Healthcare provider profile · identity verified

Arnold Smalls, MD

Allopathic & Osteopathic Physicians|Internal Medicine · LAGRANGE, GA · NPI 1396747598

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Arnold Smalls, MD received $37.43 in general payments during 2025 across 2 reported records.

Ardelyx, Inc. accounted for 53.8% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 2 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Paxlovid.

PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 268 claims for Eliquis by this doctor in 2024.

PFIZER 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 PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 56 claims for Paxlovid by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$37.43

2 reported records · 2 companies

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 companyCanonical companyAmountShareRecordsYear
Ardelyx, Inc. Unresolved — no canonical attribution shown $20.1253.8%12025
PFIZER INC. Unresolved — no canonical attribution shown $17.3146.2%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$37.432

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 productTypeReported companyRelated amount*RecordsYear
IBSRELA
Normalized: ibsrela
Drug Ardelyx, Inc. $20.12 1 2025
Source payment records
PAXLOVID
Normalized: paxlovid
Drug PFIZER INC. $17.31 1 2025
Source payment records

* 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

Open Payments productPayment yearPart D brandPart D yearClaimsMatch methodSource
PAXLOVID
paxlovid
2025 Paxlovid 2024 56 exact normalized Medicare Part D

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 companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 ELIQUIS
open payments reported associated product
CMS Open Payments — General Payments
87112 supporting records · 36032 recipient NPIs · example record 1228794063
Eliquis · 2024
Exact normalized brand match · 1 Part D row
268 68
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 PAXLOVID
open payments reported associated product
CMS Open Payments — General Payments
24465 supporting records · 15715 recipient NPIs · example record 1228794432
Paxlovid · 2024
Exact normalized brand match · 1 Part D row
56 55

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

BrandGenericClaimsBeneficiaries
Atorvastatin CalciumAtorvastatin Calcium1234338
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1164231
GabapentinGabapentin1118274
Amlodipine BesylateAmlodipine Besylate1094300
AlprazolamAlprazolam1045258
Levothyroxine SodiumLevothyroxine Sodium842226
OmeprazoleOmeprazole821226
Pantoprazole SodiumPantoprazole Sodium704223
Potassium ChloridePotassium Chloride690193
FurosemideFurosemide684212
Losartan PotassiumLosartan Potassium655181
Metformin HclMetformin Hcl575162
Zolpidem TartrateZolpidem Tartrate568126
LisinoprilLisinopril564161
Albuterol Sulfate HfaAlbuterol Sulfate532142
ClonazepamClonazepam514133
Tramadol HclTramadol Hcl511173
SimvastatinSimvastatin494129
Tamsulosin HclTamsulosin Hcl468125
Trazodone HclTrazodone Hcl444106
OzempicSemaglutide42067
HydrochlorothiazideHydrochlorothiazide396117
MounjaroTirzepatide38368
Diclofenac SodiumDiclofenac Sodium370116
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride370122
Metoprolol TartrateMetoprolol Tartrate363110
MeloxicamMeloxicam35796
Buspirone HclBuspirone Hcl354105
CarvedilolCarvedilol349101
Metoprolol SuccinateMetoprolol Succinate349104
Fluticasone PropionateFluticasone Propionate340131
FamotidineFamotidine33994
Montelukast SodiumMontelukast Sodium33891
Citalopram HbrCitalopram Hydrobromide33396
GlimepirideGlimepiride31384
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide30992
Tizanidine HclTizanidine Hcl29982
CefuroximeCefuroxime Axetil293237
Pravastatin SodiumPravastatin Sodium27273
ClopidogrelClopidogrel Bisulfate26971
EliquisApixaban26868
AzithromycinAzithromycin260172
Doxepin HclDoxepin Hcl25874
Sertraline HclSertraline Hcl25878
AllopurinolAllopurinol24978
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen24947
PrednisonePrednisone249129
LinzessLinaclotide24373
TemazepamTemazepam23452
AmoxicillinAmoxicillin230154
Hydralazine HclHydralazine Hcl22164
Duloxetine HclDuloxetine Hcl21359
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide21261
Ondansetron HclOndansetron Hcl20593
Rosuvastatin CalciumRosuvastatin Calcium20558
Pioglitazone HclPioglitazone Hcl20456
Nifedipine ErNifedipine20159
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim196156
Cyclobenzaprine HclCyclobenzaprine Hcl19247
Quetiapine FumarateQuetiapine Fumarate18952
PregabalinPregabalin18856
MethylprednisoloneMethylprednisolone186150
Solifenacin SuccinateSolifenacin Succinate17447
Escitalopram OxalateEscitalopram Oxalate16740
Hydroxyzine HclHydroxyzine Hcl16770
AtenololAtenolol16435
Bupropion XlBupropion Hcl16155
GlipizideGlipizide15647
IbuprofenIbuprofen15452
Fluoxetine HclFluoxetine Hcl15138
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst148104
Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine14731
MethocarbamolMethocarbamol14758
EstradiolEstradiol14542
LorazepamLorazepam14133
Clonidine HclClonidine Hcl13947
MirtazapineMirtazapine13739
Ondansetron OdtOndansetron13766
Diltiazem 24hr Er (Cd)Diltiazem Hcl13640
Promethazine HclPromethazine Hcl13343
Warfarin SodiumWarfarin Sodium13225
Acetaminophen-CodeineAcetaminophen With Codeine13047
FluconazoleFluconazole13074
Meclizine HclMeclizine Hcl12654
Pramipexole DihydrochloridePramipexole Di-Hcl12530
Vitamin D2Ergocalciferol (Vitamin D2)12540
Venlafaxine Hcl ErVenlafaxine Hcl12136
CephalexinCephalexin12080
JanuviaSitagliptin Phosphate11126
Lantus SolostarInsulin Glargine,hum.Rec.Anlog10628
RybelsusSemaglutide10626
Alendronate SodiumAlendronate Sodium10532
TorsemideTorsemide10336
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine10120
NystatinNystatin9851
SpironolactoneSpironolactone9832
SymbicortBudesonide/Formoterol Fumarate9828
Triamcinolone AcetonideTriamcinolone Acetonide9863
Esomeprazole MagnesiumEsomeprazole Magnesium9727
TrulicityDulaglutide9420
Olmesartan MedoxomilOlmesartan Medoxomil9123
Sumatriptan SuccinateSumatriptan Succinate9017
ValacyclovirValacyclovir Hcl8936
JardianceEmpagliflozin8818
LevetiracetamLevetiracetam8717
Azelastine HclAzelastine Hcl8449
SucralfateSucralfate8436
Dicyclomine HclDicyclomine Hcl8135
CelecoxibCelecoxib8025
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid8026
EzetimibeEzetimibe7822
ZaleplonZaleplon7725
Trelegy ElliptaFluticasone/Umeclidin/Vilanter7615
BaclofenBaclofen7518
Amitriptyline HclAmitriptyline Hcl7419
Ciprofloxacin HclCiprofloxacin Hcl7458
FenofibrateFenofibrate7219
Colesevelam HclColesevelam Hcl6928
FinasterideFinasteride6917
SynthroidLevothyroxine Sodium6919
RisperidoneRisperidone6816
BelsomraSuvorexant6725
Cyproheptadine HclCyproheptadine Hcl6734
Metformin Hcl ErMetformin Hcl6718
Oxybutynin Chloride ErOxybutynin Chloride6721
Propranolol HclPropranolol Hcl6722
TopiramateTopiramate6719
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip6531
TradjentaLinagliptin6521
Isosorbide Mononitrate ErIsosorbide Mononitrate6314
LamotrigineLamotrigine6317
Donepezil HclDonepezil Hcl6215
EszopicloneEszopiclone6221
Dropsafe Prep PadsAlcohol Antiseptic Pads6117
Oxycodone HclOxycodone Hcl6111
Cyanocobalamin InjectionCyanocobalamin (Vitamin B-12)6018
Paroxetine HclParoxetine Hcl5917
PrimidonePrimidone5916
Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide5816
PaxlovidNirmatrelvir/Ritonavir5655
DiazepamDiazepam5520
Ropinirole HclRopinirole Hcl5515
Klor-Con 10Potassium Chloride5418
Guanfacine HclGuanfacine Hcl5219
Memantine HclMemantine Hcl5217
Novolog FlexpenInsulin Aspart5217
Tresiba Flextouch U-100Insulin Degludec5213
MupirocinMupirocin5133
Fluticasone-SalmeterolFluticasone Propion/Salmeterol5016
LovastatinLovastatin5011
MyrbetriqMirabegron50suppressed
Glipizide ErGlipizide4913
RizatriptanRizatriptan Benzoate4911
Testosterone CypionateTestosterone Cypionate4924
Wixela InhubFluticasone Propion/Salmeterol4914
MetolazoneMetolazone4829
NitroglycerinNitroglycerin4821
ShingrixVaricella-Zoster Ge/As01b/Pf4639
LansoprazoleLansoprazole4517
Breo ElliptaFluticasone/Vilanterol44suppressed
Doxazosin MesylateDoxazosin Mesylate4415
GemfibrozilGemfibrozil4312
Nano 2nd Gen Pen NeedlePen Needle, Diabetic4315
Hydroxychloroquine SulfateHydroxychloroquine Sulfate41suppressed
LatanoprostLatanoprost41suppressed
Metoclopramide HclMetoclopramide Hcl4119
Midodrine HclMidodrine Hcl41suppressed
Phenytoin Sodium ExtendedPhenytoin Sodium Extended41suppressed
Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril4013
FenofibrateFenofibrate,micronized40suppressed
Terazosin HclTerazosin Hcl40suppressed
ArexvyRsvpref3 Antigen/As01e/Pf3939
Atenolol-ChlorthalidoneAtenolol/Chlorthalidone3911
ChlorthalidoneChlorthalidone39suppressed
LevofloxacinLevofloxacin3930
Oxybutynin ChlorideOxybutynin Chloride3911
XareltoRivaroxaban39suppressed
Silver SulfadiazineSilver Sulfadiazine3820
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav3723
LidocaineLidocaine37suppressed
LubiprostoneLubiprostone3711
LantusInsulin Glargine,hum.Rec.Anlog36suppressed
Doxycycline HyclateDoxycycline Hyclate3424
FenofibrateFenofibrate Nanocrystallized3411
GlyburideGlyburide34suppressed
IbuIbuprofen34suppressed
NaproxenNaproxen34suppressed
Ventolin HfaAlbuterol Sulfate3414
AcyclovirAcyclovir3311
Droplet Pen NeedlePen Needle, Diabetic33suppressed
Hydroxyzine PamoateHydroxyzine Pamoate33suppressed
Prazosin HclPrazosin Hcl32suppressed
ColchicineColchicine3111
Venlafaxine HclVenlafaxine Hcl31suppressed
FarxigaDapagliflozin Propanediol30suppressed
MetronidazoleMetronidazole3025
Benazepril HclBenazepril Hcl29suppressed
Felodipine ErFelodipine29suppressed
IrbesartanIrbesartan29suppressed
SsdSilver Sulfadiazine2918
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide29suppressed
Amiodarone HclAmiodarone Hcl2811
Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine2722
NovologInsulin Aspart27suppressed
Bupropion Hcl SrBupropion Hcl26suppressed
Chlorhexidine GluconateChlorhexidine Gluconate2615
Diltiazem 24hr ErDiltiazem Hcl26suppressed
Imipramine HclImipramine Hcl26suppressed
OlanzapineOlanzapine26suppressed
Sildenafil CitrateSildenafil Citrate26suppressed
Zolpidem Tartrate ErZolpidem Tartrate26suppressed
Bisoprolol FumarateBisoprolol Fumarate25suppressed
ClonidineClonidine25suppressed
Desvenlafaxine Succinate ErDesvenlafaxine Succinate25suppressed
Humalog Kwikpen U-100Insulin Lispro25suppressed
MethotrexateMethotrexate Sodium25suppressed
Prochlorperazine MaleateProchlorperazine Maleate25suppressed
Tramadol Hcl ErTramadol Hcl25suppressed
Ultra-Fine Mini Pen NeedlePen Needle, Diabetic25suppressed
Tolterodine Tartrate ErTolterodine Tartrate24suppressed
Tresiba Flextouch U-200Insulin Degludec24suppressed
BrilintaTicagrelor23suppressed
CarbamazepineCarbamazepine23suppressed
Clobetasol PropionateClobetasol Propionate23suppressed
Colestipol HclColestipol Hcl2313
DigoxinDigoxin23suppressed
Divalproex Sodium ErDivalproex Sodium23suppressed
HydrocortisoneHydrocortisone23suppressed
Medroxyprogesterone AcetateMedroxyprogesterone Acetate23suppressed
Bydureon BciseExenatide Microspheres22suppressed
Nortriptyline HclNortriptyline Hcl22suppressed
BumetanideBumetanide21suppressed
ScopolamineScopolamine2111
LactuloseLactulose2014
NitrofurantoinNitrofurantoin Macrocrystal2019
Novolin 70-30Insulin Nph Hum/Reg Insulin Hm20suppressed
EpinephrineEpinephrine19suppressed
ErythromycinErythromycin Base19suppressed
Klor-Con M20Potassium Chloride1911
Levemir FlexpenInsulin Detemir1911
MinoxidilMinoxidil19suppressed
Mometasone FuroateMometasone Furoate19suppressed
Verapamil ErVerapamil Hcl19suppressed
Clindamycin HclClindamycin Hcl1815
Gentamicin SulfateGentamicin Sulfate1815
Humulin NInsulin Nph Human Isophane18suppressed
Ipratropium BromideIpratropium Bromide18suppressed
Lidocaine HclLidocaine Hcl18suppressed
OfloxacinOfloxacin1816
AnastrozoleAnastrozole17suppressed
Bisoprolol-HydrochlorothiazideBisoprolol/Hydrochlorothiazide17suppressed
Insulin SyringeSyringe-Needle,insulin,0.5 Ml17suppressed
Pilocarpine HclPilocarpine Hcl17suppressed
Telmisartan-HydrochlorothiazidTelmisartan/Hydrochlorothiazid17suppressed
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog17suppressed
ValsartanValsartan17suppressed
Cartia XtDiltiazem Hcl16suppressed
EtodolacEtodolac16suppressed
Folic AcidFolic Acid16suppressed
Insulin Lispro Kwikpen U-100Insulin Lispro16suppressed
Insulin SyringeSyringe And Needle,insulin,1ml16suppressed
KetoconazoleKetoconazole16suppressed
Diltiazem HclDiltiazem Hcl15suppressed
DutasterideDutasteride15suppressed
Nebivolol HclNebivolol Hcl15suppressed
Alfuzosin Hcl ErAlfuzosin Hcl14suppressed
AripiprazoleAripiprazole14suppressed
Atomoxetine HclAtomoxetine Hcl14suppressed
HumalogInsulin Lispro14suppressed
Pen NeedlesPen Needle, Diabetic14suppressed
Raloxifene HclRaloxifene Hcl14suppressed
Timolol MaleateTimolol Maleate14suppressed
Acebutolol HclAcebutolol Hcl13suppressed
AzathioprineAzathioprine13suppressed
Breztri AerosphereBudesonide/Glycopyr/Formoterol13suppressed
CarisoprodolCarisoprodol13suppressed
Enalapril MaleateEnalapril Maleate13suppressed
EntrestoSacubitril/Valsartan13suppressed
Flecainide AcetateFlecainide Acetate13suppressed
Lidocaine-PrilocaineLidocaine/Prilocaine13suppressed
MethimazoleMethimazole13suppressed
ProbenecidProbenecid13suppressed
Sevelamer CarbonateSevelamer Carbonate13suppressed
Varenicline TartrateVarenicline Tartrate13suppressed
Bupropion HclBupropion Hcl12suppressed
FebuxostatFebuxostat12suppressed
Humalog Mix 75-25Insulin Lispro Protamin/Lispro12suppressed
IndomethacinIndomethacin12suppressed
Lurasidone HclLurasidone Hcl12suppressed
Morphine Sulfate ErMorphine Sulfate12suppressed
NadololNadolol12suppressed
Novolog Mix 70-30Insulin Aspart Prot/Insuln Asp12suppressed
OxcarbazepineOxcarbazepine12suppressed
Stiolto RespimatTiotropium Br/Olodaterol Hcl12suppressed
Carbidopa-LevodopaCarbidopa/Levodopa11suppressed
ClotrimazoleClotrimazole11suppressed
Dexlansoprazole DrDexlansoprazole11suppressed
Dextroamphetamine Sulfate ErDextroamphetamine Sulfate11suppressed
Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine11suppressed
Enbrel SureclickEtanercept11suppressed
FentanylFentanyl11suppressed
Hydrocodone-IbuprofenHydrocodone/Ibuprofen11suppressed
Hydromorphone HclHydromorphone Hcl11suppressed
Klor-Con M10Potassium Chloride11suppressed
Labetalol HclLabetalol Hcl11suppressed
Memantine Hcl ErMemantine Hcl11suppressed
Methenamine HippurateMethenamine Hippurate11suppressed
PentoxifyllinePentoxifylline11suppressed
Prasugrel HclPrasugrel Hcl11suppressed
TelmisartanTelmisartan11suppressed
Tri-VylibraNorgestimate-Ethinyl Estradiol11suppressed

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.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $37.43 · 2 records Ardelyx, Inc. IBSRELA, PAXLOVID 2
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error