Payment overview · 2025
General Payments
$260.56
14 reported records · 8 companies
Healthcare provider profile · identity verified
Billy Jack Pence, MD
Allopathic & Osteopathic Physicians|Internal Medicine · MARS HILL, NC · NPI 1588647390
Verified facts
What the public records show
CMS Open Payments records show Billy Jack Pence, MD received $260.56 in general payments during 2025 across 14 reported records.
Novo Nordisk Inc accounted for 25.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 15 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
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 28 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Trulicity 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 19 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 13 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 14 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $65.42 | 25.1% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $40.07 | 15.4% | 2 | 2025 |
| Seqirus USA Inc | Unresolved — no canonical attribution shown | $39.10 | 15.0% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $31.50 | 12.1% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $30.82 | 11.8% | 2 | 2025 |
| SANOFI PASTEUR INC. | Unresolved — no canonical attribution shown | $24.06 | 9.2% | 1 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $15.39 | 5.9% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $14.20 | 5.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $260.56 | 14 |
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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $65.42 | 3 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $65.42 | 3 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $40.07 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $40.07 | 2 | 2025 |
Source payment records
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| Fluad Normalized: fluad |
Biological | Seqirus USA Inc | $39.10 | 2 | 2025 |
Source payment records
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| Flucelvax Normalized: flucelvax |
Biological | Seqirus USA Inc | $39.10 | 2 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $31.50 | 2 | 2025 |
Source payment records
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| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $30.82 | 2 | 2025 |
Source payment records
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $30.82 | 2 | 2025 |
Source payment records
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| BEYFORTUS Normalized: beyfortus |
Biological | SANOFI PASTEUR INC. | $24.06 | 1 | 2025 |
Source payment records
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| FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE Normalized: flublok quadrivalent northern hemisphere |
Biological | SANOFI PASTEUR INC. | $24.06 | 1 | 2025 |
Source payment records
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| FLUZONE HIGH-DOSE Normalized: fluzone high dose |
Biological | SANOFI PASTEUR INC. | $24.06 | 1 | 2025 |
Source payment records
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| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $15.82 | 1 | 2025 |
Source payment records
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $15.39 | 1 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $14.20 | 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 | 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 |
|---|---|---|---|---|---|---|
| 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 |
28 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 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 |
19 | suppressed by CMS |
| 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 |
13 | suppressed by CMS |
| 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 |
14 | 14 |
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 | 98 | 33 |
| Cefuroxime | Cefuroxime Axetil | 89 | 79 |
| Lisinopril | Lisinopril | 81 | 27 |
| Furosemide | Furosemide | 80 | 32 |
| Levothyroxine Sodium | Levothyroxine Sodium | 79 | 21 |
| Fluticasone Propionate | Fluticasone Propionate | 76 | 40 |
| Trazodone Hcl | Trazodone Hcl | 66 | 23 |
| Prednisone | Prednisone | 62 | 52 |
| Nifedipine Er | Nifedipine | 58 | 21 |
| Amlodipine Besylate | Amlodipine Besylate | 56 | 19 |
| Omeprazole | Omeprazole | 56 | 21 |
| Doxycycline Hyclate | Doxycycline Hyclate | 55 | 49 |
| Tamsulosin Hcl | Tamsulosin Hcl | 51 | 23 |
| Gabapentin | Gabapentin | 47 | 21 |
| Citalopram Hbr | Citalopram Hydrobromide | 46 | 19 |
| Metformin Hcl | Metformin Hcl | 46 | 16 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 43 | 23 |
| Amoxicillin | Amoxicillin | 39 | 33 |
| Meclizine Hcl | Meclizine Hcl | 39 | 24 |
| Metoprolol Succinate | Metoprolol Succinate | 39 | 17 |
| Famotidine | Famotidine | 37 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 36 | 11 |
| Hydrochlorothiazide | Hydrochlorothiazide | 36 | 14 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 35 | 24 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 35 | 32 |
| Losartan Potassium | Losartan Potassium | 34 | 14 |
| Zolpidem Tartrate | Zolpidem Tartrate | 34 | suppressed |
| Klor-Con M20 | Potassium Chloride | 33 | 15 |
| Cephalexin | Cephalexin | 32 | 30 |
| Oxycodone Hcl | Oxycodone Hcl | 32 | 29 |
| Xarelto | Rivaroxaban | 31 | suppressed |
| Azithromycin | Azithromycin | 30 | 28 |
| Jardiance | Empagliflozin | 28 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 28 | 16 |
| Potassium Chloride | Potassium Chloride | 28 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 28 | 16 |
| Clonazepam | Clonazepam | 27 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 26 | 12 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 25 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 25 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 25 | 14 |
| Clopidogrel | Clopidogrel Bisulfate | 24 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 24 | suppressed |
| Spironolactone | Spironolactone | 23 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 22 | suppressed |
| Lorazepam | Lorazepam | 21 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 20 | 16 |
| Carvedilol | Carvedilol | 19 | suppressed |
| Fluconazole | Fluconazole | 19 | 15 |
| Ozempic | Semaglutide | 19 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 19 | 13 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 18 | 15 |
| Promethazine Hcl | Promethazine Hcl | 18 | 11 |
| Chlorthalidone | Chlorthalidone | 17 | suppressed |
| Allopurinol | Allopurinol | 16 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 16 | 16 |
| Meloxicam | Meloxicam | 15 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 15 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 15 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 15 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 14 | suppressed |
| Nystatin | Nystatin | 14 | 12 |
| Paxlovid | Nirmatrelvir/Ritonavir | 14 | 14 |
| Simvastatin | Simvastatin | 14 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 13 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 13 | suppressed |
| Colchicine | Colchicine | 13 | suppressed |
| Eliquis | Apixaban | 13 | suppressed |
| Glipizide | Glipizide | 13 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 13 | suppressed |
| Ondansetron Odt | Ondansetron | 13 | suppressed |
| Pregabalin | Pregabalin | 13 | suppressed |
| Torsemide | Torsemide | 13 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 13 | suppressed |
| Ezetimibe | Ezetimibe | 12 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 12 | suppressed |
| Alprazolam | Alprazolam | 11 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 11 | suppressed |
| Trulicity | Dulaglutide | 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 | $260.56 · 14 records | Novo Nordisk Inc | ABRYSVO, BEYFORTUS, BREZTRI, COMIRNATY, FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE, FLUZONE HIGH-DOSE, Fluad, Flucelvax, Korlym, MOUNJARO, Ozempic, PREVNAR 20, Rybelsus, The Cologuard Plus Collection Kit, ZEPBOUND | 5 | — |
| 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 Lilly USA, LLC?
- 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