Payment overview · 2025
General Payments
$12,882.66
41 reported records · 7 companies
Healthcare provider profile · identity verified
David Ostransky, D.O.
Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease · FORT WORTH, TX · NPI 1396710984
Verified facts
What the public records show
CMS Open Payments records show David Ostransky, D.O. received $12,882.66 in general payments during 2025 across 41 reported records.
JAZZ PHARMACEUTICALS INC. accounted for 47.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 184 claims for Symbicort by this doctor in 2024.
JAZZ PHARMACEUTICALS 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 XYREM as an associated drug or biological on 613 records involving 589 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Xyrem 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 |
|---|---|---|---|---|---|
| JAZZ PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $6,132.11 | 47.6% | 14 | 2025 |
| Avadel CNS Pharmaceuticals, LLC | Unresolved — no canonical attribution shown | $5,058.39 | 39.3% | 9 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $1,267.27 | 9.8% | 6 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $302.47 | 2.4% | 9 | 2025 |
| Pulmonx Corporation | Unresolved — no canonical attribution shown | $80.80 | 0.6% | 1 | 2025 |
| Verona Pharma, Inc. | Unresolved — no canonical attribution shown | $23.70 | 0.2% | 1 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $17.92 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $5,720.00 | 1 |
| Consulting Fee | $3,815.00 | 1 |
| Food and Beverage | $2,084.49 | 30 |
| Travel and Lodging | $1,197.18 | 7 |
| Education | $65.99 | 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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| XYWAV Normalized: xywav |
Drug | JAZZ PHARMACEUTICALS INC. | $6,121.11 | 13 | 2025 |
Source payment records
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| LUMRYZ Normalized: lumryz |
Drug | Avadel CNS Pharmaceuticals, LLC | $5,058.39 | 9 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $1,267.27 | 6 | 2025 |
Source payment records
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| TEZSPIRE Normalized: tezspire |
Biological | AstraZeneca Pharmaceuticals LP | $223.09 | 6 | 2025 |
Source payment records
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| CHARTIS CATHETER Normalized: chartis catheter |
Device | Pulmonx Corporation | $80.80 | 1 | 2025 |
Source payment records
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| PULMONX CHARTIS TABLET CONSOLE Normalized: pulmonx chartis tablet console |
Device | Pulmonx Corporation | $80.80 | 1 | 2025 |
Source payment records
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| ZEPHYR DELIVERY CATHETER Normalized: zephyr delivery catheter |
Device | Pulmonx Corporation | $80.80 | 1 | 2025 |
Source payment records
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| ZEPHYR ENDOBRONCHIAL VALVE Normalized: zephyr endobronchial valve |
Device | Pulmonx Corporation | $80.80 | 1 | 2025 |
Source payment records
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| FASENRA Normalized: fasenra |
Biological | AstraZeneca Pharmaceuticals LP | $50.76 | 2 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $41.46 | 1 | 2025 |
Source payment records
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| Ohtuvayre Normalized: ohtuvayre |
Drug | Verona Pharma, Inc. | $23.70 | 1 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | Regeneron Healthcare Solutions, Inc. | $17.92 | 1 | 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.
Public prescribing for products named in payments
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
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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
184 | 52 |
| JAZZ PHARMACEUTICALS INC. Exact reporting entity; no affiliate inference |
2025 | XYREM open payments reported associated product |
CMS Open Payments — General Payments 613 supporting records · 589 recipient NPIs · example record 1234298066 |
Xyrem · 2024 Exact normalized brand match · 1 Part D row |
12 | 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 |
|---|---|---|---|
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 683 | 158 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 510 | 183 |
| Montelukast Sodium | Montelukast Sodium | 380 | 107 |
| Gabapentin | Gabapentin | 321 | 79 |
| Prednisone | Prednisone | 320 | 181 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 306 | 92 |
| Trazodone Hcl | Trazodone Hcl | 270 | 68 |
| Azithromycin | Azithromycin | 235 | 61 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 225 | 70 |
| Temazepam | Temazepam | 205 | 40 |
| Zolpidem Tartrate | Zolpidem Tartrate | 200 | 30 |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 188 | 50 |
| Symbicort | Budesonide/Formoterol Fumarate | 184 | 52 |
| Spiriva Respimat | Tiotropium Bromide | 169 | 43 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 147 | 28 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 115 | 34 |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 108 | 38 |
| Clonazepam | Clonazepam | 106 | 17 |
| Fluticasone Propionate | Fluticasone Propionate | 90 | 40 |
| Azelastine Hcl | Azelastine Hcl | 85 | 34 |
| Cefdinir | Cefdinir | 76 | 57 |
| Ventolin Hfa | Albuterol Sulfate | 75 | 20 |
| Ropinirole Hcl | Ropinirole Hcl | 64 | 14 |
| Quetiapine Fumarate | Quetiapine Fumarate | 59 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 57 | suppressed |
| Modafinil | Modafinil | 57 | 19 |
| Doxepin Hcl | Doxepin Hcl | 55 | 17 |
| Breyna | Budesonide/Formoterol Fumarate | 52 | 21 |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 52 | 11 |
| Ipratropium Bromide | Ipratropium Bromide | 49 | 26 |
| Roflumilast | Roflumilast | 48 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 47 | 13 |
| Eszopiclone | Eszopiclone | 46 | 12 |
| Methylphenidate Hcl | Methylphenidate Hcl | 44 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 42 | 13 |
| Omeprazole | Omeprazole | 40 | 11 |
| Arnuity Ellipta | Fluticasone Furoate | 39 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 39 | suppressed |
| Levofloxacin | Levofloxacin | 38 | 24 |
| Mirtazapine | Mirtazapine | 38 | suppressed |
| Armodafinil | Armodafinil | 36 | suppressed |
| Advair Diskus | Fluticasone Propion/Salmeterol | 35 | suppressed |
| Alprazolam | Alprazolam | 35 | suppressed |
| Nucala | Mepolizumab | 35 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 33 | 14 |
| Pantoprazole Sodium | Pantoprazole Sodium | 31 | 11 |
| Incruse Ellipta | Umeclidinium Bromide | 29 | suppressed |
| Advair Hfa | Fluticasone Propion/Salmeterol | 27 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 27 | suppressed |
| Theophylline Er | Theophylline Anhydrous | 25 | suppressed |
| Famotidine | Famotidine | 23 | suppressed |
| Fasenra Pen | Benralizumab | 23 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 23 | suppressed |
| Qvar Redihaler | Beclomethasone Dipropionate | 21 | suppressed |
| Azathioprine | Azathioprine | 19 | suppressed |
| Moxifloxacin Hcl | Moxifloxacin Hcl | 19 | suppressed |
| Estazolam | Estazolam | 18 | suppressed |
| Furosemide | Furosemide | 18 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 17 | suppressed |
| Lorazepam | Lorazepam | 17 | suppressed |
| Xolair | Omalizumab | 17 | suppressed |
| Fluticasone-Vilanterol | Fluticasone/Vilanterol | 15 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 15 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 14 | suppressed |
| Ofev | Nintedanib Esylate | 14 | suppressed |
| Azelastine-Fluticasone | Azelastine/Fluticasone | 13 | suppressed |
| Dextroamphetamine Sulfate Er | Dextroamphetamine Sulfate | 13 | suppressed |
| Dupixent Syringe | Dupilumab | 13 | suppressed |
| Eliquis | Apixaban | 13 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 13 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 12 | suppressed |
| Losartan Potassium | Losartan Potassium | 12 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 12 | suppressed |
| Pulmicort Flexhaler | Budesonide | 12 | suppressed |
| Xyrem | Sodium Oxybate | 12 | suppressed |
| Bupropion Xl | Bupropion Hcl | 11 | suppressed |
| Levalbuterol Tartrate Hfa | Levalbuterol Tartrate | 11 | suppressed |
| Methadone Hcl | Methadone 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 | $12,882.66 · 41 records | JAZZ PHARMACEUTICALS INC. | AIRSUPRA, CHARTIS CATHETER, DUPIXENT, FASENRA, INSPIRE, LUMRYZ, Ohtuvayre, PULMONX CHARTIS TABLET CONSOLE, TEZSPIRE, XYWAV, ZEPHYR DELIVERY CATHETER, ZEPHYR ENDOBRONCHIAL VALVE | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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