Payment overview · 2025
General Payments
$141.24
7 reported records · 7 companies
Healthcare provider profile · identity verified
Krystal E Ainsley, MD
Allopathic & Osteopathic Physicians|Internal Medicine · WILLIAMSBURG, VA · NPI 1588890545
Verified facts
What the public records show
CMS Open Payments records show Krystal E Ainsley, MD received $141.24 in general payments during 2025 across 7 reported records.
Grifols USA, LLC accounted for 19.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 13 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
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 58 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 Wegovy as an associated drug or biological on 183056 records involving 75256 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Wegovy 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 134 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.
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 |
|---|---|---|---|---|---|
| Grifols USA, LLC | Unresolved — no canonical attribution shown | $27.86 | 19.7% | 1 | 2025 |
| Mannkind Corporation | Unresolved — no canonical attribution shown | $23.78 | 16.8% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $21.49 | 15.2% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $18.38 | 13.0% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $18.31 | 13.0% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $17.73 | 12.6% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $13.69 | 9.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $141.24 | 7 |
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 |
|---|---|---|---|---|---|
| Prolastin-C Liquid Normalized: prolastin c liquid |
Biological | Grifols USA, LLC | $27.86 | 1 | 2025 |
Source payment records
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| AFREZZA Normalized: afrezza |
Drug | Mannkind Corporation | $23.78 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $21.49 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $18.38 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $18.38 | 1 | 2025 |
Source payment records
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| Tresiba Normalized: tresiba |
Drug | Novo Nordisk Inc | $18.38 | 1 | 2025 |
Source payment records
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| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $18.31 | 1 | 2025 |
Source payment records
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| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $18.31 | 1 | 2025 |
Source payment records
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $18.31 | 1 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $17.73 | 1 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $17.73 | 1 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $13.69 | 1 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $13.69 | 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 | 58 | 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 |
|---|---|---|---|---|---|---|
| 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 |
58 | 11 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Wegovy open payments reported associated product |
CMS Open Payments — General Payments 183056 supporting records · 75256 recipient NPIs · example record 1188130070 |
Wegovy · 2024 Exact normalized brand match · 1 Part D row |
12 | 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 |
134 | 27 |
| 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 | 28 |
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 | 687 | 181 |
| Levothyroxine Sodium | Levothyroxine Sodium | 564 | 125 |
| Amlodipine Besylate | Amlodipine Besylate | 434 | 111 |
| Hydrochlorothiazide | Hydrochlorothiazide | 314 | 78 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 302 | 87 |
| Omeprazole | Omeprazole | 292 | 74 |
| Losartan Potassium | Losartan Potassium | 291 | 83 |
| Gabapentin | Gabapentin | 251 | 60 |
| Citalopram Hbr | Citalopram Hydrobromide | 199 | 46 |
| Lisinopril | Lisinopril | 186 | 47 |
| Trazodone Hcl | Trazodone Hcl | 182 | 47 |
| Metoprolol Succinate | Metoprolol Succinate | 174 | 51 |
| Meloxicam | Meloxicam | 163 | 47 |
| Montelukast Sodium | Montelukast Sodium | 162 | 48 |
| Duloxetine Hcl | Duloxetine Hcl | 152 | 40 |
| Metformin Hcl Er | Metformin Hcl | 152 | 45 |
| Synthroid | Levothyroxine Sodium | 142 | 29 |
| Eliquis | Apixaban | 134 | 27 |
| Pantoprazole Sodium | Pantoprazole Sodium | 133 | 34 |
| Simvastatin | Simvastatin | 129 | 37 |
| Potassium Chloride | Potassium Chloride | 122 | 32 |
| Sertraline Hcl | Sertraline Hcl | 113 | 31 |
| Zolpidem Tartrate | Zolpidem Tartrate | 110 | 27 |
| Furosemide | Furosemide | 104 | 34 |
| Lorazepam | Lorazepam | 96 | 27 |
| Alendronate Sodium | Alendronate Sodium | 94 | 30 |
| Bupropion Xl | Bupropion Hcl | 93 | 24 |
| Pravastatin Sodium | Pravastatin Sodium | 89 | 29 |
| Valsartan | Valsartan | 89 | 22 |
| Fluticasone Propionate | Fluticasone Propionate | 88 | 36 |
| Metformin Hcl | Metformin Hcl | 87 | 23 |
| Famotidine | Famotidine | 83 | 20 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 79 | 27 |
| Allopurinol | Allopurinol | 78 | 21 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 76 | 35 |
| Myrbetriq | Mirabegron | 71 | 14 |
| Cephalexin | Cephalexin | 68 | 49 |
| Carvedilol | Carvedilol | 66 | 22 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 66 | 19 |
| Valacyclovir | Valacyclovir Hcl | 65 | 31 |
| Escitalopram Oxalate | Escitalopram Oxalate | 62 | 17 |
| Fluoxetine Hcl | Fluoxetine Hcl | 59 | 16 |
| Ozempic | Semaglutide | 58 | 11 |
| Atenolol | Atenolol | 56 | 17 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 55 | 17 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 54 | 13 |
| Methylprednisolone | Methylprednisolone | 54 | 49 |
| Mounjaro | Tirzepatide | 49 | 11 |
| Jardiance | Empagliflozin | 46 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 45 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 45 | 15 |
| Trulicity | Dulaglutide | 43 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 41 | 14 |
| Azithromycin | Azithromycin | 40 | 35 |
| Clopidogrel | Clopidogrel Bisulfate | 40 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 40 | 11 |
| Prednisone | Prednisone | 40 | 28 |
| Lovastatin | Lovastatin | 38 | 13 |
| Enalapril Maleate | Enalapril Maleate | 35 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 34 | 26 |
| Buspirone Hcl | Buspirone Hcl | 34 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 34 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 34 | 11 |
| Spironolactone | Spironolactone | 33 | suppressed |
| Diazepam | Diazepam | 32 | suppressed |
| Ibuprofen | Ibuprofen | 32 | suppressed |
| Lansoprazole | Lansoprazole | 32 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 32 | 15 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 31 | suppressed |
| Nystatin | Nystatin | 31 | 16 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 31 | 27 |
| Xarelto | Rivaroxaban | 31 | suppressed |
| Mupirocin | Mupirocin | 30 | 19 |
| Benazepril Hcl | Benazepril Hcl | 28 | suppressed |
| Finasteride | Finasteride | 28 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 28 | 28 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 27 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 27 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 25 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 25 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 25 | suppressed |
| Alprazolam | Alprazolam | 24 | 14 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 23 | 17 |
| Propranolol Hcl Er | Propranolol Hcl | 23 | suppressed |
| Ramipril | Ramipril | 23 | suppressed |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 22 | suppressed |
| Estradiol | Estradiol | 22 | suppressed |
| Fluconazole | Fluconazole | 22 | 15 |
| Glimepiride | Glimepiride | 22 | suppressed |
| Mirtazapine | Mirtazapine | 22 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 22 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 22 | suppressed |
| Klor-Con M20 | Potassium Chloride | 21 | suppressed |
| Amoxicillin | Amoxicillin | 20 | 12 |
| Ciclopirox | Ciclopirox Olamine | 19 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 19 | 11 |
| Ezetimibe | Ezetimibe | 19 | suppressed |
| Folic Acid | Folic Acid | 19 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 19 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 19 | suppressed |
| Bumetanide | Bumetanide | 18 | suppressed |
| Chlorthalidone | Chlorthalidone | 18 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 18 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 17 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 17 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 17 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 17 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 16 | 15 |
| Linzess | Linaclotide | 16 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 16 | suppressed |
| Clonazepam | Clonazepam | 15 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 15 | suppressed |
| Glipizide Er | Glipizide | 15 | suppressed |
| Januvia | Sitagliptin Phosphate | 15 | suppressed |
| Ketoconazole | Ketoconazole | 15 | suppressed |
| Telmisartan | Telmisartan | 15 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 15 | suppressed |
| Metronidazole | Metronidazole | 14 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 14 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 14 | 11 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 14 | suppressed |
| Estradiol (Once Weekly) | Estradiol | 13 | suppressed |
| Glipizide | Glipizide | 13 | suppressed |
| Ondansetron Odt | Ondansetron | 13 | suppressed |
| Brimonidine Tartrate | Brimonidine Tartrate | 12 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 12 | suppressed |
| Celecoxib | Celecoxib | 12 | suppressed |
| Lidocaine | Lidocaine | 12 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 12 | suppressed |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 12 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 12 | suppressed |
| Wegovy | Semaglutide | 12 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 11 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 11 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 11 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 11 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 11 | suppressed |
| Irbesartan | Irbesartan | 11 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 11 | suppressed |
| Methotrexate | Methotrexate Sodium | 11 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 11 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 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 | $141.24 · 7 records | Grifols USA, LLC | ABRYSVO, AFREZZA, AIRSUPRA, AREXVY, COMIRNATY, OTEZLA, Ozempic, PREVNAR 20, Prolastin-C Liquid, REPATHA, Rybelsus, SHINGRIX, Tresiba | 4 | — |
| 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 Novo Nordisk 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