Payment overview · 2025
General Payments
We did not find matching Open Payments records for this doctor in the selected program year.
Healthcare provider profile · identity verified
Larry B Roark, NP-C
Nurse Practitioner · MIDDLESBORO, KY · NPI 1437281649
Verified facts
What the public records show
We did not find matching Open Payments records for this doctor in 2025.
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.
Analysis 1 · Payment-linked products
Products named in Open Payments records
No payment-linked product analysis is available because no matching General Payment records were found for the selected year.
Public prescribing for products named in payments
There is no explicit payment-product set available for a Part D comparison.
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.
There is no payer-company set available for this comparison.
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 |
|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 539 | 70 |
| Gabapentin | Gabapentin | 450 | 56 |
| Atorvastatin Calcium | Atorvastatin Calcium | 423 | 82 |
| Lisinopril | Lisinopril | 280 | 48 |
| Amlodipine Besylate | Amlodipine Besylate | 266 | 52 |
| Metformin Hcl | Metformin Hcl | 218 | 34 |
| Levothyroxine Sodium | Levothyroxine Sodium | 214 | 34 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 199 | 45 |
| Alprazolam | Alprazolam | 199 | 22 |
| Omeprazole | Omeprazole | 196 | 42 |
| Losartan Potassium | Losartan Potassium | 194 | 37 |
| Pantoprazole Sodium | Pantoprazole Sodium | 192 | 34 |
| Fluticasone Propionate | Fluticasone Propionate | 150 | 33 |
| Meloxicam | Meloxicam | 149 | 27 |
| Furosemide | Furosemide | 136 | 31 |
| Tizanidine Hcl | Tizanidine Hcl | 135 | 35 |
| Simvastatin | Simvastatin | 134 | 24 |
| Ventolin Hfa | Albuterol Sulfate | 134 | 25 |
| Potassium Chloride | Potassium Chloride | 132 | 32 |
| Metoprolol Tartrate | Metoprolol Tartrate | 125 | 26 |
| Ibuprofen | Ibuprofen | 123 | 25 |
| Celecoxib | Celecoxib | 121 | 22 |
| Tamsulosin Hcl | Tamsulosin Hcl | 109 | 18 |
| Atenolol | Atenolol | 107 | 18 |
| Diclofenac Sodium | Diclofenac Sodium | 106 | 26 |
| Metoprolol Succinate | Metoprolol Succinate | 102 | 21 |
| Mounjaro | Tirzepatide | 102 | 14 |
| Chlorthalidone | Chlorthalidone | 99 | 22 |
| Hydrochlorothiazide | Hydrochlorothiazide | 99 | 27 |
| Prednisone | Prednisone | 91 | 51 |
| Montelukast Sodium | Montelukast Sodium | 87 | 16 |
| Januvia | Sitagliptin Phosphate | 83 | 12 |
| Amitriptyline Hcl | Amitriptyline Hcl | 81 | 12 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 70 | 13 |
| Tramadol Hcl | Tramadol Hcl | 69 | 15 |
| Buspirone Hcl | Buspirone Hcl | 68 | 13 |
| Diazepam | Diazepam | 66 | suppressed |
| Nabumetone | Nabumetone | 62 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 61 | 13 |
| Sertraline Hcl | Sertraline Hcl | 61 | 12 |
| Allopurinol | Allopurinol | 57 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 55 | 15 |
| Cefdinir | Cefdinir | 53 | 42 |
| Bupropion Xl | Bupropion Hcl | 51 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 51 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 51 | 12 |
| Testosterone Cypionate | Testosterone Cypionate | 51 | suppressed |
| Linzess | Linaclotide | 48 | 11 |
| Ondansetron Odt | Ondansetron | 48 | 27 |
| Pravastatin Sodium | Pravastatin Sodium | 47 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 46 | suppressed |
| Carvedilol | Carvedilol | 45 | 11 |
| Azithromycin | Azithromycin | 43 | 30 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 43 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 42 | suppressed |
| Glipizide | Glipizide | 42 | 11 |
| Ropinirole Hcl | Ropinirole Hcl | 41 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 39 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 38 | suppressed |
| Clonazepam | Clonazepam | 37 | suppressed |
| Famotidine | Famotidine | 37 | suppressed |
| Levetiracetam | Levetiracetam | 37 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 37 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 36 | suppressed |
| Glipizide Er | Glipizide | 34 | suppressed |
| Ozempic | Semaglutide | 34 | 14 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 32 | suppressed |
| Glimepiride | Glimepiride | 31 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 31 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 31 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 30 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 29 | 22 |
| Donepezil Hcl | Donepezil Hcl | 29 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 29 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 29 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 29 | suppressed |
| Anastrozole | Anastrozole | 28 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 28 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 28 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 28 | suppressed |
| Methocarbamol | Methocarbamol | 26 | suppressed |
| Myrbetriq | Mirabegron | 26 | suppressed |
| Ezetimibe | Ezetimibe | 25 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 24 | 17 |
| Jardiance | Empagliflozin | 24 | suppressed |
| Progesterone | Progesterone, Micronized | 24 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 24 | suppressed |
| Amoxicillin | Amoxicillin | 23 | 20 |
| Nurtec Odt | Rimegepant Sulfate | 23 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 22 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 22 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 22 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 22 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 22 | suppressed |
| Fluconazole | Fluconazole | 21 | 15 |
| Aripiprazole | Aripiprazole | 20 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 20 | suppressed |
| Humalog Mix 75-25 Kwikpen | Insulin Lispro Protamin/Lispro | 20 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 20 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 20 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 19 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 19 | 14 |
| Valsartan | Valsartan | 19 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 18 | suppressed |
| Eliquis | Apixaban | 18 | suppressed |
| Lorazepam | Lorazepam | 18 | suppressed |
| Nystatin | Nystatin | 18 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 18 | suppressed |
| Pregabalin | Pregabalin | 18 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 18 | suppressed |
| Topiramate | Topiramate | 18 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 17 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 16 | suppressed |
| Glyburide | Glyburide | 16 | suppressed |
| Synthroid | Levothyroxine Sodium | 16 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 16 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 15 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 15 | suppressed |
| Baclofen | Baclofen | 15 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 15 | 11 |
| Clindamycin Hcl | Clindamycin Hcl | 15 | 11 |
| Dexamethasone | Dexamethasone | 15 | suppressed |
| Olanzapine | Olanzapine | 15 | suppressed |
| Cephalexin | Cephalexin | 14 | 11 |
| Ramelteon | Ramelteon | 14 | suppressed |
| Ultra-Fine Micro Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 13 | suppressed |
| Levofloxacin | Levofloxacin | 13 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 13 | suppressed |
| Torsemide | Torsemide | 13 | suppressed |
| Verapamil Er Pm | Verapamil Hcl | 13 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 12 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 12 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 12 | suppressed |
| Penicillin V Potassium | Penicillin V Potassium | 12 | suppressed |
| Primidone | Primidone | 12 | suppressed |
| Sucralfate | Sucralfate | 12 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 12 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 11 | suppressed |
| Lidocaine | Lidocaine | 11 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 11 | suppressed |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 11 | suppressed |
| Spironolactone | Spironolactone | 11 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 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 | — | — | — | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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