Payment overview · 2025
General Payments
$384.12
17 reported records · 8 companies
Healthcare provider profile · identity verified
Ralph John Cifaldi, D.O.
Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Obstetrics · HAWTHORNE, NJ · NPI 1508965344
Verified facts
What the public records show
CMS Open Payments records show Ralph John Cifaldi, D.O. received $384.12 in general payments during 2025 across 17 reported records.
Astellas Pharma US Inc accounted for 55.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 11 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Paxlovid.
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.
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 15 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 |
|---|---|---|---|---|---|
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $212.79 | 55.4% | 7 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $54.54 | 14.2% | 3 | 2025 |
| Indivior Inc. | Unresolved — no canonical attribution shown | $31.66 | 8.2% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $19.06 | 5.0% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $18.99 | 4.9% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $18.22 | 4.7% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $14.75 | 3.8% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $14.11 | 3.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $285.12 | 16 |
| Education | $99.00 | 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 |
|---|---|---|---|---|---|
| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $113.79 | 6 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $54.54 | 3 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $54.54 | 3 | 2025 |
Source payment records
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| SUBLOCADE Normalized: sublocade |
Drug | Indivior Inc. | $31.66 | 2 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $19.06 | 1 | 2025 |
Source payment records
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| PAXLOVID Normalized: paxlovid |
Drug | PFIZER INC. | $19.06 | 1 | 2025 |
Source payment records
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $18.99 | 1 | 2025 |
Source payment records
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| GARDASIL 9 Normalized: gardasil 9 |
Biological | Merck Sharp & Dohme LLC | $18.99 | 1 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $18.22 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Lilly USA, LLC | $14.75 | 1 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $14.11 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| PAXLOVID paxlovid |
2025 | Paxlovid | 2024 | 15 | 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 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 |
40 | 11 |
| 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 |
15 | 15 |
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 | 319 | 108 |
| Amlodipine Besylate | Amlodipine Besylate | 195 | 62 |
| Metformin Hcl | Metformin Hcl | 182 | 55 |
| Losartan Potassium | Losartan Potassium | 162 | 46 |
| Azithromycin | Azithromycin | 122 | 112 |
| Simvastatin | Simvastatin | 105 | 29 |
| Escitalopram Oxalate | Escitalopram Oxalate | 100 | 34 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 90 | 24 |
| Glimepiride | Glimepiride | 80 | 30 |
| Cefuroxime | Cefuroxime Axetil | 76 | 70 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 76 | 21 |
| Levothyroxine Sodium | Levothyroxine Sodium | 72 | 25 |
| Fluticasone Propionate | Fluticasone Propionate | 69 | 35 |
| Hydrochlorothiazide | Hydrochlorothiazide | 64 | 25 |
| Metoprolol Tartrate | Metoprolol Tartrate | 58 | 13 |
| Famotidine | Famotidine | 52 | 16 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 50 | 42 |
| Pantoprazole Sodium | Pantoprazole Sodium | 50 | 19 |
| Gabapentin | Gabapentin | 46 | 18 |
| Montelukast Sodium | Montelukast Sodium | 46 | suppressed |
| Finasteride | Finasteride | 43 | 11 |
| Pravastatin Sodium | Pravastatin Sodium | 43 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 43 | 13 |
| Alprazolam | Alprazolam | 42 | 19 |
| Eliquis | Apixaban | 40 | 11 |
| Lisinopril | Lisinopril | 40 | 12 |
| Methylprednisolone | Methylprednisolone | 40 | 37 |
| Metoprolol Succinate | Metoprolol Succinate | 39 | 17 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 37 | 11 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 33 | 23 |
| Januvia | Sitagliptin Phosphate | 33 | suppressed |
| Lamotrigine | Lamotrigine | 32 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 32 | suppressed |
| Furosemide | Furosemide | 31 | 15 |
| Meloxicam | Meloxicam | 31 | 21 |
| Valacyclovir | Valacyclovir Hcl | 31 | 19 |
| Allopurinol | Allopurinol | 30 | 12 |
| Omeprazole | Omeprazole | 30 | 13 |
| Zolpidem Tartrate | Zolpidem Tartrate | 29 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 28 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 28 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 28 | suppressed |
| Carvedilol | Carvedilol | 26 | suppressed |
| Memantine Hcl | Memantine Hcl | 26 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 25 | 12 |
| Glipizide | Glipizide | 25 | suppressed |
| Nifedipine Er | Nifedipine | 25 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 23 | 20 |
| Ibuprofen | Ibuprofen | 23 | 13 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 23 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 22 | 20 |
| Clopidogrel | Clopidogrel Bisulfate | 22 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 22 | suppressed |
| Levofloxacin | Levofloxacin | 21 | 16 |
| Meclizine Hcl | Meclizine Hcl | 21 | 11 |
| Tramadol Hcl | Tramadol Hcl | 21 | 14 |
| Cephalexin | Cephalexin | 20 | 20 |
| Quetiapine Fumarate | Quetiapine Fumarate | 20 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 19 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 18 | suppressed |
| Amoxicillin | Amoxicillin | 17 | 17 |
| Clonidine Hcl | Clonidine Hcl | 17 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 17 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 17 | 17 |
| Potassium Chloride | Potassium Chloride | 17 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 17 | suppressed |
| Gemfibrozil | Gemfibrozil | 16 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 16 | 11 |
| Propranolol Hcl | Propranolol Hcl | 16 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 15 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 15 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 15 | 15 |
| Breo Ellipta | Fluticasone/Vilanterol | 14 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 14 | suppressed |
| Valsartan | Valsartan | 14 | suppressed |
| Aripiprazole | Aripiprazole | 13 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | 12 |
| Entresto | Sacubitril/Valsartan | 13 | suppressed |
| Eszopiclone | Eszopiclone | 13 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 12 | suppressed |
| Atenolol | Atenolol | 12 | suppressed |
| Fluconazole | Fluconazole | 12 | suppressed |
| Xarelto | Rivaroxaban | 12 | suppressed |
| Bevespi Aerosphere | Glycopyrrolate/Formoterol Fum | 11 | suppressed |
| Glipizide-Metformin | Glipizide/Metformin Hcl | 11 | suppressed |
| Ketoconazole | Ketoconazole | 11 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 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 | $384.12 · 17 records | Astellas Pharma US Inc | CAPVAXIVE, GARDASIL 9, JARDIANCE, NURTEC ODT, Ozempic, PAXLOVID, REPATHA, Rybelsus, SHINGRIX, SUBLOCADE, Veozah | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Paxlovid play in your treatment recommendations for me?
- 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