Payment overview · 2025
General Payments
$940.86
52 reported records · 9 companies
Healthcare provider profile · identity verified
Keith R Brecher, MD
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology · WARWICK, RI · NPI 1568457323
Verified facts
What the public records show
CMS Open Payments records show Keith R Brecher, MD received $940.86 in general payments during 2025 across 52 reported records.
ABBVIE INC. accounted for 45.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Nurtec Odt, Qulipta, Ubrelvy.
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 QULIPTA as an associated drug or biological on 298617 records involving 58957 distinct recipient NPIs. Public Medicare Part D data also shows 27 claims for Qulipta 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 UBRELVY as an associated drug or biological on 299803 records involving 61203 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Ubrelvy by this doctor in 2024.
Lundbeck 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 REXULTI as an associated drug or biological on 71829 records involving 25812 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Rexulti 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 NURTEC ODT as an associated drug or biological on 217574 records involving 54025 distinct recipient NPIs. Public Medicare Part D data also shows 28 claims for Nurtec Odt 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $427.80 | 45.5% | 30 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $256.56 | 27.3% | 10 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $63.57 | 6.8% | 3 | 2025 |
| SK Life Science, Inc. |
SK Life Science, Inc. exact · evidence 2025-04-03 |
$55.68 | 5.9% | 2 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $46.76 | 5.0% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $42.84 | 4.5% | 2 | 2025 |
| Neurelis, Inc. |
Neurelis, Inc. exact · evidence 2025-02-20 |
$17.08 | 1.8% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $16.27 | 1.7% | 1 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $14.30 | 1.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $940.86 | 52 |
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 |
|---|---|---|---|---|---|
| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $339.82 | 27 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $323.48 | 25 | 2025 |
Source payment records
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| VYEPTI Normalized: vyepti |
Biological | Lundbeck LLC | $256.56 | 10 | 2025 |
Source payment records
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| PONVORY Normalized: ponvory |
Drug | Vanda Pharmaceuticals Inc. | $46.76 | 2 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $42.84 | 2 | 2025 |
Source payment records
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| VYALEV Normalized: vyalev |
Drug | ABBVIE INC. | $32.73 | 1 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $28.87 | 1 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $28.82 | 1 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $26.43 | 1 | 2025 |
Source payment records
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| VALTOCO Normalized: valtoco |
Drug | Neurelis, Inc. | $17.08 | 1 | 2025 |
Source payment records
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| Sunosi Normalized: sunosi |
Drug | Axsome Therapeutics, Inc. | $16.27 | 1 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $14.30 | 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 |
|---|---|---|---|---|---|---|
| NURTEC ODT nurtec odt |
2025 | Nurtec Odt | 2024 | 28 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| QULIPTA qulipta |
2025 | Qulipta | 2024 | 27 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| UBRELVY ubrelvy |
2025 | Ubrelvy | 2024 | 19 Beneficiary count suppressed |
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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | QULIPTA open payments reported associated product |
CMS Open Payments — General Payments 298617 supporting records · 58957 recipient NPIs · example record 1201352530 |
Qulipta · 2024 Exact normalized brand match · 1 Part D row |
27 | suppressed by CMS |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | UBRELVY open payments reported associated product |
CMS Open Payments — General Payments 299803 supporting records · 61203 recipient NPIs · example record 1201352530 |
Ubrelvy · 2024 Exact normalized brand match · 1 Part D row |
19 | suppressed by CMS |
| Lundbeck LLC Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 71829 supporting records · 25812 recipient NPIs · example record 1251759986 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | NURTEC ODT open payments reported associated product |
CMS Open Payments — General Payments 217574 supporting records · 54025 recipient NPIs · example record 1228794063 |
Nurtec Odt · 2024 Exact normalized brand match · 1 Part D row |
28 | 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Topiramate | Topiramate | 512 | 114 |
| Levetiracetam | Levetiracetam | 431 | 76 |
| Pregabalin | Pregabalin | 376 | 65 |
| Gabapentin | Gabapentin | 362 | 68 |
| Donepezil Hcl | Donepezil Hcl | 288 | 69 |
| Zonisamide | Zonisamide | 230 | 42 |
| Sumatriptan Succinate | Sumatriptan Succinate | 210 | 45 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 199 | 44 |
| Duloxetine Hcl | Duloxetine Hcl | 199 | 44 |
| Primidone | Primidone | 190 | 41 |
| Clonazepam | Clonazepam | 186 | 24 |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 173 | 36 |
| Ropinirole Hcl | Ropinirole Hcl | 173 | 40 |
| Lamotrigine | Lamotrigine | 169 | 36 |
| Methocarbamol | Methocarbamol | 147 | 26 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 145 | 28 |
| Meloxicam | Meloxicam | 138 | 30 |
| Amitriptyline Hcl | Amitriptyline Hcl | 137 | 30 |
| Tizanidine Hcl | Tizanidine Hcl | 115 | 35 |
| Trazodone Hcl | Trazodone Hcl | 108 | 15 |
| Alprazolam | Alprazolam | 106 | 24 |
| Baclofen | Baclofen | 94 | 24 |
| Nortriptyline Hcl | Nortriptyline Hcl | 92 | 20 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 82 | 18 |
| Propranolol Hcl | Propranolol Hcl | 81 | 24 |
| Lacosamide | Lacosamide | 80 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 78 | 15 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 73 | suppressed |
| Diazepam | Diazepam | 68 | 13 |
| Meclizine Hcl | Meclizine Hcl | 61 | 16 |
| Divalproex Sodium | Divalproex Sodium | 59 | suppressed |
| Phenobarbital | Phenobarbital | 59 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 57 | 12 |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 57 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 55 | 18 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 54 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 50 | 13 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 49 | suppressed |
| Amantadine | Amantadine Hcl | 45 | suppressed |
| Galantamine Er | Galantamine Hbr | 45 | 13 |
| Carbamazepine | Carbamazepine | 44 | 12 |
| Celecoxib | Celecoxib | 41 | 13 |
| Zolpidem Tartrate | Zolpidem Tartrate | 40 | suppressed |
| Temazepam | Temazepam | 39 | suppressed |
| Carisoprodol | Carisoprodol | 37 | suppressed |
| Dilantin | Phenytoin Sodium Extended | 37 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 33 | suppressed |
| Lorazepam | Lorazepam | 31 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 30 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 30 | suppressed |
| Nurtec Odt | Rimegepant Sulfate | 28 | suppressed |
| Aptiom | Eslicarbazepine Acetate | 27 | suppressed |
| Qulipta | Atogepant | 27 | suppressed |
| Emgality Pen | Galcanezumab-Gnlm | 26 | suppressed |
| Gammagard Liquid | Immun Glob G(Igg)/Gly/Iga Ov50 | 26 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 25 | suppressed |
| Ajovy Autoinjector | Fremanezumab-Vfrm | 24 | suppressed |
| Memantine Hcl | Memantine Hcl | 23 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 22 | suppressed |
| Mirtazapine | Mirtazapine | 22 | suppressed |
| Valproic Acid | Valproic Acid | 22 | suppressed |
| Indomethacin | Indomethacin | 19 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 19 | suppressed |
| Ubrelvy | Ubrogepant | 19 | suppressed |
| Ethosuximide | Ethosuximide | 18 | suppressed |
| Acetazolamide | Acetazolamide | 17 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 17 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 14 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 14 | suppressed |
| Butorphanol Tartrate | Butorphanol Tartrate | 13 | suppressed |
| Droxidopa | Droxidopa | 12 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 12 | suppressed |
| Methadone Hcl | Methadone Hcl | 12 | suppressed |
| Phenytoin | Phenytoin | 12 | suppressed |
| Rexulti | Brexpiprazole | 12 | suppressed |
| Xtampza Er | Oxycodone Myristate | 12 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 11 | suppressed |
| Lidocaine | Lidocaine | 11 | suppressed |
| Lyrica | Pregabalin | 11 | suppressed |
| Rasagiline Mesylate | Rasagiline Mesylate | 11 | suppressed |
| Sumatriptan | Sumatriptan | 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 | $940.86 · 52 records | ABBVIE INC. | AUSTEDO XR, BOTOX, NURTEC ODT, PONVORY, QULIPTA, Sunosi, UBRELVY, VALTOCO, VRAYLAR, VYALEV, VYEPTI, ZAVZPRET | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Nurtec Odt play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE 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