Xl | Bupropion Hcl | 15 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 14 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 14 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 14 | suppressed |
| Mirtazapine | Mirtazapine | 14 | suppressed |
| Azithromycin | Azithromycin | 13 | 12 |
| Bupropion Hcl Sr | Bupropion Hcl | 13 | suppressed |
| Diltiazem 24hr Er (Xr) | Diltiazem Hcl | 13 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 13 | suppressed |
| Glipizide | Glipizide | 13 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 13 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 13 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | suppressed |
| Droplet Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Lidocaine | Lidocaine | 12 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 12 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 12 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 12 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 12 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 12 | suppressed |
| Bumetanide | Bumetanide | 11 | suppressed |
| Chlorthalidone | Chlorthalidone | 11 | suppressed |
| Fluconazole | Fluconazole | 11 | suppressed |
| Lactulose | Lactulose | 11 | suppressed |
| Nifedipine Er | Nifedipine | 11 | suppressed |
| Nystatin | Nystatin | 11 | suppressed |
| Xifaxan | Rifaximin | 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 |
Full methodology · Questions & answers · Report a possible error