Healthcare provider profile · identity verified

Niranjan Shrestha, M.D., FAAFP

Allopathic & Osteopathic Physicians|Family Medicine · CENTRALIA, IL · NPI 1508031758

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 Niranjan Shrestha, M.D., FAAFP received $225.49 in general payments during 2025 across 13 reported records.

Novo Nordisk Inc accounted for 17.3% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 9 associated products.

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

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 81 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 17 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.

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 90 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 105 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 25 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 143 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 40 claims for Rybelsus 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 81 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

$225.49

13 reported records · 8 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 $38.9717.3%22025
Lilly USA, LLC Unresolved — no canonical attribution shown $35.6115.8%22025
ABBVIE INC. Unresolved — no canonical attribution shown $33.3514.8%22025
Pharmacosmos Therapeutics Inc. Unresolved — no canonical attribution shown $32.7914.5%22025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $30.5613.6%22025
PFIZER INC. Unresolved — no canonical attribution shown $20.279.0%12025
Abbott Laboratories Unresolved — no canonical attribution shown $19.988.9%12025
Medtronic, Inc. Medtronic, Inc.
exact · evidence 2025-07-22
$13.966.2%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$205.5112
Long term medical supply or device loan$19.981

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
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $35.61 2 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $35.61 2 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $33.35 2 2025
Source payment records
MONOFERRIC
Normalized: monoferric
Drug Pharmacosmos Therapeutics Inc. $32.79 2 2025
Source payment records
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $30.56 2 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $20.27 1 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $20.27 1 2025
Source payment records
FREESTYLE INSULINX
Normalized: freestyle insulinx
Device Abbott Laboratories $19.98 1 2025
Source payment records
INCEPTIV
Normalized: inceptiv
Device Medtronic, Inc. $13.96 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
FARXIGA
farxiga
2025 Farxiga 2024 17
Beneficiary count suppressed
exact normalized Medicare Part D
MOUNJARO
mounjaro
2025 Mounjaro 2024 105 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
81 16
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
17 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
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
90 17
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
105 19
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
25 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
143 24
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
40 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
81 14

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 Calcium1314253
OmeprazoleOmeprazole898173
Levothyroxine SodiumLevothyroxine Sodium685115
GabapentinGabapentin48980
Sertraline HclSertraline Hcl46989
Metformin Hcl ErMetformin Hcl40789
FurosemideFurosemide40469
Metoprolol SuccinateMetoprolol Succinate37864
Tramadol HclTramadol Hcl37080
Metoprolol TartrateMetoprolol Tartrate36868
Trazodone HclTrazodone Hcl34564
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen33754
Amlodipine BesylateAmlodipine Besylate32971
Montelukast SodiumMontelukast Sodium30463
Potassium ChloridePotassium Chloride30052
Losartan PotassiumLosartan Potassium29155
Metformin HclMetformin Hcl28155
Rosuvastatin CalciumRosuvastatin Calcium26655
Tamsulosin HclTamsulosin Hcl24649
LisinoprilLisinopril24546
Cyclobenzaprine HclCyclobenzaprine Hcl18744
Duloxetine HclDuloxetine Hcl18129
FamotidineFamotidine18035
Isosorbide Mononitrate ErIsosorbide Mononitrate17725
Albuterol Sulfate HfaAlbuterol Sulfate17147
XareltoRivaroxaban17019
ClopidogrelClopidogrel Bisulfate16928
Bupropion XlBupropion Hcl16729
Pantoprazole SodiumPantoprazole Sodium15636
Fluticasone PropionateFluticasone Propionate14846
RisperidoneRisperidone14522
OzempicSemaglutide14324
Divalproex Sodium ErDivalproex Sodium13723
ClonazepamClonazepam13218
LamotrigineLamotrigine12915
Ropinirole HclRopinirole Hcl12924
HydrochlorothiazideHydrochlorothiazide12624
AtenololAtenolol12124
AllopurinolAllopurinol12022
LevetiracetamLevetiracetam12021
MirtazapineMirtazapine11725
PrednisonePrednisone11767
EzetimibeEzetimibe11520
OxcarbazepineOxcarbazepine11313
Vitamin D2Ergocalciferol (Vitamin D2)11128
TopiramateTopiramate11015
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen10816
CarvedilolCarvedilol10519
MounjaroTirzepatide10519
SpironolactoneSpironolactone10119
Pravastatin SodiumPravastatin Sodium9921
FenofibrateFenofibrate9123
BaclofenBaclofen9017
JardianceEmpagliflozin9017
PregabalinPregabalin9013
Folic AcidFolic Acid8924
OlanzapineOlanzapine8815
Midodrine HclMidodrine Hcl8418
Trelegy ElliptaFluticasone/Umeclidin/Vilanter8216
EliquisApixaban8114
LinzessLinaclotide8116
Donepezil HclDonepezil Hcl79suppressed
Oxybutynin ChlorideOxybutynin Chloride7911
Lantus SolostarInsulin Glargine,hum.Rec.Anlog7716
Ondansetron OdtOndansetron7731
CarbamazepineCarbamazepine6911
Memantine Hcl ErMemantine Hcl68suppressed
Paroxetine HclParoxetine Hcl65suppressed
Clonidine HclClonidine Hcl6313
Doxycycline HyclateDoxycycline Hyclate6339
Hydroxyzine HclHydroxyzine Hcl6320
AlprazolamAlprazolam6212
LacosamideLacosamide6212
Memantine HclMemantine Hcl60suppressed
TrintellixVortioxetine Hydrobromide59suppressed
RoflumilastRoflumilast58suppressed
Tizanidine HclTizanidine Hcl5811
Bupropion Hcl SrBupropion Hcl5712
Escitalopram OxalateEscitalopram Oxalate57suppressed
AzithromycinAzithromycin5646
GlimepirideGlimepiride5614
Alendronate SodiumAlendronate Sodium55suppressed
JanuviaSitagliptin Phosphate54suppressed
Phenytoin Sodium ExtendedPhenytoin Sodium Extended53suppressed
Benazepril HclBenazepril Hcl5011
Hydralazine HclHydralazine Hcl5012
Buspirone HclBuspirone Hcl49suppressed
Citalopram HbrCitalopram Hydrobromide4911
LorazepamLorazepam4716
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav4332
Enalapril MaleateEnalapril Maleate43suppressed
Glipizide ErGlipizide43suppressed
SimvastatinSimvastatin43suppressed
Janumet XrSitagliptin Phos/Metformin Hcl40suppressed
Quetiapine FumarateQuetiapine Fumarate40suppressed
RybelsusSemaglutide40suppressed
Zolpidem TartrateZolpidem Tartrate40suppressed
Amitriptyline HclAmitriptyline Hcl39suppressed
Incruse ElliptaUmeclidinium Bromide3712
LatanoprostLatanoprost37suppressed
Bupropion HclBupropion Hcl36suppressed
Fluoxetine HclFluoxetine Hcl36suppressed
Propranolol Hcl ErPropranolol Hcl36suppressed
ValsartanValsartan36suppressed
AripiprazoleAripiprazole35suppressed
LubiprostoneLubiprostone3521
MeloxicamMeloxicam3416
Olmesartan MedoxomilOlmesartan Medoxomil34suppressed
Triamcinolone AcetonideTriamcinolone Acetonide3426
Venlafaxine Hcl ErVenlafaxine Hcl34suppressed
Azelastine HclAzelastine Hcl3313
Cyanocobalamin InjectionCyanocobalamin (Vitamin B-12)33suppressed
Ziprasidone HclZiprasidone Hcl33suppressed
Meclizine HclMeclizine Hcl31suppressed
KetoconazoleKetoconazole3014
ZonisamideZonisamide30suppressed
Esomeprazole MagnesiumEsomeprazole Magnesium29suppressed
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid29suppressed
PhenobarbitalPhenobarbital28suppressed
Humalog Kwikpen U-100Insulin Lispro2712
Amiodarone HclAmiodarone Hcl26suppressed
Diltiazem 24hr Er (Cd)Diltiazem Hcl26suppressed
LactuloseLactulose26suppressed
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide26suppressed
MyrbetriqMirabegron25suppressed
TrulicityDulaglutide25suppressed
Benztropine MesylateBenztropine Mesylate24suppressed
MethotrexateMethotrexate Sodium24suppressed
Carbidopa-LevodopaCarbidopa/Levodopa23suppressed
ClozapineClozapine23suppressed
MovantikNaloxegol Oxalate23suppressed
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine22suppressed
Doxepin HclDoxepin Hcl22suppressed
GlycopyrrolateGlycopyrrolate22suppressed
Ranolazine ErRanolazine22suppressed
TorsemideTorsemide22suppressed
TradjentaLinagliptin22suppressed
Aimovig AutoinjectorErenumab-Aooe21suppressed
CelecoxibCelecoxib21suppressed
Doxycycline MonohydrateDoxycycline Monohydrate2114
Lithium Carbonate ErLithium Carbonate21suppressed
Ventolin HfaAlbuterol Sulfate21suppressed
FinasterideFinasteride20suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide20suppressed
LantusInsulin Glargine,hum.Rec.Anlog19suppressed
Metoclopramide HclMetoclopramide Hcl19suppressed
PremarinEstrogens, Conjugated19suppressed
Propranolol HclPropranolol Hcl19suppressed
Spiriva HandihalerTiotropium Bromide19suppressed
Tiotropium BromideTiotropium Bromide19suppressed
Ciprofloxacin HclCiprofloxacin Hcl1815
Fluvoxamine MaleateFluvoxamine Maleate18suppressed
Oxybutynin Chloride ErOxybutynin Chloride18suppressed
Quetiapine Fumarate ErQuetiapine Fumarate18suppressed
Testosterone CypionateTestosterone Cypionate18suppressed
Timolol MaleateTimolol Maleate18suppressed
Valproic AcidValproic Acid (As Sodium Salt)18suppressed
Varenicline TartrateVarenicline Tartrate18suppressed
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr17suppressed
Bisoprolol FumarateBisoprolol Fumarate17suppressed
Breztri AerosphereBudesonide/Glycopyr/Formoterol17suppressed
FarxigaDapagliflozin Propanediol17suppressed
GlipizideGlipizide17suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim17suppressed
Trueplus Pen NeedlePen Needle, Diabetic17suppressed
FenofibrateFenofibrate,micronized16suppressed
Oxycodone HclOxycodone Hcl16suppressed
Sumatriptan SuccinateSumatriptan Succinate16suppressed
SymbicortBudesonide/Formoterol Fumarate16suppressed
Tresiba Flextouch U-100Insulin Degludec16suppressed
Ultra-Fine Short Pen NeedlePen Needle, Diabetic16suppressed
VascepaIcosapent Ethyl16suppressed
Warfarin SodiumWarfarin Sodium16suppressed
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog15suppressed
Breo ElliptaFluticasone/Vilanterol15suppressed
Clomipramine HclClomipramine Hcl15suppressed
Icosapent EthylIcosapent Ethyl15suppressed
InvokanaCanagliflozin15suppressed
Labetalol HclLabetalol Hcl15suppressed
ValacyclovirValacyclovir Hcl15suppressed
BumetanideBumetanide14suppressed
DiazepamDiazepam14suppressed
FluconazoleFluconazole14suppressed
LovastatinLovastatin14suppressed
Synjardy XrEmpagliflozin/Metformin Hcl14suppressed
ClonidineClonidine13suppressed
Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine13suppressed
Divalproex SodiumDivalproex Sodium13suppressed
DutasterideDutasteride13suppressed
Fluvastatin SodiumFluvastatin Sodium13suppressed
Pilocarpine HclPilocarpine Hcl13suppressed
RivastigmineRivastigmine Tartrate13suppressed
Tolterodine Tartrate ErTolterodine Tartrate13suppressed
Acetaminophen-CodeineAcetaminophen With Codeine12suppressed
Advair DiskusFluticasone Propion/Salmeterol12suppressed
Chlorpromazine HclChlorpromazine Hcl12suppressed
ClobazamClobazam12suppressed
CryselleNorgestrel-Ethinyl Estradiol12suppressed
DilantinPhenytoin Sodium Extended12suppressed
Fluphenazine HclFluphenazine Hcl12suppressed
Fluticasone-SalmeterolFluticasone Propion/Salmeterol12suppressed
Insulin SyringeSyringe And Needle,insulin,1ml12suppressed
Lurasidone HclLurasidone Hcl12suppressed
Minocycline HclMinocycline Hcl12suppressed
Morphine Sulfate ErMorphine Sulfate12suppressed
Novolog FlexpenInsulin Aspart12suppressed
Pen NeedlesPen Needle, Diabetic12suppressed
CefuroximeCefuroxime Axetil11suppressed
Desmopressin AcetateDesmopressin Acetate11suppressed
Insulin Lispro Kwikpen U-100Insulin Lispro11suppressed
Isosorbide MononitrateIsosorbide Mononitrate11suppressed
LidocaineLidocaine11suppressed
Tolterodine TartrateTolterodine 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 $225.49 · 13 records Novo Nordisk Inc FARXIGA, FREESTYLE INSULINX, INCEPTIV, MONOFERRIC, MOUNJARO, NURTEC ODT, QULIPTA, ZAVZPRET, ZEPBOUND 9
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