Payment overview · 2025
General Payments
$50.41
3 reported records · 2 companies
Healthcare provider profile · identity verified
Nicholas E Sward, MD
Allopathic & Osteopathic Physicians|Family Medicine · KALAMAZOO, MI · NPI 1447220918
Verified facts
What the public records show
CMS Open Payments records show Nicholas E Sward, MD received $50.41 in general payments during 2025 across 3 reported records.
Novo Nordisk Inc accounted for 70.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
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 76 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Rybelsus 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $35.42 | 70.3% | 2 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $14.99 | 29.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $50.41 | 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 |
|---|---|---|---|---|---|
| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $35.42 | 2 | 2025 |
Source payment records
|
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $14.99 | 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 |
|---|---|---|---|---|---|---|
| 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 |
76 | 14 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
14 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 566 | 152 |
| Levothyroxine Sodium | Levothyroxine Sodium | 243 | 62 |
| Lisinopril | Lisinopril | 214 | 59 |
| Gabapentin | Gabapentin | 199 | 38 |
| Amlodipine Besylate | Amlodipine Besylate | 196 | 60 |
| Losartan Potassium | Losartan Potassium | 193 | 53 |
| Hydrochlorothiazide | Hydrochlorothiazide | 184 | 50 |
| Metoprolol Succinate | Metoprolol Succinate | 179 | 53 |
| Omeprazole | Omeprazole | 157 | 47 |
| Simvastatin | Simvastatin | 127 | 36 |
| Metformin Hcl | Metformin Hcl | 116 | 38 |
| Tamsulosin Hcl | Tamsulosin Hcl | 113 | 32 |
| Tramadol Hcl | Tramadol Hcl | 113 | 27 |
| Trazodone Hcl | Trazodone Hcl | 109 | 26 |
| Pantoprazole Sodium | Pantoprazole Sodium | 96 | 31 |
| Eliquis | Apixaban | 93 | 20 |
| Ozempic | Semaglutide | 76 | 14 |
| Jardiance | Empagliflozin | 74 | 18 |
| Fluticasone Propionate | Fluticasone Propionate | 71 | 20 |
| Metoprolol Tartrate | Metoprolol Tartrate | 69 | 18 |
| Meloxicam | Meloxicam | 68 | 15 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 67 | 20 |
| Trulicity | Dulaglutide | 67 | 12 |
| Fluoxetine Hcl | Fluoxetine Hcl | 65 | 16 |
| Allopurinol | Allopurinol | 64 | 19 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 64 | 23 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 63 | 17 |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 62 | 14 |
| Mounjaro | Tirzepatide | 61 | 15 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 61 | 14 |
| Furosemide | Furosemide | 60 | 22 |
| Bupropion Xl | Bupropion Hcl | 59 | 16 |
| Pregabalin | Pregabalin | 59 | 17 |
| Sertraline Hcl | Sertraline Hcl | 57 | 19 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 51 | 21 |
| Hydralazine Hcl | Hydralazine Hcl | 49 | suppressed |
| Clonazepam | Clonazepam | 48 | suppressed |
| Alprazolam | Alprazolam | 47 | 24 |
| Metformin Hcl Er | Metformin Hcl | 46 | 16 |
| Citalopram Hbr | Citalopram Hydrobromide | 43 | 13 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 40 | 13 |
| Buspirone Hcl | Buspirone Hcl | 39 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 38 | 12 |
| Chlorthalidone | Chlorthalidone | 37 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 37 | 12 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 35 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 34 | 13 |
| Dutasteride | Dutasteride | 33 | suppressed |
| Ibuprofen | Ibuprofen | 32 | 13 |
| Methadone Hcl | Methadone Hcl | 31 | suppressed |
| Finasteride | Finasteride | 29 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 28 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 28 | suppressed |
| Potassium Chloride | Potassium Chloride | 28 | suppressed |
| Myrbetriq | Mirabegron | 27 | suppressed |
| Atenolol | Atenolol | 26 | suppressed |
| Lorazepam | Lorazepam | 26 | suppressed |
| Torsemide | Torsemide | 26 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 25 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 25 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 24 | 11 |
| Dicyclomine Hcl | Dicyclomine Hcl | 24 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 24 | 11 |
| Ezetimibe | Ezetimibe | 22 | suppressed |
| Famotidine | Famotidine | 22 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 22 | suppressed |
| Prednisone | Prednisone | 22 | 19 |
| Ropinirole Hcl | Ropinirole Hcl | 22 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 22 | suppressed |
| Januvia | Sitagliptin Phosphate | 21 | suppressed |
| Naproxen | Naproxen | 21 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 21 | suppressed |
| Celecoxib | Celecoxib | 20 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 20 | 11 |
| Warfarin Sodium | Warfarin Sodium | 20 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 18 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 18 | 16 |
| Fenofibrate | Fenofibrate Nanocrystallized | 18 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 18 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 17 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 17 | suppressed |
| Glimepiride | Glimepiride | 16 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 16 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 16 | suppressed |
| Carvedilol | Carvedilol | 15 | suppressed |
| Mirtazapine | Mirtazapine | 15 | suppressed |
| Spironolactone | Spironolactone | 15 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 15 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 15 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 15 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Rybelsus | Semaglutide | 14 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 13 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 13 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 13 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 13 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 13 | suppressed |
| Atenolol-Chlorthalidone | Atenolol/Chlorthalidone | 12 | suppressed |
| Azithromycin | Azithromycin | 12 | suppressed |
| Colestipol Hcl | Colestipol Hcl | 12 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 12 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 12 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 12 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 12 | suppressed |
| Repatha Sureclick | Evolocumab | 12 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 12 | suppressed |
| Topiramate | Topiramate | 12 | suppressed |
| Xarelto | Rivaroxaban | 12 | suppressed |
| Cephalexin | Cephalexin | 11 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 11 | suppressed |
| Fosinopril Sodium | Fosinopril Sodium | 11 | suppressed |
| Lovastatin | Lovastatin | 11 | suppressed |
| Movantik | Naloxegol Oxalate | 11 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 11 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 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 | $50.41 · 3 records | Novo Nordisk Inc | LEQVIO, Wegovy | 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 Novo Nordisk 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