Payment overview · 2025
General Payments
$1,809.72
2 reported records · 2 companies
Healthcare provider profile · identity verified
James Frecka, MD
Allopathic & Osteopathic Physicians|Internal Medicine · CINCINNATI, OH · NPI 1497719199
Verified facts
What the public records show
CMS Open Payments records show James Frecka, MD received $1,809.72 in general payments during 2025 across 2 reported records.
PFIZER INC. accounted for 98.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
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 52 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 20 claims for Paxlovid 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 |
|---|---|---|---|---|---|
| PFIZER INC. | Unresolved — no canonical attribution shown | $1,787.50 | 98.8% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $22.22 | 1.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $1,787.50 | 1 |
| Food and Beverage | $22.22 | 1 |
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 |
|---|---|---|---|---|---|
| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $1,787.50 | 1 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $22.22 | 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 |
|---|---|---|---|---|---|---|
| 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 |
52 | suppressed by CMS |
| 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 |
20 | 19 |
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 | 492 | 139 |
| Amlodipine Besylate | Amlodipine Besylate | 238 | 69 |
| Gabapentin | Gabapentin | 210 | 45 |
| Lisinopril | Lisinopril | 186 | 52 |
| Levothyroxine Sodium | Levothyroxine Sodium | 158 | 43 |
| Pantoprazole Sodium | Pantoprazole Sodium | 155 | 41 |
| Metoprolol Succinate | Metoprolol Succinate | 146 | 39 |
| Trazodone Hcl | Trazodone Hcl | 131 | 29 |
| Celecoxib | Celecoxib | 130 | 34 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 129 | 37 |
| Valsartan | Valsartan | 129 | 35 |
| Zolpidem Tartrate | Zolpidem Tartrate | 126 | 23 |
| Lorazepam | Lorazepam | 124 | 30 |
| Tramadol Hcl | Tramadol Hcl | 117 | 31 |
| Meloxicam | Meloxicam | 115 | 34 |
| Losartan Potassium | Losartan Potassium | 109 | 32 |
| Hydrochlorothiazide | Hydrochlorothiazide | 92 | 28 |
| Omeprazole | Omeprazole | 92 | 26 |
| Alprazolam | Alprazolam | 89 | 16 |
| Metformin Hcl Er | Metformin Hcl | 89 | 24 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 86 | 19 |
| Tamsulosin Hcl | Tamsulosin Hcl | 84 | 25 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 78 | 20 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 70 | 20 |
| Simvastatin | Simvastatin | 64 | 18 |
| Furosemide | Furosemide | 60 | 15 |
| Escitalopram Oxalate | Escitalopram Oxalate | 59 | 17 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 58 | 12 |
| Alendronate Sodium | Alendronate Sodium | 55 | 13 |
| Clonazepam | Clonazepam | 54 | suppressed |
| Allopurinol | Allopurinol | 53 | 16 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 53 | 14 |
| Eliquis | Apixaban | 52 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 51 | suppressed |
| Ozempic | Semaglutide | 51 | 12 |
| Donepezil Hcl | Donepezil Hcl | 50 | suppressed |
| Prednisone | Prednisone | 48 | 39 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 47 | 12 |
| Atenolol | Atenolol | 46 | 14 |
| Fluticasone Propionate | Fluticasone Propionate | 44 | 18 |
| Mounjaro | Tirzepatide | 43 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 43 | 12 |
| Potassium Chloride | Potassium Chloride | 43 | 16 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 42 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 41 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 41 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 41 | 11 |
| Trulicity | Dulaglutide | 41 | suppressed |
| Metformin Hcl | Metformin Hcl | 40 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 39 | 12 |
| Valacyclovir | Valacyclovir Hcl | 39 | 11 |
| Pravastatin Sodium | Pravastatin Sodium | 38 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 37 | 14 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 36 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 36 | 11 |
| Sumatriptan Succinate | Sumatriptan Succinate | 36 | suppressed |
| Chlorthalidone | Chlorthalidone | 35 | suppressed |
| Pregabalin | Pregabalin | 35 | suppressed |
| Azithromycin | Azithromycin | 34 | 30 |
| Paroxetine Hcl | Paroxetine Hcl | 34 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 32 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 32 | suppressed |
| Eszopiclone | Eszopiclone | 31 | suppressed |
| Mirtazapine | Mirtazapine | 31 | 11 |
| Warfarin Sodium | Warfarin Sodium | 31 | 11 |
| Primidone | Primidone | 30 | suppressed |
| Finasteride | Finasteride | 29 | suppressed |
| Methocarbamol | Methocarbamol | 28 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 28 | suppressed |
| Naproxen | Naproxen | 28 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 28 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 27 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 27 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 27 | suppressed |
| Carvedilol | Carvedilol | 26 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 26 | 22 |
| Spironolactone | Spironolactone | 26 | suppressed |
| Synthroid | Levothyroxine Sodium | 25 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 25 | suppressed |
| Bupropion Xl | Bupropion Hcl | 24 | suppressed |
| Famotidine | Famotidine | 24 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 22 | suppressed |
| Verapamil Er | Verapamil Hcl | 22 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | suppressed |
| Torsemide | Torsemide | 21 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 20 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 20 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 20 | 19 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 18 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 18 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 18 | 16 |
| Doxazosin Mesylate | Doxazosin Mesylate | 18 | suppressed |
| Estradiol | Estradiol | 18 | suppressed |
| Ezetimibe | Ezetimibe | 18 | suppressed |
| Glipizide Er | Glipizide | 18 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 16 | 14 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 16 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 16 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 16 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 16 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 16 | 11 |
| Droplet Insulin Syringe | Syringe And Needle,insulin,1ml | 15 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 14 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 14 | 11 |
| Quetiapine Fumarate | Quetiapine Fumarate | 14 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 13 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 13 | suppressed |
| Metaxalone | Metaxalone | 13 | suppressed |
| Nifedipine Er | Nifedipine | 13 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 13 | suppressed |
| Alprazolam Er | Alprazolam | 12 | suppressed |
| Cilostazol | Cilostazol | 12 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 12 | suppressed |
| Entacapone | Entacapone | 12 | suppressed |
| Estradiol (Twice Weekly) | Estradiol | 12 | suppressed |
| Ibuprofen | Ibuprofen | 12 | suppressed |
| Irbesartan | Irbesartan | 12 | suppressed |
| Modafinil | Modafinil | 12 | suppressed |
| Nystatin | Nystatin | 12 | suppressed |
| Repatha Sureclick | Evolocumab | 12 | suppressed |
| Sure Comfort Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 12 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 11 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 11 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 11 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 11 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 11 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 11 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 11 | suppressed |
| Selegiline Hcl | Selegiline 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 | $1,809.72 · 2 records | PFIZER INC. | FREESTYLE LIBRE 3, NURTEC ODT | 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 PFIZER 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