Payment overview · 2025
General Payments
$2,686.16
90 reported records · 19 companies
Healthcare provider profile · identity verified
Adam Arnold Shpigel, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology · SAINT LOUIS, MO · NPI 1417223447
Verified facts
What the public records show
CMS Open Payments records show Adam Arnold Shpigel, M.D. received $2,686.16 in general payments during 2025 across 90 reported records.
ABIOMED accounted for 36.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 26 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Entresto, Farxiga.
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 BRILINTA as an associated drug or biological on 993 records involving 512 distinct recipient NPIs. Public Medicare Part D data also shows 50 claims for Brilinta by this doctor in 2024.
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 FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Farxiga by this doctor in 2024.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ENTRESTO as an associated drug or biological on 9346 records involving 6254 distinct recipient NPIs. Public Medicare Part D data also shows 137 claims for Entresto 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 425 claims for Eliquis 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 |
|---|---|---|---|---|---|
| ABIOMED | Unresolved — no canonical attribution shown | $972.75 | 36.2% | 10 | 2025 |
| Shockwave Medical, Inc | Unresolved — no canonical attribution shown | $305.85 | 11.4% | 17 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $296.01 | 11.0% | 16 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $232.99 | 8.7% | 8 | 2025 |
| Edwards Lifesciences Corporation | Unresolved — no canonical attribution shown | $215.99 | 8.0% | 4 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $207.04 | 7.7% | 12 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $124.00 | 4.6% | 7 | 2025 |
| Chiesi USA, Inc. | Unresolved — no canonical attribution shown | $60.76 | 2.3% | 3 | 2025 |
| HEARTFLOW, INC. | Unresolved — no canonical attribution shown | $47.64 | 1.8% | 2 | 2025 |
| Alnylam Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $44.67 | 1.7% | 2 | 2025 |
| LANTHEUS MEDICAL IMAGING, INC. | Unresolved — no canonical attribution shown | $28.73 | 1.1% | 1 | 2025 |
| CARDIVA MEDICAL, INC. | Unresolved — no canonical attribution shown | $21.96 | 0.8% | 1 | 2025 |
| SCPHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $21.05 | 0.8% | 1 | 2025 |
| Kestra Medical Technology Services, Inc. | Unresolved — no canonical attribution shown | $19.91 | 0.7% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $19.41 | 0.7% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $18.04 | 0.7% | 1 | 2025 |
| ZOLL Circulation Inc | Unresolved — no canonical attribution shown | $17.65 | 0.7% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $16.07 | 0.6% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $15.64 | 0.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,265.82 | 87 |
| Travel and Lodging | $420.34 | 3 |
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 |
|---|---|---|---|---|---|
| Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Normalized: shockwave ivl system with the shockwave c2 coronary ivl catheter |
Device | Shockwave Medical, Inc | $305.85 | 17 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $296.01 | 16 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $207.04 | 12 | 2025 |
Source payment records
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| WATCHMAN Access System Normalized: watchman access system |
Device | Boston Scientific Corporation | $136.22 | 1 | 2025 |
Source payment records
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| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $124.00 | 7 | 2025 |
Source payment records
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| KENGREAL Normalized: kengreal |
Drug | Chiesi USA, Inc. | $60.76 | 3 | 2025 |
Source payment records
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| FFRct Normalized: ffrct |
Device | HEARTFLOW, INC. | $47.64 | 2 | 2025 |
Source payment records
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| AMVUTTRA Normalized: amvuttra |
Drug | Alnylam Pharmaceuticals Inc. | $44.67 | 2 | 2025 |
Source payment records
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| Comet Normalized: comet |
Device | Boston Scientific Corporation | $43.56 | 3 | 2025 |
Source payment records
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| AVVIGO Guidance System Normalized: avvigo guidance system |
Device | Boston Scientific Corporation | $35.20 | 3 | 2025 |
Source payment records
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| DEFINITY Normalized: definity |
Drug | LANTHEUS MEDICAL IMAGING, INC. | $28.73 | 1 | 2025 |
Source payment records
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| Edwards SAPIEN 3 Ultra Transcatheter Heart Valve Normalized: edwards sapien 3 ultra transcatheter heart valve |
Device | Edwards Lifesciences Corporation | $25.39 | 1 | 2025 |
Source payment records
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| CARDIVA VASCADE MVP XL VVCS 10-12F Normalized: cardiva vascade mvp xl vvcs 10 12f |
Device | CARDIVA MEDICAL, INC. | $21.96 | 1 | 2025 |
Source payment records
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| FUROSCIX Normalized: furoscix |
Drug | SCPHARMACEUTICALS INC. | $21.05 | 1 | 2025 |
Source payment records
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| CLEVIPREX Normalized: cleviprex |
Drug | Chiesi USA, Inc. | $20.58 | 1 | 2025 |
Source payment records
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| Assure WCD Normalized: assure wcd |
Device | Kestra Medical Technology Services, Inc. | $19.91 | 1 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $19.41 | 1 | 2025 |
Source payment records
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| VYNDAQEL Normalized: vyndaqel |
Drug | PFIZER INC. | $18.04 | 1 | 2025 |
Source payment records
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| ROTAPRO Normalized: rotapro |
Device | Boston Scientific Corporation | $18.01 | 1 | 2025 |
Source payment records
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| Catheter Normalized: catheter |
Device | ZOLL Circulation Inc | $17.65 | 1 | 2025 |
Source payment records
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| Downstream Cartridge Normalized: downstream cartridge |
Device | ZOLL Circulation Inc | $17.65 | 1 | 2025 |
Source payment records
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| TherOx DS2 Console Normalized: therox ds2 console |
Device | ZOLL Circulation Inc | $17.65 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $16.07 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $15.64 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $15.64 | 1 | 2025 |
Source payment records
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| ENTRESTO Normalized: entresto |
Drug | Novartis Pharmaceuticals Corporation | $15.40 | 3 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| ENTRESTO entresto |
2025 | Entresto | 2024 | 137 | exact normalized | Medicare Part D |
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 31 Beneficiary count suppressed |
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 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 | BRILINTA open payments reported associated product |
CMS Open Payments — General Payments 993 supporting records · 512 recipient NPIs · example record 1206131430 |
Brilinta · 2024 Exact normalized brand match · 1 Part D row |
50 | 11 |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
31 | suppressed by CMS |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | ENTRESTO open payments reported associated product |
CMS Open Payments — General Payments 9346 supporting records · 6254 recipient NPIs · example record 1200004797 |
Entresto · 2024 Exact normalized brand match · 1 Part D row |
137 | 27 |
| 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 |
425 | 121 |
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 |
|---|---|---|---|
| Metoprolol Succinate | Metoprolol Succinate | 558 | 202 |
| Atorvastatin Calcium | Atorvastatin Calcium | 488 | 188 |
| Eliquis | Apixaban | 425 | 121 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 406 | 157 |
| Clopidogrel | Clopidogrel Bisulfate | 363 | 127 |
| Furosemide | Furosemide | 355 | 115 |
| Amlodipine Besylate | Amlodipine Besylate | 335 | 131 |
| Losartan Potassium | Losartan Potassium | 269 | 101 |
| Ezetimibe | Ezetimibe | 228 | 80 |
| Lisinopril | Lisinopril | 221 | 78 |
| Carvedilol | Carvedilol | 200 | 71 |
| Spironolactone | Spironolactone | 184 | 67 |
| Metoprolol Tartrate | Metoprolol Tartrate | 172 | 65 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 165 | 53 |
| Entresto | Sacubitril/Valsartan | 137 | 27 |
| Repatha Sureclick | Evolocumab | 115 | 24 |
| Hydrochlorothiazide | Hydrochlorothiazide | 95 | 33 |
| Potassium Chloride | Potassium Chloride | 66 | 26 |
| Pantoprazole Sodium | Pantoprazole Sodium | 64 | 24 |
| Xarelto | Rivaroxaban | 64 | 28 |
| Warfarin Sodium | Warfarin Sodium | 60 | 22 |
| Brilinta | Ticagrelor | 50 | 11 |
| Amiodarone Hcl | Amiodarone Hcl | 40 | 18 |
| Pravastatin Sodium | Pravastatin Sodium | 40 | 14 |
| Doxazosin Mesylate | Doxazosin Mesylate | 37 | 17 |
| Irbesartan | Irbesartan | 37 | 15 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 37 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 35 | suppressed |
| Repatha Syringe | Evolocumab | 33 | 12 |
| Nitroglycerin | Nitroglycerin | 32 | 22 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 31 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 31 | suppressed |
| Ranolazine Er | Ranolazine | 29 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 28 | 13 |
| Ramipril | Ramipril | 28 | 11 |
| Klor-Con M20 | Potassium Chloride | 27 | 11 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 26 | 11 |
| Diltiazem 24hr Er (Xr) | Diltiazem Hcl | 26 | 14 |
| Simvastatin | Simvastatin | 26 | 14 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 22 | suppressed |
| Famotidine | Famotidine | 20 | 12 |
| Prednisone | Prednisone | 18 | 14 |
| Sildenafil Citrate | Sildenafil Citrate | 18 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 16 | suppressed |
| Dilt-Xr | Diltiazem Hcl | 16 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 16 | suppressed |
| Amoxicillin | Amoxicillin | 15 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 15 | suppressed |
| Pitavastatin Calcium | Pitavastatin Calcium | 15 | suppressed |
| Sotalol | Sotalol Hcl | 15 | suppressed |
| Valsartan | Valsartan | 15 | suppressed |
| Eplerenone | Eplerenone | 14 | suppressed |
| Multaq | Dronedarone Hcl | 14 | suppressed |
| Atenolol | Atenolol | 13 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 13 | suppressed |
| Omeprazole | Omeprazole | 13 | suppressed |
| Dabigatran Etexilate | Dabigatran Etexilate Mesylate | 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 | $2,686.16 · 90 records | ABIOMED | AMVUTTRA, AVVIGO Guidance System, Assure WCD, CARDIVA VASCADE MVP XL VVCS 10-12F, CLEVIPREX, Catheter, Comet, DEFINITY, Downstream Cartridge, ENTRESTO, Edwards SAPIEN 3 Ultra Transcatheter Heart Valve, FARXIGA, FFRct, FUROSCIX, JARDIANCE, KENGREAL, LEQVIO, LifeVest, Ozempic, REPATHA, ROTAPRO, Rybelsus, Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter, TherOx DS2 Console, VYNDAQEL, WATCHMAN Access System | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Entresto play in your treatment recommendations for me?
- 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