Payment overview · 2025
General Payments
$259.43
14 reported records · 9 companies
Healthcare provider profile · identity verified
Stephen Vialpando, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · PUEBLO, CO · NPI 1396772778
Verified facts
What the public records show
CMS Open Payments records show Stephen Vialpando, M.D. received $259.43 in general payments during 2025 across 14 reported records.
Novartis Pharmaceuticals Corporation accounted for 30.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 associated products.
Astellas Pharma US 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 Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 22 claims for Myrbetriq by this doctor in 2024.
GlaxoSmithKline, LLC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Trelegy Ellipta by this doctor in 2024.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 124 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $78.44 | 30.2% | 3 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $58.69 | 22.6% | 4 | 2025 |
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $25.38 | 9.8% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $21.07 | 8.1% | 1 | 2025 |
| Organon LLC | Unresolved — no canonical attribution shown | $16.12 | 6.2% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $16.08 | 6.2% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $15.31 | 5.9% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $14.88 | 5.7% | 1 | 2025 |
| bioMerieux Inc | Unresolved — no canonical attribution shown | $13.46 | 5.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $259.43 | 14 |
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 |
|---|---|---|---|---|---|
| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $78.44 | 3 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $58.69 | 4 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $58.69 | 4 | 2025 |
Source payment records
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| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $25.38 | 1 | 2025 |
Source payment records
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| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $21.07 | 1 | 2025 |
Source payment records
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| NEXPLANON Normalized: nexplanon |
Drug | Organon LLC | $16.12 | 1 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $16.08 | 1 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $16.08 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $15.31 | 1 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $14.88 | 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 |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
22 | suppressed by CMS |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
14 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
124 | 29 |
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 |
|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 327 | 97 |
| Atorvastatin Calcium | Atorvastatin Calcium | 259 | 70 |
| Levothyroxine Sodium | Levothyroxine Sodium | 248 | 66 |
| Omeprazole | Omeprazole | 180 | 53 |
| Losartan Potassium | Losartan Potassium | 168 | 49 |
| Amlodipine Besylate | Amlodipine Besylate | 145 | 44 |
| Ozempic | Semaglutide | 124 | 29 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 123 | 37 |
| Metformin Hcl Er | Metformin Hcl | 119 | 33 |
| Simvastatin | Simvastatin | 112 | 29 |
| Lisinopril | Lisinopril | 109 | 30 |
| Pravastatin Sodium | Pravastatin Sodium | 103 | 26 |
| Potassium Chloride | Potassium Chloride | 88 | 25 |
| Tamsulosin Hcl | Tamsulosin Hcl | 82 | 27 |
| Alendronate Sodium | Alendronate Sodium | 81 | 27 |
| Furosemide | Furosemide | 80 | 27 |
| Gabapentin | Gabapentin | 74 | 22 |
| Allopurinol | Allopurinol | 71 | 18 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 71 | 19 |
| Metformin Hcl | Metformin Hcl | 67 | 20 |
| Hydrochlorothiazide | Hydrochlorothiazide | 63 | 16 |
| Mounjaro | Tirzepatide | 63 | 13 |
| Escitalopram Oxalate | Escitalopram Oxalate | 61 | 16 |
| Ipratropium Bromide | Ipratropium Bromide | 60 | 24 |
| Duloxetine Hcl | Duloxetine Hcl | 57 | 15 |
| Azithromycin | Azithromycin | 56 | 41 |
| Metoprolol Succinate | Metoprolol Succinate | 54 | 17 |
| Atenolol | Atenolol | 49 | 12 |
| Zolpidem Tartrate | Zolpidem Tartrate | 48 | suppressed |
| Carvedilol | Carvedilol | 47 | 15 |
| Celecoxib | Celecoxib | 46 | 11 |
| Pantoprazole Sodium | Pantoprazole Sodium | 46 | 13 |
| Cephalexin | Cephalexin | 44 | 35 |
| Spironolactone | Spironolactone | 41 | 12 |
| Tramadol Hcl | Tramadol Hcl | 41 | 16 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 40 | 14 |
| Amoxicillin | Amoxicillin | 40 | 34 |
| Montelukast Sodium | Montelukast Sodium | 40 | 12 |
| Paroxetine Hcl | Paroxetine Hcl | 40 | 12 |
| Sertraline Hcl | Sertraline Hcl | 40 | suppressed |
| Bupropion Xl | Bupropion Hcl | 38 | 11 |
| Meloxicam | Meloxicam | 38 | 15 |
| Eliquis | Apixaban | 37 | suppressed |
| Lorazepam | Lorazepam | 37 | 13 |
| Clonazepam | Clonazepam | 36 | suppressed |
| Ezetimibe | Ezetimibe | 36 | 14 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 34 | suppressed |
| Prednisone | Prednisone | 32 | 23 |
| Fluoxetine Hcl | Fluoxetine Hcl | 31 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 30 | suppressed |
| Xarelto | Rivaroxaban | 29 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 28 | 19 |
| Donepezil Hcl | Donepezil Hcl | 28 | suppressed |
| Famotidine | Famotidine | 27 | 11 |
| Mirtazapine | Mirtazapine | 27 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 27 | 15 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 25 | suppressed |
| Primidone | Primidone | 24 | suppressed |
| Diazepam | Diazepam | 23 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 22 | suppressed |
| Myrbetriq | Mirabegron | 22 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 21 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 21 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 19 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 19 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 16 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 18 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 18 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 17 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 17 | 17 |
| Doxepin Hcl | Doxepin Hcl | 16 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 16 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 15 | suppressed |
| Estradiol | Estradiol | 15 | 11 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 15 | 14 |
| Trazodone Hcl | Trazodone Hcl | 15 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 14 | 12 |
| Hydrocortisone | Hydrocortisone | 14 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 14 | suppressed |
| Pregabalin | Pregabalin | 14 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 14 | suppressed |
| Trulicity | Dulaglutide | 14 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 13 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 13 | suppressed |
| Temazepam | Temazepam | 13 | suppressed |
| Alprazolam | Alprazolam | 12 | suppressed |
| Boostrix Tdap | Diphth,pertuss(Acell),tet Vac | 12 | 12 |
| Desmopressin Acetate | Desmopressin (Nonrefrigerated) | 12 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 12 | suppressed |
| Glipizide Er | Glipizide | 12 | suppressed |
| Repatha Sureclick | Evolocumab | 12 | suppressed |
| Ropinirole Hcl | Ropinirole 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 | $259.43 · 14 records | Novartis Pharmaceuticals Corporation | AREXVY, LEQVIO, NEXPLANON, OTEZLA, REPATHA, SHINGRIX, UBRELVY, Veozah, Wegovy, ZENPEP | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US Inc?
- 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