Healthcare provider profile · identity verified

Lorena Gutierrez

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · BONITA SPRINGS, FL · NPI 1477000743

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 Lorena Gutierrez received $775.13 in general payments during 2025 across 38 reported records.

Lilly USA, LLC accounted for 15.6% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 22 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, Jardiance, Linzess, Mounjaro, Trelegy Ellipta.

ABBVIE 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 LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Linzess by this doctor in 2024.

ABBVIE 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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Synthroid by this doctor in 2024.

Amgen 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 PROLIA as an associated drug or biological on 20867 records involving 11744 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Prolia 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 22 claims for Farxiga 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 28 claims for Trelegy Ellipta by this doctor in 2024.

Lilly USA, 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 69 claims for Jardiance by this doctor in 2024.

Lilly USA, 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 48 claims for Mounjaro by this doctor in 2024.

Lilly USA, 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 34 claims for Trulicity 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 15 claims for Entresto 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 29 claims for Ozempic 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 32 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 24 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

$775.13

38 reported records · 13 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
Lilly USA, LLC Unresolved — no canonical attribution shown $120.7615.6%72025
Sumitomo Pharma America, Inc. Unresolved — no canonical attribution shown $96.8212.5%42025
Exact Sciences Corporation Unresolved — no canonical attribution shown $77.079.9%32025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $72.889.4%32025
Esperion Therapeutics, Inc. Unresolved — no canonical attribution shown $71.079.2%42025
Abbott Laboratories Unresolved — no canonical attribution shown $65.478.4%32025
Novo Nordisk Inc Unresolved — no canonical attribution shown $60.027.7%32025
PFIZER INC. Unresolved — no canonical attribution shown $55.507.2%32025
Amgen Inc. Unresolved — no canonical attribution shown $46.476.0%32025
ABBVIE INC. Unresolved — no canonical attribution shown $40.925.3%22025
Inspire Medical Systems, Inc. Unresolved — no canonical attribution shown $36.354.7%12025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $17.732.3%12025
Novartis Pharmaceuticals Corporation Unresolved — no canonical attribution shown $14.071.8%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$775.1338

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
GEMTESA
Normalized: gemtesa
Drug Sumitomo Pharma America, Inc. $96.82 4 2025
Source payment records
Cologuard Collection Kit
Normalized: cologuard collection kit
Device Exact Sciences Corporation $77.07 3 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $74.26 4 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $74.26 4 2025
Source payment records
TRELEGY ELLIPTA
Normalized: trelegy ellipta
Drug GlaxoSmithKline, LLC. $72.88 3 2025
Source payment records
NEXLETOL
Normalized: nexletol
Drug Esperion Therapeutics, Inc. $71.07 4 2025
Source payment records
FREESTYLE LIBRE 3
Normalized: freestyle libre 3
Device Abbott Laboratories $65.47 3 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $55.50 3 2025
Source payment records
OTEZLA
Normalized: otezla
Drug Amgen Inc. $46.47 3 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $46.47 3 2025
Source payment records
INSPIRE
Normalized: inspire
Device Inspire Medical Systems, Inc. $36.35 1 2025
Source payment records
ELIQUIS
Normalized: eliquis
Drug PFIZER INC. $35.81 2 2025
Source payment records
KISUNLA
Normalized: kisunla
Drug Lilly USA, LLC $23.34 2 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Lilly USA, LLC $23.16 1 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $21.43 1 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $21.43 1 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $19.69 1 2025
Source payment records
CREON
Normalized: creon
Drug ABBVIE INC. $19.49 1 2025
Source payment records
LINZESS
Normalized: linzess
Drug ABBVIE INC. $19.49 1 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $18.60 1 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $17.73 1 2025
Source payment records
LEQVIO
Normalized: leqvio
Drug Novartis Pharmaceuticals Corporation $14.07 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
ELIQUIS
eliquis
2025 Eliquis 2024 32 exact normalized Medicare Part D
JARDIANCE
jardiance
2025 Jardiance 2024 69 exact normalized Medicare Part D
LINZESS
linzess
2025 Linzess 2024 12
Beneficiary count suppressed
exact normalized Medicare Part D
MOUNJARO
mounjaro
2025 Mounjaro 2024 48
Beneficiary count suppressed
exact normalized Medicare Part D
TRELEGY ELLIPTA
trelegy ellipta
2025 Trelegy Ellipta 2024 28
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 companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 LINZESS
open payments reported associated product
CMS Open Payments — General Payments
87954 supporting records · 21815 recipient NPIs · example record 1201352608
Linzess · 2024
Exact normalized brand match · 1 Part D row
12 suppressed by CMS
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 SYNTHROID
open payments reported associated product
CMS Open Payments — General Payments
10655 supporting records · 4881 recipient NPIs · example record 1201352636
Synthroid · 2024
Exact normalized brand match · 1 Part D row
15 suppressed by CMS
Amgen Inc.
Exact reporting entity; no affiliate inference
2025 PROLIA
open payments reported associated product
CMS Open Payments — General Payments
20867 supporting records · 11744 recipient NPIs · example record 1226874448
Prolia · 2024
Exact normalized brand match · 1 Part D row
19 12
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
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
28 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
47708 supporting records · 23833 recipient NPIs · example record 1186464557
Jardiance · 2024
Exact normalized brand match · 1 Part D row
69 25
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 MOUNJARO
open payments reported associated product
CMS Open Payments — General Payments
186719 supporting records · 66436 recipient NPIs · example record 1186464455
Mounjaro · 2024
Exact normalized brand match · 1 Part D row
48 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 TRULICITY
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 57 recipient NPIs · example record 1186464601
Trulicity · 2024
Exact normalized brand match · 1 Part D row
34 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
15 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
29 suppressed by CMS
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
32 14
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
24 24

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 Calcium26595
Levothyroxine SodiumLevothyroxine Sodium23882
Amlodipine BesylateAmlodipine Besylate21890
Rosuvastatin CalciumRosuvastatin Calcium21174
Losartan PotassiumLosartan Potassium20775
LisinoprilLisinopril19367
MethylprednisoloneMethylprednisolone125113
Metoprolol SuccinateMetoprolol Succinate12342
Pantoprazole SodiumPantoprazole Sodium11653
AlprazolamAlprazolam11439
AzithromycinAzithromycin114104
OmeprazoleOmeprazole11438
Metformin HclMetformin Hcl11240
Trazodone HclTrazodone Hcl11042
GabapentinGabapentin10254
HydrochlorothiazideHydrochlorothiazide10136
Albuterol Sulfate HfaAlbuterol Sulfate9550
Sertraline HclSertraline Hcl8428
Tamsulosin HclTamsulosin Hcl7931
PrednisonePrednisone7753
Escitalopram OxalateEscitalopram Oxalate7325
BaclofenBaclofen6941
JardianceEmpagliflozin6925
SimvastatinSimvastatin6725
Alendronate SodiumAlendronate Sodium5928
EzetimibeEzetimibe5522
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide4820
MounjaroTirzepatide48suppressed
FurosemideFurosemide4422
Lantus SolostarInsulin Glargine,hum.Rec.Anlog4415
ClonazepamClonazepam4315
LorazepamLorazepam4315
MeloxicamMeloxicam4322
Bupropion XlBupropion Hcl4218
CelecoxibCelecoxib4219
Hydralazine HclHydralazine Hcl4219
CarvedilolCarvedilol4115
Omega-3 Acid Ethyl EstersOmega-3 Acid Ethyl Esters4116
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim4039
Duloxetine HclDuloxetine Hcl3914
Metoprolol TartrateMetoprolol Tartrate3812
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst3835
ClopidogrelClopidogrel Bisulfate3712
Pravastatin SodiumPravastatin Sodium3716
Fluoxetine HclFluoxetine Hcl3516
AmoxicillinAmoxicillin3432
FamotidineFamotidine3422
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride3421
TrulicityDulaglutide34suppressed
AllopurinolAllopurinol3312
EliquisApixaban3214
Ciprofloxacin HclCiprofloxacin Hcl3027
Cyclobenzaprine HclCyclobenzaprine Hcl3024
Fluticasone PropionateFluticasone Propionate3017
JanuviaSitagliptin Phosphate30suppressed
Montelukast SodiumMontelukast Sodium3014
OzempicSemaglutide29suppressed
Zolpidem TartrateZolpidem Tartrate2918
Ondansetron OdtOndansetron2818
Trelegy ElliptaFluticasone/Umeclidin/Vilanter28suppressed
Azelastine HclAzelastine Hcl2614
Buspirone HclBuspirone Hcl2612
Vitamin D2Ergocalciferol (Vitamin D2)2611
Diclofenac SodiumDiclofenac Sodium2513
XareltoRivaroxaban25suppressed
PaxlovidNirmatrelvir/Ritonavir2424
AtenololAtenolol23suppressed
TorsemideTorsemide2313
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav2222
FarxigaDapagliflozin Propanediol22suppressed
Potassium ChloridePotassium Chloride2212
SucralfateSucralfate2216
Cholestyramine LightCholestyramine2111
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide21suppressed
GlimepirideGlimepiride20suppressed
NitrofurantoinNitrofurantoin Macrocrystal2018
Olmesartan MedoxomilOlmesartan Medoxomil20suppressed
Triamcinolone AcetonideTriamcinolone Acetonide2011
EstradiolEstradiol1911
NystatinNystatin1915
ProliaDenosumab1912
Doxycycline HyclateDoxycycline Hyclate1818
Metformin Hcl ErMetformin Hcl18suppressed
Tramadol HclTramadol Hcl1816
Amitriptyline HclAmitriptyline Hcl17suppressed
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip1714
FluconazoleFluconazole1715
LovastatinLovastatin17suppressed
Oxybutynin Chloride ErOxybutynin Chloride17suppressed
Quetiapine FumarateQuetiapine Fumarate17suppressed
ValacyclovirValacyclovir Hcl17suppressed
Venlafaxine Hcl ErVenlafaxine Hcl17suppressed
IbuprofenIbuprofen1614
Nano 2nd Gen Pen NeedlePen Needle, Diabetic16suppressed
ChlorthalidoneChlorthalidone15suppressed
Clobetasol PropionateClobetasol Propionate15suppressed
EntrestoSacubitril/Valsartan15suppressed
LidocaineLidocaine15suppressed
SynthroidLevothyroxine Sodium15suppressed
Donepezil HclDonepezil Hcl14suppressed
Meclizine HclMeclizine Hcl1414
Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort1413
Paroxetine HclParoxetine Hcl14suppressed
Clonidine HclClonidine Hcl13suppressed
Esomeprazole MagnesiumEsomeprazole Magnesium13suppressed
MethocarbamolMethocarbamol13suppressed
MupirocinMupirocin13suppressed
PregabalinPregabalin13suppressed
Dicyclomine HclDicyclomine Hcl12suppressed
LinzessLinaclotide12suppressed
NaproxenNaproxen12suppressed
Testosterone CypionateTestosterone Cypionate12suppressed
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid12suppressed
Bupropion Hcl SrBupropion Hcl11suppressed
DiazepamDiazepam11suppressed
IrbesartanIrbesartan11suppressed
Sumatriptan SuccinateSumatriptan Succinate11suppressed

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 $775.13 · 38 records Lilly USA, LLC BREZTRI, CREON, Cologuard Collection Kit, ELIQUIS, FREESTYLE LIBRE 3, GEMTESA, INSPIRE, JARDIANCE, KISUNLA, LEQVIO, LINZESS, MOUNJARO, NEXLETOL, NURTEC ODT, OTEZLA, QULIPTA, REPATHA, TRELEGY ELLIPTA, UBRELVY, Wegovy, ZAVZPRET, ZEPBOUND 12
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