Healthcare provider profile · identity verified

Ingrid Grafals, MD

Allopathic & Osteopathic Physicians|Internal Medicine · AVON, CT · NPI 1538122262

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 Ingrid Grafals, MD received $1,965.66 in general payments during 2025 across 92 reported records.

AstraZeneca Pharmaceuticals LP accounted for 30.2% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 36 associated products.

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

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 19 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 46 claims for Synthroid by this doctor in 2024.

Astellas Pharma US 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 Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Myrbetriq 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 32 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 26 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 25 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 19 claims for Mounjaro 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 70 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 34 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 43 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

$1,965.66

92 reported records · 19 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
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $592.9830.2%222025
ABBVIE INC. Unresolved — no canonical attribution shown $242.3112.3%182025
PFIZER INC. Unresolved — no canonical attribution shown $235.5112.0%122025
Lilly USA, LLC Unresolved — no canonical attribution shown $161.948.2%62025
Salix Pharmaceuticals, a division of Bausch Health US, LLC Unresolved — no canonical attribution shown $146.537.5%82025
Novo Nordisk Inc Unresolved — no canonical attribution shown $132.546.7%62025
Exact Sciences Corporation Unresolved — no canonical attribution shown $91.104.6%32025
Amneal Pharmaceuticals LLC Unresolved — no canonical attribution shown $65.173.3%32025
Novartis Pharmaceuticals Corporation Unresolved — no canonical attribution shown $56.722.9%32025
Sumitomo Pharma America, Inc. Unresolved — no canonical attribution shown $36.251.8%22025
Boston Scientific Corporation Unresolved — no canonical attribution shown $34.441.8%12025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $28.841.5%12025
Intra-Sana Laboratories Unresolved — no canonical attribution shown $23.171.2%12025
Seqirus USA Inc Unresolved — no canonical attribution shown $21.221.1%12025
InSightec,Inc Unresolved — no canonical attribution shown $20.821.1%12025
Otsuka America Pharmaceutical, Inc. Unresolved — no canonical attribution shown $19.881.0%12025
Echosens North America, Inc. Unresolved — no canonical attribution shown $19.341.0%12025
SANOFI-AVENTIS U.S. LLC Unresolved — no canonical attribution shown $19.141.0%12025
Astellas Pharma US Inc Unresolved — no canonical attribution shown $17.760.9%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$1,965.6692

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
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $309.28 8 2025
Source payment records
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $290.48 8 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $257.04 8 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $214.49 17 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $161.85 15 2025
Source payment records
XIFAXAN
Normalized: xifaxan
Drug Salix Pharmaceuticals, a division of Bausch Health US, LLC $146.53 8 2025
Source payment records
  • 2025-01-10 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $22.25 · Open Payments source
  • 2025-05-05 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $21.35 · Open Payments source
  • 2025-06-10 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $20.60 · Open Payments source
  • 2025-09-15 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $21.32 · Open Payments source
  • 2025-10-13 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $23.67 · Open Payments source
  • 2025-10-13 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $8.38 · Open Payments source
  • 2025-11-18 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $19.82 · Open Payments source
  • 2025-12-21 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $9.14 · Open Payments source
JARDIANCE
Normalized: jardiance
Drug Lilly USA, LLC $108.26 4 2025
Source payment records
Cologuard Collection Kit
Normalized: cologuard collection kit
Device Exact Sciences Corporation $91.10 3 2025
Source payment records
SYNTHROID
Normalized: synthroid
Drug ABBVIE INC. $80.46 3 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $78.88 4 2025
Source payment records
PAXLOVID
Normalized: paxlovid
Drug PFIZER INC. $75.72 4 2025
Source payment records
UNITHROID
Normalized: unithroid
Drug Amneal Pharmaceuticals LLC $65.17 3 2025
Source payment records
LEQVIO
Normalized: leqvio
Drug Novartis Pharmaceuticals Corporation $56.72 3 2025
Source payment records
VYNDAQEL
Normalized: vyndaqel
Drug PFIZER INC. $53.98 2 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $53.68 2 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $53.68 2 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $53.66 2 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $51.58 3 2025
Source payment records
GEMTESA
Normalized: gemtesa
Drug Sumitomo Pharma America, Inc. $36.25 2 2025
Source payment records
ABRYSVO
Normalized: abrysvo
Biological PFIZER INC. $35.71 2 2025
Source payment records
COMIRNATY
Normalized: comirnaty
Biological PFIZER INC. $35.71 2 2025
Source payment records
WATCHMAN Access System
Normalized: watchman access system
Device Boston Scientific Corporation $34.44 1 2025
Source payment records
AREXVY
Normalized: arexvy
Biological GlaxoSmithKline, LLC. $28.84 1 2025
Source payment records
SHINGRIX
Normalized: shingrix
Biological GlaxoSmithKline, LLC. $28.84 1 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $26.17 1 2025
Source payment records
GLYCATE
Normalized: glycate
Drug Intra-Sana Laboratories $23.17 1 2025
Source payment records
RELTONE 200 MG
Normalized: reltone 200 mg
Drug Intra-Sana Laboratories $23.17 1 2025
Source payment records
RELTONE 400 MG
Normalized: reltone 400 mg
Drug Intra-Sana Laboratories $23.17 1 2025
Source payment records
Fluad
Normalized: fluad
Biological Seqirus USA Inc $21.22 1 2025
Source payment records
Flucelvax
Normalized: flucelvax
Biological Seqirus USA Inc $21.22 1 2025
Source payment records
Exablate
Normalized: exablate
Device InSightec,Inc $20.82 1 2025
Source payment records
Fibroscan
Normalized: fibroscan
Device Echosens North America, Inc. $19.34 1 2025
Source payment records
TZIELD
Normalized: tzield
Biological SANOFI-AVENTIS U.S. LLC $19.14 1 2025
Source payment records
PREVNAR 20
Normalized: prevnar 20
Biological PFIZER INC. $18.89 1 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $18.52 1 2025
Source payment records
Veozah
Normalized: veozah
Drug Astellas Pharma US Inc $17.76 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 32 exact normalized Medicare Part D
JARDIANCE
jardiance
2025 Jardiance 2024 25
Beneficiary count suppressed
exact normalized Medicare Part D
MOUNJARO
mounjaro
2025 Mounjaro 2024 19
Beneficiary count suppressed
exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 70 exact normalized Medicare Part D
Rybelsus
rybelsus
2025 Rybelsus 2024 34 exact normalized Medicare Part D
SYNTHROID
synthroid
2025 Synthroid 2024 46 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
19 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
46 13
Astellas Pharma US Inc
Exact reporting entity; no affiliate inference
2025 Myrbetriq
open payments reported associated product
CMS Open Payments — General Payments
16 supporting records · 16 recipient NPIs · example record 1238599014
Myrbetriq · 2024
Exact normalized brand match · 1 Part D row
18 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
32 11
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
26 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
25 suppressed by CMS
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
19 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
70 18
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
34 12
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
43 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
Rosuvastatin CalciumRosuvastatin Calcium480130
Levothyroxine SodiumLevothyroxine Sodium31986
Amlodipine BesylateAmlodipine Besylate29486
Losartan PotassiumLosartan Potassium26372
Atorvastatin CalciumAtorvastatin Calcium23565
Metoprolol SuccinateMetoprolol Succinate21966
Pantoprazole SodiumPantoprazole Sodium11337
LisinoprilLisinopril9728
Tramadol HclTramadol Hcl8530
GabapentinGabapentin8329
OzempicSemaglutide7018
EzetimibeEzetimibe6919
Escitalopram OxalateEscitalopram Oxalate6618
HydrochlorothiazideHydrochlorothiazide6624
Duloxetine HclDuloxetine Hcl5918
Olmesartan MedoxomilOlmesartan Medoxomil5618
Trazodone HclTrazodone Hcl5521
Zolpidem TartrateZolpidem Tartrate5423
CarvedilolCarvedilol5216
Montelukast SodiumMontelukast Sodium5219
Alendronate SodiumAlendronate Sodium5117
Metformin Hcl ErMetformin Hcl4919
SynthroidLevothyroxine Sodium4613
AtenololAtenolol4513
EliquisApixaban43suppressed
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide4213
MeloxicamMeloxicam4122
Fluticasone PropionateFluticasone Propionate3917
Buspirone HclBuspirone Hcl3815
SimvastatinSimvastatin3812
Bupropion XlBupropion Hcl3712
FamotidineFamotidine3711
OmeprazoleOmeprazole3612
PrednisonePrednisone3629
Ipratropium BromideIpratropium Bromide3520
Citalopram HbrCitalopram Hydrobromide34suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide34suppressed
RybelsusSemaglutide3412
GlimepirideGlimepiride3313
FarxigaDapagliflozin Propanediol3211
PregabalinPregabalin32suppressed
LorazepamLorazepam31suppressed
Venlafaxine Hcl ErVenlafaxine Hcl28suppressed
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst2620
Trelegy ElliptaFluticasone/Umeclidin/Vilanter26suppressed
JardianceEmpagliflozin25suppressed
FurosemideFurosemide24suppressed
Amitriptyline HclAmitriptyline Hcl23suppressed
AllopurinolAllopurinol22suppressed
Ciprofloxacin HclCiprofloxacin Hcl2218
Fluoxetine HclFluoxetine Hcl22suppressed
Nebivolol HclNebivolol Hcl22suppressed
Pravastatin SodiumPravastatin Sodium22suppressed
Raloxifene HclRaloxifene Hcl22suppressed
AzithromycinAzithromycin2016
KetoconazoleKetoconazole2014
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride20suppressed
SpironolactoneSpironolactone20suppressed
LinzessLinaclotide19suppressed
MethylprednisoloneMethylprednisolone1919
MounjaroTirzepatide19suppressed
Tamsulosin HclTamsulosin Hcl19suppressed
Tizanidine HclTizanidine Hcl19suppressed
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide19suppressed
Verapamil ErVerapamil Hcl19suppressed
Vitamin D2Ergocalciferol (Vitamin D2)19suppressed
Albuterol Sulfate HfaAlbuterol Sulfate18suppressed
AlprazolamAlprazolam18suppressed
JanuviaSitagliptin Phosphate18suppressed
MyrbetriqMirabegron18suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim1814
ValsartanValsartan18suppressed
ClonazepamClonazepam17suppressed
EszopicloneEszopiclone17suppressed
Quetiapine FumarateQuetiapine Fumarate17suppressed
Donepezil HclDonepezil Hcl16suppressed
Metformin HclMetformin Hcl16suppressed
Sertraline HclSertraline Hcl16suppressed
ValacyclovirValacyclovir Hcl16suppressed
Clobetasol PropionateClobetasol Propionate14suppressed
LansoprazoleLansoprazole14suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog14suppressed
Memantine HclMemantine Hcl14suppressed
Metoprolol TartrateMetoprolol Tartrate14suppressed
Paroxetine HclParoxetine Hcl14suppressed
TopiramateTopiramate14suppressed
XareltoRivaroxaban14suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav1312
Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide13suppressed
Ropinirole HclRopinirole Hcl13suppressed
Diltiazem 24hr Er (Cd)Diltiazem Hcl12suppressed
Doxycycline HyclateDoxycycline Hyclate12suppressed
FebuxostatFebuxostat12suppressed
Icosapent EthylIcosapent Ethyl12suppressed
Mometasone FuroateMometasone Furoate12suppressed
ProliaDenosumab12suppressed
TadalafilTadalafil12suppressed
AmoxicillinAmoxicillin11suppressed
Dexlansoprazole DrDexlansoprazole11suppressed
VascepaIcosapent Ethyl11suppressed

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 $1,965.66 · 92 records AstraZeneca Pharmaceuticals LP ABRYSVO, AIRSUPRA, AREXVY, BREZTRI, COMIRNATY, Cologuard Collection Kit, Exablate, FARXIGA, Fibroscan, Fluad, Flucelvax, GEMTESA, GLYCATE, JARDIANCE, LEQVIO, MOUNJARO, NURTEC ODT, Ozempic, PAXLOVID, PREVNAR 20, QULIPTA, RELTONE 200 MG, RELTONE 400 MG, Rybelsus, SHINGRIX, SYNTHROID, TZIELD, UBRELVY, UNITHROID, VYNDAQEL, Veozah, WATCHMAN Access System, Wegovy, XIFAXAN, ZAVZPRET, ZEPBOUND 10
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