Payment overview · 2025
General Payments
$1,420.17
74 reported records · 22 companies
Healthcare provider profile · identity verified
Patsy Lynn Howell, APRN
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · PIKEVILLE, KY · NPI 1609548767
Verified facts
What the public records show
CMS Open Payments records show Patsy Lynn Howell, APRN received $1,420.17 in general payments during 2025 across 74 reported records.
Novartis Pharmaceuticals Corporation accounted for 23.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 41 associated products.
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 37 claims for Linzess 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 |
|---|---|---|---|---|---|
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $327.99 | 23.1% | 18 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $165.37 | 11.6% | 11 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $160.38 | 11.3% | 8 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $80.54 | 5.7% | 4 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $80.39 | 5.7% | 3 | 2025 |
| Incyte Corporation | Unresolved — no canonical attribution shown | $74.38 | 5.2% | 4 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $65.81 | 4.6% | 3 | 2025 |
| Genmab U.S., Inc. | Unresolved — no canonical attribution shown | $60.62 | 4.3% | 3 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $58.69 | 4.1% | 3 | 2025 |
| Blueprint Medicines Corporation | Unresolved — no canonical attribution shown | $38.67 | 2.7% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $36.87 | 2.6% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $36.31 | 2.6% | 2 | 2025 |
| Stemline Therapeutics Inc. | Unresolved — no canonical attribution shown | $35.81 | 2.5% | 2 | 2025 |
| PharmaEssentia USA Corporation | Unresolved — no canonical attribution shown | $34.73 | 2.5% | 1 | 2025 |
| ARRAY BIOPHARMA INC | Unresolved — no canonical attribution shown | $33.63 | 2.4% | 2 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $27.86 | 2.0% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $22.61 | 1.6% | 1 | 2025 |
| Celltrion USA Inc. | Unresolved — no canonical attribution shown | $17.72 | 1.2% | 1 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $17.68 | 1.2% | 1 | 2025 |
| Novocure Inc. | Unresolved — no canonical attribution shown | $15.42 | 1.1% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $15.14 | 1.1% | 1 | 2025 |
| TerSera Therapeutics LLC | Unresolved — no canonical attribution shown | $13.55 | 0.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,420.17 | 74 |
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 |
|---|---|---|---|---|---|
| KISQALI Normalized: kisqali |
Drug | Novartis Pharmaceuticals Corporation | $170.47 | 10 | 2025 |
Source payment records
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| EPKINLY Normalized: epkinly |
Drug | ABBVIE INC., Genmab U.S., Inc. | $160.92 | 8 | 2025 |
Source payment records
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| IMBRUVICA Normalized: imbruvica |
Drug | ABBVIE INC. | $138.96 | 7 | 2025 |
Source payment records
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| DATROWAY Normalized: datroway |
Drug | Daiichi Sankyo Inc. | $91.89 | 7 | 2025 |
Source payment records
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $80.54 | 4 | 2025 |
Source payment records
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| Enhertu Normalized: enhertu |
Drug | Daiichi Sankyo Inc. | $73.48 | 4 | 2025 |
Source payment records
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| SCEMBLIX Normalized: scemblix |
Drug | Novartis Pharmaceuticals Corporation | $65.10 | 3 | 2025 |
Source payment records
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| JAKAFI Normalized: jakafi |
Drug | Incyte Corporation | $59.08 | 3 | 2025 |
Source payment records
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| TAGRISSO Normalized: tagrisso |
Drug | AstraZeneca Pharmaceuticals LP | $55.30 | 2 | 2025 |
Source payment records
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| PLUVICTO Normalized: pluvicto |
Drug | Novartis Pharmaceuticals Corporation | $53.84 | 3 | 2025 |
Source payment records
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| DARZALEX Normalized: darzalex |
Biological | Janssen Biotech, Inc. | $41.36 | 2 | 2025 |
Source payment records
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| TALVEY Normalized: talvey |
Biological | Janssen Biotech, Inc. | $41.36 | 2 | 2025 |
Source payment records
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| AYVAKIT Normalized: ayvakit |
Drug | Blueprint Medicines Corporation | $38.67 | 1 | 2025 |
Source payment records
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| Tivdak Normalized: tivdak |
Drug | Genmab U.S., Inc. | $38.66 | 2 | 2025 |
Source payment records
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| Fabhalta Normalized: fabhalta |
Drug | Novartis Pharmaceuticals Corporation | $38.58 | 2 | 2025 |
Source payment records
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| XTANDI Normalized: xtandi |
Drug | ARRAY BIOPHARMA INC, Astellas Pharma US Inc | $38.10 | 2 | 2025 |
Source payment records
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| PADCEV Normalized: padcev |
Biological | PFIZER INC. | $36.87 | 2 | 2025 |
Source payment records
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $36.31 | 2 | 2025 |
Source payment records
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| Xofigo Normalized: xofigo |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $36.31 | 2 | 2025 |
Source payment records
|
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| Orserdu Normalized: orserdu |
Drug | Stemline Therapeutics Inc. | $35.81 | 2 | 2025 |
Source payment records
|
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| BESREMI Normalized: besremi |
Drug | PharmaEssentia USA Corporation | $34.73 | 1 | 2025 |
Source payment records
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| BRAFTOVI Normalized: braftovi |
Drug | ARRAY BIOPHARMA INC | $33.63 | 2 | 2025 |
Source payment records
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| LORBRENA Normalized: lorbrena |
Drug | ARRAY BIOPHARMA INC | $33.63 | 2 | 2025 |
Source payment records
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| MEKTOVI Normalized: mektovi |
Drug | ARRAY BIOPHARMA INC | $33.63 | 2 | 2025 |
Source payment records
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| XALKORI Normalized: xalkori |
Drug | ARRAY BIOPHARMA INC | $33.63 | 2 | 2025 |
Source payment records
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| LIBTAYO Normalized: libtayo |
Biological | Regeneron Healthcare Solutions, Inc. | $27.86 | 1 | 2025 |
Source payment records
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| CALQUENCE Normalized: calquence |
Drug | AstraZeneca Pharmaceuticals LP | $25.09 | 1 | 2025 |
Source payment records
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| VENCLEXTA Normalized: venclexta |
Drug | ABBVIE INC. | $21.42 | 1 | 2025 |
Source payment records
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| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $20.15 | 1 | 2025 |
Source payment records
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| NIKTIMVO Normalized: niktimvo |
Drug | Incyte Corporation | $20.01 | 1 | 2025 |
Source payment records
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| IBRANCE Normalized: ibrance |
Drug | ARRAY BIOPHARMA INC | $18.14 | 1 | 2025 |
Source payment records
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| WELIREG Normalized: welireg |
Drug | Merck Sharp & Dohme LLC | $18.04 | 1 | 2025 |
Source payment records
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| INLYTA Normalized: inlyta |
Drug | PFIZER INC. | $17.93 | 1 | 2025 |
Source payment records
|
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| VEGZELMA Normalized: vegzelma |
Biological | Celltrion USA Inc. | $17.72 | 1 | 2025 |
Source payment records
|
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| NINLARO Normalized: ninlaro |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $17.68 | 1 | 2025 |
Source payment records
|
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| CARVYKTI Normalized: carvykti |
Drug | Janssen Biotech, Inc. | $17.33 | 1 | 2025 |
Source payment records
|
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| Optune Lua (NovoTTF-200T) Normalized: optune lua novottf 200t |
Device | Novocure Inc. | $15.42 | 1 | 2025 |
Source payment records
|
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| MONJUVI Normalized: monjuvi |
Drug | Incyte Corporation | $15.30 | 1 | 2025 |
Source payment records
|
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| JAYPIRCA Normalized: jaypirca |
Drug | Lilly USA, LLC | $15.14 | 1 | 2025 |
Source payment records
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| VERZENIO Normalized: verzenio |
Drug | Lilly USA, LLC | $15.14 | 1 | 2025 |
Source payment records
|
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| Zoladex Normalized: zoladex |
Drug | TerSera Therapeutics LLC | $13.55 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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 | 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 |
37 | 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 |
|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 401 | 76 |
| Gabapentin | Gabapentin | 361 | 68 |
| Duloxetine Hcl | Duloxetine Hcl | 219 | 42 |
| Ondansetron Hcl | Ondansetron Hcl | 196 | 75 |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 162 | 32 |
| Clonazepam | Clonazepam | 141 | 27 |
| Pregabalin | Pregabalin | 82 | 13 |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 71 | 23 |
| Promethazine Hcl | Promethazine Hcl | 49 | 16 |
| Ondansetron Odt | Ondansetron | 39 | 20 |
| Linzess | Linaclotide | 37 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 35 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 31 | 12 |
| Lorazepam | Lorazepam | 29 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 25 | suppressed |
| Naloxone Hcl | Naloxone Hcl | 15 | 14 |
| Alprazolam | Alprazolam | 14 | suppressed |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 13 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 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 | $1,420.17 · 74 records | Novartis Pharmaceuticals Corporation | AYVAKIT, BESREMI, BRAFTOVI, CALQUENCE, CARVYKTI, DARZALEX, DATROWAY, EPKINLY, Enhertu, Fabhalta, IBRANCE, IMBRUVICA, INLYTA, JAKAFI, JAYPIRCA, KEYTRUDA, KEYTRUDA QLEX, KISQALI, LIBTAYO, LORBRENA, MEKTOVI, MONJUVI, NIKTIMVO, NINLARO, Nubeqa, Optune Lua (NovoTTF-200T), Orserdu, PADCEV, PLUVICTO, SCEMBLIX, TAGRISSO, TALVEY, Tivdak, VEGZELMA, VENCLEXTA, VERZENIO, WELIREG, XALKORI, XTANDI, Xofigo, Zoladex | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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