Payment overview · 2025
General Payments
$216.28
11 reported records · 9 companies
Healthcare provider profile · identity verified
Amanda Macfie, NP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · WAYNESVILLE, NC · NPI 1578331799
Verified facts
What the public records show
CMS Open Payments records show Amanda Macfie, NP received $216.28 in general payments during 2025 across 11 reported records.
Axsome Therapeutics, Inc. accounted for 20.9% 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: Ozempic.
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 11 claims for Farxiga 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 33 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $45.28 | 20.9% | 2 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $37.13 | 17.2% | 2 | 2025 |
| Stryker Corporation | Unresolved — no canonical attribution shown | $26.70 | 12.3% | 1 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $21.39 | 9.9% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $20.57 | 9.5% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $20.12 | 9.3% | 1 | 2025 |
| Globus Medical, Inc. | Unresolved — no canonical attribution shown | $17.07 | 7.9% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $14.23 | 6.6% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $13.79 | 6.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $216.28 | 11 |
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 |
|---|---|---|---|---|---|
| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $45.28 | 2 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $37.13 | 2 | 2025 |
Source payment records
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| CLOTTRIEVER BOLD CATHETER Normalized: clottriever bold catheter |
Device | Stryker Corporation | $26.70 | 1 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $21.39 | 1 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $20.57 | 1 | 2025 |
Source payment records
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $20.57 | 1 | 2025 |
Source payment records
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| XGEVA Normalized: xgeva |
Biological | Amgen Inc. | $20.57 | 1 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $20.12 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $17.09 | 1 | 2025 |
Source payment records
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| Senza Normalized: senza |
Device | Globus Medical, Inc. | $17.07 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $14.23 | 1 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $13.79 | 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 |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 33 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 |
|---|---|---|---|---|---|---|
| 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 |
11 | 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 |
33 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 220 | 114 |
| Levothyroxine Sodium | Levothyroxine Sodium | 189 | 94 |
| Lisinopril | Lisinopril | 144 | 75 |
| Amlodipine Besylate | Amlodipine Besylate | 127 | 70 |
| Omeprazole | Omeprazole | 120 | 65 |
| Gabapentin | Gabapentin | 103 | 38 |
| Losartan Potassium | Losartan Potassium | 100 | 47 |
| Sertraline Hcl | Sertraline Hcl | 88 | 42 |
| Metoprolol Succinate | Metoprolol Succinate | 85 | 41 |
| Metformin Hcl | Metformin Hcl | 84 | 43 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 82 | 34 |
| Pantoprazole Sodium | Pantoprazole Sodium | 80 | 31 |
| Simvastatin | Simvastatin | 74 | 41 |
| Hydrochlorothiazide | Hydrochlorothiazide | 72 | 42 |
| Fluticasone Propionate | Fluticasone Propionate | 61 | 30 |
| Trazodone Hcl | Trazodone Hcl | 56 | 27 |
| Potassium Chloride | Potassium Chloride | 55 | 24 |
| Escitalopram Oxalate | Escitalopram Oxalate | 52 | 28 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 51 | 27 |
| Tramadol Hcl | Tramadol Hcl | 45 | 23 |
| Furosemide | Furosemide | 44 | 25 |
| Alprazolam | Alprazolam | 41 | 18 |
| Eliquis | Apixaban | 41 | 13 |
| Metformin Hcl Er | Metformin Hcl | 41 | 21 |
| Pravastatin Sodium | Pravastatin Sodium | 41 | 23 |
| Carvedilol | Carvedilol | 38 | 19 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 37 | 18 |
| Meloxicam | Meloxicam | 35 | 20 |
| Montelukast Sodium | Montelukast Sodium | 35 | 19 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 34 | 16 |
| Ozempic | Semaglutide | 33 | suppressed |
| Lorazepam | Lorazepam | 32 | 15 |
| Warfarin Sodium | Warfarin Sodium | 31 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 30 | 11 |
| Metoprolol Tartrate | Metoprolol Tartrate | 30 | 14 |
| Atenolol | Atenolol | 27 | 16 |
| Bupropion Xl | Bupropion Hcl | 27 | 11 |
| Tamsulosin Hcl | Tamsulosin Hcl | 26 | 14 |
| Famotidine | Famotidine | 25 | 12 |
| Jardiance | Empagliflozin | 24 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 24 | 14 |
| Glimepiride | Glimepiride | 23 | 12 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 21 | suppressed |
| Pregabalin | Pregabalin | 21 | suppressed |
| Ezetimibe | Ezetimibe | 19 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 19 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 19 | 15 |
| Azelastine Hcl | Azelastine Hcl | 18 | 12 |
| Chlorthalidone | Chlorthalidone | 18 | suppressed |
| Allopurinol | Allopurinol | 17 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 17 | 16 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 17 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 16 | suppressed |
| Mounjaro | Tirzepatide | 16 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 15 | suppressed |
| Mirtazapine | Mirtazapine | 15 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 14 | 11 |
| Alendronate Sodium | Alendronate Sodium | 13 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 13 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 13 | suppressed |
| Synthroid | Levothyroxine Sodium | 13 | suppressed |
| Acyclovir | Acyclovir | 12 | suppressed |
| Estradiol | Estradiol | 12 | suppressed |
| Clonazepam | Clonazepam | 11 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 11 | suppressed |
| Fluconazole | Fluconazole | 11 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 11 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | 11 |
| Paroxetine Hcl | Paroxetine Hcl | 11 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 11 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 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 | $216.28 · 11 records | Axsome Therapeutics, Inc. | AIRSUPRA, Auvelity, CLOTTRIEVER BOLD CATHETER, Cologuard Collection Kit, EVENITY, Ozempic, PROLIA, Rybelsus, Senza, TRELEGY ELLIPTA, XGEVA, XIFAXAN | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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