Payment overview · 2025
General Payments
13 reported records · 5 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|General Practice · MANATI, PR · NPI 1396356549
Verified facts
CMS Open Payments records show William Noel Marrero Leon, MD received $490.53 in general payments during 2025 across 13 reported records.
E.R. Squibb & Sons, L.L.C. accounted for 31.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 9 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
13 reported records · 5 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $155.55 | 31.7% | 2 | 2025 |
| Adaptive Biotechnologies Corporation | Unresolved — no canonical attribution shown | $136.88 | 27.9% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $76.27 | 15.6% | 1 | 2025 |
| PBG PUERTO RICO LLC | Unresolved — no canonical attribution shown | $73.72 | 15.0% | 7 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $48.11 | 9.8% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $490.53 | 13 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| OPDIVO Normalized: opdivo |
Biological | E.R. Squibb & Sons, L.L.C. | $155.55 | 2 | 2025 |
Source payment records
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| clonoSEQ Normalized: clonoseq |
Device | Adaptive Biotechnologies Corporation | $136.88 | 2 | 2025 |
Source payment records
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PBG PUERTO RICO LLC, PFIZER INC. | $108.51 | 6 | 2025 |
Source payment records
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| SARCLISA Normalized: sarclisa |
Biological | GENZYME CORPORATION | $48.11 | 1 | 2025 |
Source payment records
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| ORGOVYX Normalized: orgovyx |
Drug | PBG PUERTO RICO LLC | $41.48 | 2 | 2025 |
Source payment records
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| TALZENNA Normalized: talzenna |
Drug | PBG PUERTO RICO LLC | $41.48 | 2 | 2025 |
Source payment records
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| XTANDI Normalized: xtandi |
Drug | PBG PUERTO RICO LLC | $41.48 | 2 | 2025 |
Source payment records
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| ABRYSVO Normalized: abrysvo |
Biological | PBG PUERTO RICO LLC | $32.24 | 5 | 2025 |
Source payment records
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| COMIRNATY Normalized: comirnaty |
Biological | PBG PUERTO RICO LLC | $32.24 | 5 | 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.
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
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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 79 | 23 |
| Gabapentin | Gabapentin | 56 | 14 |
| Synthroid | Levothyroxine Sodium | 47 | 16 |
| Metoprolol Succinate | Metoprolol Succinate | 45 | 16 |
| Amlodipine Besylate | Amlodipine Besylate | 40 | 16 |
| Atorvastatin Calcium | Atorvastatin Calcium | 37 | 18 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 33 | suppressed |
| Lisinopril | Lisinopril | 32 | suppressed |
| Famotidine | Famotidine | 31 | 11 |
| Hydrochlorothiazide | Hydrochlorothiazide | 31 | suppressed |
| Simvastatin | Simvastatin | 30 | 14 |
| Alendronate Sodium | Alendronate Sodium | 27 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 26 | 14 |
| Metformin Hcl | Metformin Hcl | 25 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 24 | suppressed |
| Ibuprofen | Ibuprofen | 21 | 12 |
| Levothyroxine Sodium | Levothyroxine Sodium | 20 | suppressed |
| Omeprazole | Omeprazole | 19 | suppressed |
| Dexamethasone | Dexamethasone | 17 | 16 |
| Irbesartan | Irbesartan | 17 | suppressed |
| Jardiance | Empagliflozin | 17 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 17 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 16 | suppressed |
| Humalog | Insulin Lispro | 15 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 15 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 14 | suppressed |
| Humulin R U-500 Kwikpen | Insulin Regular, Human | 13 | suppressed |
| Benzonatate | Benzonatate | 11 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 11 | suppressed |
Timeline
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 | $490.53 · 13 records | E.R. Squibb & Sons, L.L.C. | ABRYSVO, COMIRNATY, OPDIVO, ORGOVYX, PREVNAR 20, SARCLISA, TALZENNA, XTANDI, clonoSEQ | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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