Healthcare provider profile · identity verified

Thomas Mieras, MD

Allopathic & Osteopathic Physicians|Internal Medicine · SAN ANTONIO, TX · NPI 1578564787

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 Thomas Mieras, MD received $1,061.28 in general payments during 2025 across 58 reported records.

Novo Nordisk Inc accounted for 26.7% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 29 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Jardiance, Mounjaro, Ozempic, 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 CREON as an associated drug or biological on 91561 records involving 20616 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Creon 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 LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 14 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 98 claims for Synthroid 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 29 claims for Farxiga by this doctor in 2024.

Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 57 claims for Jardiance by this doctor in 2024.

Boehringer Ingelheim Pharmaceuticals, 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 SYNJARDY as an associated drug or biological on 33 records involving 33 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Synjardy 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 57 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 33 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 54 claims for Ozempic 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 87 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 28 claims for Paxlovid by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$1,061.28

58 reported records · 14 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 $283.2126.7%172025
ABBVIE INC. Unresolved — no canonical attribution shown $209.5619.8%122025
Lilly USA, LLC Unresolved — no canonical attribution shown $115.4510.9%62025
Amgen Inc. Unresolved — no canonical attribution shown $78.787.4%42025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $72.136.8%42025
PFIZER INC. Unresolved — no canonical attribution shown $68.476.5%42025
Daiichi Sankyo Inc. Unresolved — no canonical attribution shown $62.225.9%32025
Dynavax Technologies Corporation Unresolved — no canonical attribution shown $46.204.3%22025
VERTEX PHARMACEUTICALS INCORPORATED Unresolved — no canonical attribution shown $32.233.0%12025
Inspire Medical Systems, Inc. Unresolved — no canonical attribution shown $21.912.1%12025
Boehringer Ingelheim Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $21.132.0%12025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $18.171.7%12025
Agios Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $17.521.6%12025
Exact Sciences Corporation Unresolved — no canonical attribution shown $14.301.4%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$1,061.2858

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
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $175.98 12 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $154.99 10 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $107.23 5 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $100.33 6 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC $86.61 4 2025
Source payment records
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $72.13 4 2025
Source payment records
SYNTHROID
Normalized: synthroid
Drug ABBVIE INC. $64.59 5 2025
Source payment records
INJECTAFER
Normalized: injectafer
Drug Daiichi Sankyo Inc. $62.22 3 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $52.88 2 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $49.97 3 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $49.97 3 2025
Source payment records
Heplisav-B
Normalized: heplisav b
Drug Dynavax Technologies Corporation $46.20 2 2025
Source payment records
OTEZLA
Normalized: otezla
Drug Amgen Inc. $42.40 2 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $42.40 2 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $35.26 2 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $35.26 2 2025
Source payment records
ABRYSVO
Normalized: abrysvo
Biological PFIZER INC. $33.21 2 2025
Source payment records
COMIRNATY
Normalized: comirnaty
Biological PFIZER INC. $33.21 2 2025
Source payment records
PREVNAR 20
Normalized: prevnar 20
Biological PFIZER INC. $33.21 2 2025
Source payment records
JOURNAVX
Normalized: journavx
Drug VERTEX PHARMACEUTICALS INCORPORATED $32.23 1 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $22.21 1 2025
Source payment records
KRYSTEXXA
Normalized: krystexxa
Biological Amgen Inc. $22.17 1 2025
Source payment records
INSPIRE
Normalized: inspire
Device Inspire Medical Systems, Inc. $21.91 1 2025
Source payment records
PENMENVY
Normalized: penmenvy
Biological GlaxoSmithKline, LLC. $18.17 1 2025
Source payment records
SHINGRIX
Normalized: shingrix
Biological GlaxoSmithKline, LLC. $18.17 1 2025
Source payment records
PYRUKYND
Normalized: pyrukynd
Drug Agios Pharmaceuticals, Inc. $17.52 1 2025
Source payment records
The Cologuard Plus Collection Kit
Normalized: the cologuard plus collection kit
Device Exact Sciences Corporation $14.30 1 2025
Source payment records
EVENITY
Normalized: evenity
Biological Amgen Inc. $14.21 1 2025
Source payment records
PROLIA
Normalized: prolia
Biological Amgen Inc. $14.21 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 29
Beneficiary count suppressed
exact normalized Medicare Part D
JARDIANCE
jardiance
2025 Jardiance 2024 57 exact normalized Medicare Part D
MOUNJARO
mounjaro
2025 Mounjaro 2024 33
Beneficiary count suppressed
exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 54 exact normalized Medicare Part D
SYNTHROID
synthroid
2025 Synthroid 2024 98 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 CREON
open payments reported associated product
CMS Open Payments — General Payments
91561 supporting records · 20616 recipient NPIs · example record 1201352608
Creon · 2024
Exact normalized brand match · 1 Part D row
12 suppressed by CMS
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
14 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
98 28
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
29 suppressed by CMS
Boehringer Ingelheim Pharmaceuticals, Inc.
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
123636 supporting records · 49438 recipient NPIs · example record 1221811583
Jardiance · 2024
Exact normalized brand match · 1 Part D row
57 19
Boehringer Ingelheim Pharmaceuticals, Inc.
Exact reporting entity; no affiliate inference
2025 SYNJARDY
open payments reported associated product
CMS Open Payments — General Payments
33 supporting records · 33 recipient NPIs · example record 1222725005
Synjardy · 2024
Exact normalized brand match · 1 Part D row
23 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
57 19
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
33 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
54 11
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
87 20
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
28 26

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 Calcium564160
Atorvastatin CalciumAtorvastatin Calcium358105
Levothyroxine SodiumLevothyroxine Sodium29980
LisinoprilLisinopril25872
EzetimibeEzetimibe20661
AlprazolamAlprazolam19153
SpironolactoneSpironolactone19061
Metoprolol SuccinateMetoprolol Succinate15648
Amlodipine BesylateAmlodipine Besylate14841
GabapentinGabapentin14735
Metformin Hcl ErMetformin Hcl13042
OmeprazoleOmeprazole12240
FurosemideFurosemide11943
CelecoxibCelecoxib11837
Tamsulosin HclTamsulosin Hcl11237
Zolpidem TartrateZolpidem Tartrate11036
IrbesartanIrbesartan10830
AllopurinolAllopurinol10429
Ciprofloxacin HclCiprofloxacin Hcl10482
Losartan PotassiumLosartan Potassium10431
SimvastatinSimvastatin10329
Pantoprazole SodiumPantoprazole Sodium10134
Duloxetine HclDuloxetine Hcl9829
SynthroidLevothyroxine Sodium9828
AzithromycinAzithromycin9280
EliquisApixaban8720
Montelukast SodiumMontelukast Sodium8224
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide7921
Trazodone HclTrazodone Hcl7817
MeloxicamMeloxicam7424
HydrochlorothiazideHydrochlorothiazide7022
Tramadol HclTramadol Hcl7012
Sertraline HclSertraline Hcl6918
Metformin HclMetformin Hcl6518
EstradiolEstradiol6419
FenofibrateFenofibrate Nanocrystallized5916
Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril5714
JardianceEmpagliflozin5719
ClonazepamClonazepam5513
ClopidogrelClopidogrel Bisulfate5415
OzempicSemaglutide5411
Pioglitazone HclPioglitazone Hcl5214
RamiprilRamipril5016
Icosapent EthylIcosapent Ethyl47suppressed
MethylprednisoloneMethylprednisolone4743
FinasterideFinasteride4614
AtenololAtenolol4514
CarvedilolCarvedilol4514
Esomeprazole MagnesiumEsomeprazole Magnesium4515
ValacyclovirValacyclovir Hcl4520
JanuviaSitagliptin Phosphate4311
Olmesartan MedoxomilOlmesartan Medoxomil4313
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen41suppressed
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide4013
Venlafaxine Hcl ErVenlafaxine Hcl40suppressed
Bupropion XlBupropion Hcl38suppressed
EplerenoneEplerenone38suppressed
FamotidineFamotidine3713
Escitalopram OxalateEscitalopram Oxalate36suppressed
Fluticasone PropionateFluticasone Propionate3613
Bisoprolol FumarateBisoprolol Fumarate35suppressed
Citalopram HbrCitalopram Hydrobromide35suppressed
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid34suppressed
MounjaroTirzepatide33suppressed
Potassium ChloridePotassium Chloride33suppressed
Metoprolol TartrateMetoprolol Tartrate31suppressed
TestosteroneTestosterone31suppressed
FarxigaDapagliflozin Propanediol29suppressed
Fluoxetine HclFluoxetine Hcl29suppressed
Propranolol HclPropranolol Hcl29suppressed
ValsartanValsartan29suppressed
Buspirone HclBuspirone Hcl28suppressed
PaxlovidNirmatrelvir/Ritonavir2826
Pravastatin SodiumPravastatin Sodium28suppressed
Azelastine HclAzelastine Hcl26suppressed
Ezetimibe-SimvastatinEzetimibe/Simvastatin26suppressed
Irbesartan-HydrochlorothiazideIrbesartan/Hydrochlorothiazide26suppressed
XareltoRivaroxaban26suppressed
Sumatriptan SuccinateSumatriptan Succinate25suppressed
Tizanidine HclTizanidine Hcl25suppressed
CephalexinCephalexin2312
Cyclobenzaprine HclCyclobenzaprine Hcl23suppressed
Donepezil HclDonepezil Hcl23suppressed
Niacin ErNiacin23suppressed
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst2320
SynjardyEmpagliflozin/Metformin Hcl23suppressed
Alendronate SodiumAlendronate Sodium22suppressed
Hydralazine HclHydralazine Hcl22suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog22suppressed
Paroxetine HclParoxetine Hcl22suppressed
MyrbetriqMirabegron21suppressed
Nifedipine ErNifedipine21suppressed
Benazepril HclBenazepril Hcl20suppressed
CabergolineCabergoline20suppressed
Solifenacin SuccinateSolifenacin Succinate20suppressed
Acetaminophen-CodeineAcetaminophen With Codeine19suppressed
GlimepirideGlimepiride19suppressed
LamotrigineLamotrigine19suppressed
Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide19suppressed
Breo ElliptaFluticasone/Vilanterol17suppressed
Candesartan CilexetilCandesartan Cilexetil16suppressed
Amitriptyline HclAmitriptyline Hcl15suppressed
Bisoprolol-HydrochlorothiazideBisoprolol/Hydrochlorothiazide15suppressed
PremarinEstrogens, Conjugated15suppressed
TorsemideTorsemide15suppressed
ColchicineColchicine14suppressed
Diclofenac SodiumDiclofenac Sodium14suppressed
Doxazosin MesylateDoxazosin Mesylate14suppressed
LinzessLinaclotide14suppressed
Raloxifene HclRaloxifene Hcl14suppressed
DuleraMometasone/Formoterol13suppressed
FenofibrateFenofibrate,micronized13suppressed
JanumetSitagliptin Phos/Metformin Hcl13suppressed
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide13suppressed
NexletolBempedoic Acid13suppressed
Spiriva RespimatTiotropium Bromide13suppressed
Testosterone CypionateTestosterone Cypionate13suppressed
Zolpidem Tartrate ErZolpidem Tartrate13suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav1212
Budesonide DrBudesonide12suppressed
ChlorthalidoneChlorthalidone12suppressed
CreonLipase/Protease/Amylase12suppressed
EszopicloneEszopiclone12suppressed
Isosorbide Mononitrate ErIsosorbide Mononitrate12suppressed
Klor-Con M20Potassium Chloride12suppressed
Mometasone FuroateMometasone Furoate12suppressed
Pioglitazone-MetforminPioglitazone Hcl/Metformin Hcl12suppressed
PrednisonePrednisone12suppressed
PregabalinPregabalin12suppressed
RizatriptanRizatriptan Benzoate12suppressed
VascepaIcosapent Ethyl12suppressed
Amlodipine-ValsartanAmlodipine Besylate/Valsartan11suppressed
DottiEstradiol11suppressed
Hydroxychloroquine SulfateHydroxychloroquine Sulfate11suppressed
KetoconazoleKetoconazole11suppressed
ModafinilModafinil11suppressed
Ondansetron HclOndansetron Hcl11suppressed
Ropinirole HclRopinirole Hcl11suppressed
SilodosinSilodosin11suppressed
TopiramateTopiramate11suppressed

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 $1,061.28 · 58 records Novo Nordisk Inc ABRYSVO, COMIRNATY, EVENITY, FARXIGA, Heplisav-B, INJECTAFER, INSPIRE, JARDIANCE, JOURNAVX, KRYSTEXXA, MOUNJARO, NURTEC ODT, OTEZLA, Ozempic, PENMENVY, PREVNAR 20, PROLIA, PYRUKYND, QULIPTA, REPATHA, Rybelsus, SHINGRIX, SYNTHROID, The Cologuard Plus Collection Kit, UBRELVY, VRAYLAR, Wegovy, ZAVZPRET, ZEPBOUND 11
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