Payment overview · 2025
General Payments
$594,015.68
397 reported records · 22 companies
Healthcare provider profile · identity verified
Paul M Karpecki, OD
Eye and Vision Services Providers|Optometrist · LEXINGTON, KY · NPI 1619910569
Verified facts
What the public records show
CMS Open Payments records show Paul M Karpecki, OD received $594,015.68 in general payments during 2025 across 397 reported records.
Harrow Eye, LLC accounted for 18.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 37 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Miebo, Oxervate, Tyrvaya, Vevye, Xdemvy, Xiidra.
Bausch & Lomb Americas 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 LOTEMAX as an associated drug or biological on 10 records involving 10 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Lotemax by this doctor in 2024.
Bausch & Lomb Americas 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 MIEBO as an associated drug or biological on 34133 records involving 12967 distinct recipient NPIs. Public Medicare Part D data also shows 114 claims for Miebo by this doctor in 2024.
Bausch & Lomb Americas 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 XIIDRA as an associated drug or biological on 28163 records involving 11019 distinct recipient NPIs. Public Medicare Part D data also shows 49 claims for Xiidra by this doctor in 2024.
Dompe US, 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 OXERVATE as an associated drug or biological on 19540 records involving 9712 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Oxervate by this doctor in 2024.
Harrow Eye, 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 FLAREX as an associated drug or biological on 39 records involving 37 distinct recipient NPIs. Public Medicare Part D data also shows 17 claims for Flarex by this doctor in 2024.
Harrow Eye, 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 VEVYE as an associated drug or biological on 14430 records involving 6429 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Vevye by this doctor in 2024.
Oyster Point Pharma, 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 TYRVAYA as an associated drug or biological on 8925 records involving 5041 distinct recipient NPIs. Public Medicare Part D data also shows 29 claims for Tyrvaya by this doctor in 2024.
Tarsus 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 XDEMVY as an associated drug or biological on 46638 records involving 15254 distinct recipient NPIs. Public Medicare Part D data also shows 150 claims for Xdemvy 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 |
|---|---|---|---|---|---|
| Harrow Eye, LLC | Unresolved — no canonical attribution shown | $107,896.82 | 18.2% | 44 | 2025 |
| Mallinckrodt Hospital Products Inc. | Unresolved — no canonical attribution shown | $100,829.72 | 17.0% | 71 | 2025 |
| Bausch & Lomb Americas Inc. | Unresolved — no canonical attribution shown | $95,015.55 | 16.0% | 92 | 2025 |
| Tarsus Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $70,472.72 | 11.9% | 69 | 2025 |
| Oasis Medical, Inc. | Unresolved — no canonical attribution shown | $49,500.00 | 8.3% | 1 | 2025 |
| BIOTISSUE HOLDINGS INC. | Unresolved — no canonical attribution shown | $35,892.98 | 6.0% | 10 | 2025 |
| Sight Sciences, Inc. | Unresolved — no canonical attribution shown | $26,546.72 | 4.5% | 18 | 2025 |
| Dompe US, Inc. | Unresolved — no canonical attribution shown | $24,657.45 | 4.2% | 31 | 2025 |
| OCULUS, Inc. | Unresolved — no canonical attribution shown | $18,000.00 | 3.0% | 4 | 2025 |
| Alcon Vision LLC | Unresolved — no canonical attribution shown | $17,707.04 | 3.0% | 31 | 2025 |
| RxSight Inc | Unresolved — no canonical attribution shown | $14,000.00 | 2.4% | 4 | 2025 |
| Nordic Pharma, Inc. | Unresolved — no canonical attribution shown | $13,125.00 | 2.2% | 1 | 2025 |
| Atlas Ocular, Inc | Unresolved — no canonical attribution shown | $9,000.00 | 1.5% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $4,510.19 | 0.8% | 8 | 2025 |
| Alcon Research LLC | Unresolved — no canonical attribution shown | $3,750.00 | 0.6% | 2 | 2025 |
| Glaukos Corporation | Unresolved — no canonical attribution shown | $1,562.79 | 0.3% | 2 | 2025 |
| TOPCON HEALTHCARE, INC. | Unresolved — no canonical attribution shown | $1,000.00 | 0.2% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $383.33 | 0.1% | 1 | 2025 |
| Oyster Point Pharma, Inc. | Unresolved — no canonical attribution shown | $58.04 | 0.0% | 2 | 2025 |
| ANI Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $54.15 | 0.0% | 2 | 2025 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | Unresolved — no canonical attribution shown | $37.50 | 0.0% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $15.68 | 0.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $285,744.29 | 78 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $151,326.02 | 37 |
| Compensation for serving as faculty or as a speaker for a medical education program | $69,900.00 | 24 |
| Honoraria | $49,800.00 | 8 |
| Travel and Lodging | $28,426.11 | 97 |
| Food and Beverage | $8,721.27 | 152 |
| Education | $97.99 | 1 |
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 |
|---|---|---|---|---|---|
| VEVYE Normalized: vevye |
Drug | Harrow Eye, LLC | $107,212.74 | 37 | 2025 |
Source payment records
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| ACTHAR Normalized: acthar |
Biological | Mallinckrodt Hospital Products Inc. | $100,829.72 | 71 | 2025 |
Source payment records
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| MIEBO Normalized: miebo |
Drug | Bausch & Lomb Americas Inc. | $61,484.40 | 63 | 2025 |
Source payment records
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| XIIDRA Normalized: xiidra |
Drug | Bausch & Lomb Americas Inc. | $57,440.74 | 53 | 2025 |
Source payment records
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| OASIS TEARS Normalized: oasis tears |
Drug | Oasis Medical, Inc. | $49,500.00 | 1 | 2025 |
Source payment records
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| XDEMVY Normalized: xdemvy |
Drug | Tarsus Pharmaceuticals, Inc. | $36,507.20 | 52 | 2025 |
Source payment records
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| TEARCARE SYSTEM Normalized: tearcare system |
Device | Sight Sciences, Inc. | $26,546.72 | 18 | 2025 |
Source payment records
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| OXERVATE Normalized: oxervate |
Drug | Dompe US, Inc. | $23,402.31 | 25 | 2025 |
Source payment records
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| Keratograph 5M Normalized: keratograph 5m |
Device | OCULUS, Inc. | $18,000.00 | 4 | 2025 |
Source payment records
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| TRYPTYR Normalized: tryptyr |
Drug | Alcon Research LLC, Alcon Vision LLC | $17,073.84 | 20 | 2025 |
Source payment records
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| LIGHT ADJUSTABLE LENS (LAL) Normalized: light adjustable lens lal |
Device | RxSight Inc | $14,000.00 | 4 | 2025 |
Source payment records
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| RXSIGHT CONTACT LENS Normalized: rxsight contact lens |
Device | RxSight Inc | $14,000.00 | 4 | 2025 |
Source payment records
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| RXSIGHT INJECTOR CARTRIDGE Normalized: rxsight injector cartridge |
Device | RxSight Inc | $14,000.00 | 4 | 2025 |
Source payment records
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| RXSIGHT INJECTOR HANDPIECE Normalized: rxsight injector handpiece |
Device | RxSight Inc | $14,000.00 | 4 | 2025 |
Source payment records
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| RXSIGHT LIGHT DELIVERY DEVICE (LDD) Normalized: rxsight light delivery device ldd |
Device | RxSight Inc | $14,000.00 | 4 | 2025 |
Source payment records
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| LACRIFILL Normalized: lacrifill |
Device | Nordic Pharma, Inc. | $13,125.00 | 1 | 2025 |
Source payment records
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| INFUSE Normalized: infuse |
Device | Bausch & Lomb Americas Inc. | $4,705.27 | 10 | 2025 |
Source payment records
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| AMNIOGRAFT Normalized: amniograft |
Medical Supply | BIOTISSUE HOLDINGS INC. | $4,101.50 | 3 | 2025 |
Source payment records
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| BIOTRUE ONE DAY Normalized: biotrue one day |
Device | Bausch & Lomb Americas Inc. | $3,342.60 | 3 | 2025 |
Source payment records
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| VYZULTA Normalized: vyzulta |
Drug | Bausch & Lomb Americas Inc. | $2,260.37 | 3 | 2025 |
Source payment records
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| ScoutPro Osmolarity System Normalized: scoutpro osmolarity system |
Device | Bausch & Lomb Americas Inc. | $1,265.07 | 4 | 2025 |
Source payment records
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| MULTI-FOCAL Normalized: multi focal |
Device | Bausch & Lomb Americas Inc. | $1,002.32 | 3 | 2025 |
Source payment records
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| IHEEZO Normalized: iheezo |
Drug | Harrow Eye, LLC | $123.66 | 1 | 2025 |
Source payment records
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| iDoseTR Normalized: idosetr |
Drug | Glaukos Corporation | $62.79 | 1 | 2025 |
Source payment records
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| iStent infinite Normalized: istent infinite |
Device | Glaukos Corporation | $62.79 | 1 | 2025 |
Source payment records
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| TYRVAYA Normalized: tyrvaya |
Drug | Oyster Point Pharma, Inc. | $58.04 | 2 | 2025 |
Source payment records
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| PURIFIED CORTROPHIN GEL Normalized: purified cortrophin gel |
Drug | ANI Pharmaceuticals, Inc. | $54.15 | 2 | 2025 |
Source payment records
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| HYDRUS Microstent Normalized: hydrus microstent |
Device | Alcon Vision LLC | $45.41 | 2 | 2025 |
Source payment records
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| BromSite Normalized: bromsite |
Drug | SUN PHARMACEUTICAL INDUSTRIES INC. | $37.50 | 1 | 2025 |
Source payment records
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| Cequa Normalized: cequa |
Drug | SUN PHARMACEUTICAL INDUSTRIES INC. | $37.50 | 1 | 2025 |
Source payment records
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| Xelpros Normalized: xelpros |
Drug | SUN PHARMACEUTICAL INDUSTRIES INC. | $37.50 | 1 | 2025 |
Source payment records
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| Rocklatan Normalized: rocklatan |
Drug | Alcon Vision LLC | $35.07 | 3 | 2025 |
Source payment records
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| LUMIGAN Normalized: lumigan |
Drug | ABBVIE INC. | $30.10 | 1 | 2025 |
Source payment records
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| ELAHERE Normalized: elahere |
Drug | ABBVIE INC. | $30.03 | 1 | 2025 |
Source payment records
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| TRIESENCE Normalized: triesence |
Drug | Harrow Eye, LLC | $22.49 | 1 | 2025 |
Source payment records
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| EYSUVIS Normalized: eysuvis |
Drug | Alcon Vision LLC | $18.11 | 2 | 2025 |
Source payment records
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| TEPEZZA Normalized: tepezza |
Biological | Amgen Inc. | $15.68 | 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 |
|---|---|---|---|---|---|---|
| MIEBO miebo |
2025 | Miebo | 2024 | 114 | exact normalized | Medicare Part D |
| OXERVATE oxervate |
2025 | Oxervate | 2024 | 15 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| TYRVAYA tyrvaya |
2025 | Tyrvaya | 2024 | 29 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| VEVYE vevye |
2025 | Vevye | 2024 | 24 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| XDEMVY xdemvy |
2025 | Xdemvy | 2024 | 150 | exact normalized | Medicare Part D |
| XIIDRA xiidra |
2025 | Xiidra | 2024 | 49 | 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 |
|---|---|---|---|---|---|---|
| Bausch & Lomb Americas Inc. Exact reporting entity; no affiliate inference |
2025 | LOTEMAX open payments reported associated product |
CMS Open Payments — General Payments 10 supporting records · 10 recipient NPIs · example record 1254762767 |
Lotemax · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
| Bausch & Lomb Americas Inc. Exact reporting entity; no affiliate inference |
2025 | MIEBO open payments reported associated product |
CMS Open Payments — General Payments 34133 supporting records · 12967 recipient NPIs · example record 1254730224 |
Miebo · 2024 Exact normalized brand match · 1 Part D row |
114 | 40 |
| Bausch & Lomb Americas Inc. Exact reporting entity; no affiliate inference |
2025 | XIIDRA open payments reported associated product |
CMS Open Payments — General Payments 28163 supporting records · 11019 recipient NPIs · example record 1254730224 |
Xiidra · 2024 Exact normalized brand match · 1 Part D row |
49 | 12 |
| Dompe US, Inc. Exact reporting entity; no affiliate inference |
2025 | OXERVATE open payments reported associated product |
CMS Open Payments — General Payments 19540 supporting records · 9712 recipient NPIs · example record 1248849978 |
Oxervate · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Harrow Eye, LLC Exact reporting entity; no affiliate inference |
2025 | FLAREX open payments reported associated product |
CMS Open Payments — General Payments 39 supporting records · 37 recipient NPIs · example record 1236210819 |
Flarex · 2024 Exact normalized brand match · 1 Part D row |
17 | suppressed by CMS |
| Harrow Eye, LLC Exact reporting entity; no affiliate inference |
2025 | VEVYE open payments reported associated product |
CMS Open Payments — General Payments 14430 supporting records · 6429 recipient NPIs · example record 1236209940 |
Vevye · 2024 Exact normalized brand match · 1 Part D row |
24 | suppressed by CMS |
| Oyster Point Pharma, Inc. Exact reporting entity; no affiliate inference |
2025 | TYRVAYA open payments reported associated product |
CMS Open Payments — General Payments 8925 supporting records · 5041 recipient NPIs · example record 1238388111 |
Tyrvaya · 2024 Exact normalized brand match · 1 Part D row |
29 | suppressed by CMS |
| Tarsus Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | XDEMVY open payments reported associated product |
CMS Open Payments — General Payments 46638 supporting records · 15254 recipient NPIs · example record 1233825434 |
Xdemvy · 2024 Exact normalized brand match · 1 Part D row |
150 | 122 |
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 |
|---|---|---|---|
| Xdemvy | Lotilaner | 150 | 122 |
| Miebo | Perfluorohexyloctane/Pf | 114 | 40 |
| Prednisolone Acetate | Prednisolone Acetate | 84 | 71 |
| Xiidra | Lifitegrast | 49 | 12 |
| Restasis | Cyclosporine | 47 | 13 |
| Tyrvaya | Varenicline Tartrate | 29 | suppressed |
| Fluorometholone | Fluorometholone | 26 | 19 |
| Vevye | Cyclosporine | 24 | suppressed |
| Cyclosporine | Cyclosporine | 19 | suppressed |
| Flarex | Fluorometholone Acetate | 17 | suppressed |
| Lotemax | Loteprednol Etabonate | 16 | suppressed |
| Oxervate | Cenegermin-Bkbj | 15 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 14 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 12 | 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 | $594,015.68 · 397 records | Harrow Eye, LLC | ACTHAR, AMNIOGRAFT, BIOTRUE ONE DAY, BromSite, Cequa, ELAHERE, EYSUVIS, HYDRUS Microstent, IHEEZO, INFUSE, Keratograph 5M, LACRIFILL, LIGHT ADJUSTABLE LENS (LAL), LUMIGAN, MIEBO, MULTI-FOCAL, OASIS TEARS, OXERVATE, PURIFIED CORTROPHIN GEL, RXSIGHT CONTACT LENS, RXSIGHT INJECTOR CARTRIDGE, RXSIGHT INJECTOR HANDPIECE, RXSIGHT LIGHT DELIVERY DEVICE (LDD), Rocklatan, ScoutPro Osmolarity System, TEARCARE SYSTEM, TEPEZZA, TRIESENCE, TRYPTYR, TYRVAYA, VEVYE, VYZULTA, XDEMVY, XIIDRA, Xelpros, iDoseTR, iStent infinite | 8 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Miebo play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Bausch & Lomb Americas 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