Healthcare provider profile · identity verified

Lance David Real, D.O.

Allopathic & Osteopathic Physicians|Family Medicine · LITHIA, FL · NPI 1497733091

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 Lance David Real, D.O. received $1,015.77 in general payments during 2025 across 46 reported records.

Novo Nordisk Inc accounted for 36.3% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 20 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Ozempic.

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.

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 33 claims for Farxiga 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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Symbicort by this doctor in 2024.

Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 81 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 81 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 55 claims for Trulicity 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 47 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 40 claims for Eliquis by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$1,015.77

46 reported records · 12 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
Novo Nordisk Inc Unresolved — no canonical attribution shown $368.3736.3%162025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $135.2813.3%72025
ABBVIE INC. Unresolved — no canonical attribution shown $105.4610.4%52025
Exact Sciences Corporation Unresolved — no canonical attribution shown $93.299.2%42025
Dynavax Technologies Corporation Unresolved — no canonical attribution shown $69.876.9%32025
Bayer Healthcare Pharmaceuticals Inc. Unresolved — no canonical attribution shown $62.786.2%22025
Lilly USA, LLC Unresolved — no canonical attribution shown $49.174.8%32025
PFIZER INC. Unresolved — no canonical attribution shown $39.903.9%22025
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) Unresolved — no canonical attribution shown $29.682.9%12025
Merck Sharp & Dohme LLC Unresolved — no canonical attribution shown $25.142.5%12025
Boehringer Ingelheim Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $23.002.3%12025
SANOFI-AVENTIS U.S. LLC Unresolved — no canonical attribution shown $13.831.4%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$1,015.7746

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
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $184.94 9 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $183.43 7 2025
Source payment records
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $99.79 5 2025
Source payment records
Cologuard Collection Kit
Normalized: cologuard collection kit
Device Exact Sciences Corporation $93.29 4 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $83.27 4 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $75.37 3 2025
Source payment records
Heplisav-B
Normalized: heplisav b
Drug Dynavax Technologies Corporation $69.87 3 2025
Source payment records
Kerendia
Normalized: kerendia
Drug Bayer Healthcare Pharmaceuticals Inc. $62.78 2 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $52.98 3 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $39.90 2 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $39.90 2 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC $37.40 2 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $34.77 2 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $34.77 2 2025
Source payment records
CAPLYTA
Normalized: caplyta
Drug ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $29.68 1 2025
Source payment records
CAPVAXIVE
Normalized: capvaxive
Biological Merck Sharp & Dohme LLC $25.14 1 2025
Source payment records
GARDASIL 9
Normalized: gardasil 9
Biological Merck Sharp & Dohme LLC $25.14 1 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $22.19 1 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $22.19 1 2025
Source payment records
TZIELD
Normalized: tzield
Biological SANOFI-AVENTIS U.S. LLC $13.83 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
JARDIANCE
jardiance
2025 Jardiance 2024 81 exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 47 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
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
33 suppressed by CMS
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 SYMBICORT
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 51 recipient NPIs · example record 1206132610
Symbicort · 2024
Exact normalized brand match · 1 Part D row
16 suppressed by CMS
Boehringer Ingelheim Pharmaceuticals, Inc.
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
123636 supporting records · 49438 recipient NPIs · example record 1221811583
Jardiance · 2024
Exact normalized brand match · 1 Part D row
81 14
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
81 14
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
55 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
47 11
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
40 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

BrandGenericClaimsBeneficiaries
Atorvastatin CalciumAtorvastatin Calcium389111
Levothyroxine SodiumLevothyroxine Sodium28873
LisinoprilLisinopril26173
FurosemideFurosemide22957
Pantoprazole SodiumPantoprazole Sodium22963
Amlodipine BesylateAmlodipine Besylate22669
OmeprazoleOmeprazole22149
Metoprolol SuccinateMetoprolol Succinate22049
Potassium ChloridePotassium Chloride19344
GabapentinGabapentin17442
Metformin Hcl ErMetformin Hcl15144
Tamsulosin HclTamsulosin Hcl14940
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen14646
Losartan PotassiumLosartan Potassium14244
Metformin HclMetformin Hcl13628
Pravastatin SodiumPravastatin Sodium13532
Montelukast SodiumMontelukast Sodium12823
Albuterol Sulfate HfaAlbuterol Sulfate12542
HydrochlorothiazideHydrochlorothiazide11232
Escitalopram OxalateEscitalopram Oxalate11023
ClopidogrelClopidogrel Bisulfate10323
SimvastatinSimvastatin10327
Tramadol HclTramadol Hcl10338
Duloxetine HclDuloxetine Hcl10227
Pioglitazone HclPioglitazone Hcl9819
Rosuvastatin CalciumRosuvastatin Calcium9431
Trazodone HclTrazodone Hcl9327
Metoprolol TartrateMetoprolol Tartrate8827
Bupropion XlBupropion Hcl8516
CarvedilolCarvedilol8131
JardianceEmpagliflozin8114
CelecoxibCelecoxib8023
MeloxicamMeloxicam7820
XareltoRivaroxaban7314
Glipizide ErGlipizide6816
BaclofenBaclofen6723
EzetimibeEzetimibe6617
Fluticasone PropionateFluticasone Propionate6025
AlprazolamAlprazolam5922
TrulicityDulaglutide55suppressed
MirtazapineMirtazapine5414
Memantine Hcl ErMemantine Hcl5312
PrednisonePrednisone4827
OzempicSemaglutide4711
Diclofenac SodiumDiclofenac Sodium45suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide4413
Buspirone HclBuspirone Hcl4311
LorazepamLorazepam4113
EliquisApixaban40suppressed
Fluoxetine HclFluoxetine Hcl4013
Nortriptyline HclNortriptyline Hcl39suppressed
AtenololAtenolol38suppressed
Citalopram HbrCitalopram Hydrobromide3813
FenofibrateFenofibrate Nanocrystallized38suppressed
FamotidineFamotidine3711
LovastatinLovastatin37suppressed
Venlafaxine Hcl ErVenlafaxine Hcl36suppressed
PregabalinPregabalin3512
Warfarin SodiumWarfarin Sodium35suppressed
JanuviaSitagliptin Phosphate34suppressed
Sertraline HclSertraline Hcl3411
AllopurinolAllopurinol3313
FarxigaDapagliflozin Propanediol33suppressed
Oxybutynin Chloride ErOxybutynin Chloride33suppressed
FenofibrateFenofibrate28suppressed
Hydroxyzine HclHydroxyzine Hcl2811
Cyclobenzaprine HclCyclobenzaprine Hcl27suppressed
FinasterideFinasteride27suppressed
Isosorbide Mononitrate ErIsosorbide Mononitrate27suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog27suppressed
GlipizideGlipizide26suppressed
RisperidoneRisperidone26suppressed
ShingrixVaricella-Zoster Ge/As01b/Pf2615
Carbamazepine ErCarbamazepine24suppressed
Nifedipine ErNifedipine24suppressed
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen24suppressed
Stiolto RespimatTiotropium Br/Olodaterol Hcl24suppressed
Ventolin HfaAlbuterol Sulfate24suppressed
Doxazosin MesylateDoxazosin Mesylate23suppressed
MyrbetriqMirabegron23suppressed
Nebivolol HclNebivolol Hcl23suppressed
LamotrigineLamotrigine22suppressed
Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide22suppressed
Ropinirole HclRopinirole Hcl22suppressed
Advair DiskusFluticasone Propion/Salmeterol21suppressed
Doxycycline MonohydrateDoxycycline Monohydrate2118
TopiramateTopiramate21suppressed
Triamcinolone AcetonideTriamcinolone Acetonide2118
Olmesartan MedoxomilOlmesartan Medoxomil20suppressed
ValacyclovirValacyclovir Hcl20suppressed
Memantine HclMemantine Hcl19suppressed
Tizanidine HclTizanidine Hcl19suppressed
TradjentaLinagliptin19suppressed
CephalexinCephalexin1814
Donepezil HclDonepezil Hcl18suppressed
Propranolol HclPropranolol Hcl18suppressed
IrbesartanIrbesartan17suppressed
Medroxyprogesterone AcetateMedroxyprogesterone Acetate17suppressed
AcyclovirAcyclovir16suppressed
Alendronate SodiumAlendronate Sodium16suppressed
IbuprofenIbuprofen16suppressed
LansoprazoleLansoprazole16suppressed
NystatinNystatin16suppressed
Oxycodone HclOxycodone Hcl16suppressed
PrimidonePrimidone16suppressed
Quetiapine FumarateQuetiapine Fumarate16suppressed
SymbicortBudesonide/Formoterol Fumarate16suppressed
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide15suppressed
Paroxetine HclParoxetine Hcl15suppressed
Pramipexole DihydrochloridePramipexole Di-Hcl15suppressed
Propranolol Hcl ErPropranolol Hcl15suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav1414
Ondansetron HclOndansetron Hcl14suppressed
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide14suppressed
AmoxicillinAmoxicillin1311
AnastrozoleAnastrozole13suppressed
Desmopressin AcetateDesmopressin Acetate13suppressed
EstradiolEstradiol13suppressed
FenofibrateFenofibrate,micronized13suppressed
Incruse ElliptaUmeclidinium Bromide13suppressed
MethylprednisoloneMethylprednisolone1313
ValsartanValsartan13suppressed
AripiprazoleAripiprazole12suppressed
Diltiazem 24hr Er (Cd)Diltiazem Hcl12suppressed
FluconazoleFluconazole12suppressed
LinzessLinaclotide12suppressed
Phenytoin Sodium ExtendedPhenytoin Sodium Extended12suppressed
Terazosin HclTerazosin Hcl12suppressed
Trelegy ElliptaFluticasone/Umeclidin/Vilanter12suppressed
Amiodarone HclAmiodarone Hcl11suppressed
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog11suppressed
Benazepril HclBenazepril Hcl11suppressed
Imipramine HclImipramine Hcl11suppressed
IndapamideIndapamide11suppressed
SpironolactoneSpironolactone11suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim11suppressed
Zolpidem TartrateZolpidem Tartrate11suppressed

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 $1,015.77 · 46 records Novo Nordisk Inc AIRSUPRA, BREZTRI, CAPLYTA, CAPVAXIVE, Cologuard Collection Kit, GARDASIL 9, Heplisav-B, JARDIANCE, Kerendia, MOUNJARO, NURTEC ODT, Ozempic, QULIPTA, Rybelsus, TZIELD, UBRELVY, VRAYLAR, Wegovy, ZAVZPRET, ZEPBOUND 8
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