Payment overview · 2025
General Payments
$1,033.09
56 reported records · 14 companies
Healthcare provider profile · identity verified
Douglas Granville Gresham, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism · SAVANNAH, GA · NPI 1629155676
Verified facts
What the public records show
CMS Open Payments records show Douglas Granville Gresham, M.D. received $1,033.09 in general payments during 2025 across 56 reported records.
Otsuka America Pharmaceutical, Inc. accounted for 21.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 17 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Mounjaro, Ozempic, Rybelsus.
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 118 claims for Farxiga 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 115 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 253 claims for Mounjaro 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 116 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 Fiasp as an associated drug or biological on 15 records involving 15 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Fiasp 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 499 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 37 claims for Rybelsus 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 |
|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $222.14 | 21.5% | 9 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $221.24 | 21.4% | 17 | 2025 |
| Insulet Corporation | Unresolved — no canonical attribution shown | $134.91 | 13.1% | 8 | 2025 |
| Calliditas Therapeutics US Inc. | Unresolved — no canonical attribution shown | $103.59 | 10.0% | 5 | 2025 |
| Mallinckrodt Hospital Products Inc. | Unresolved — no canonical attribution shown | $83.27 | 8.1% | 4 | 2025 |
| Averitas Pharma Inc. | Unresolved — no canonical attribution shown | $69.16 | 6.7% | 3 | 2025 |
| OPKO Pharmaceuticals, LLC | Unresolved — no canonical attribution shown | $45.23 | 4.4% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $32.85 | 3.2% | 2 | 2025 |
| CeQur Corporation | Unresolved — no canonical attribution shown | $25.00 | 2.4% | 1 | 2025 |
| Travere Therapeutics, Inc. | Unresolved — no canonical attribution shown | $22.99 | 2.2% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $21.32 | 2.1% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $18.59 | 1.8% | 1 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$17.37 | 1.7% | 1 | 2025 |
| ANI Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $15.43 | 1.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,013.01 | 55 |
| Education | $20.08 | 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 |
|---|---|---|---|---|---|
| JYNARQUE Normalized: jynarque |
Drug | Otsuka America Pharmaceutical, Inc. | $195.57 | 8 | 2025 |
Source payment records
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| Omnipod Normalized: omnipod |
Device | Insulet Corporation | $134.91 | 8 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $132.93 | 12 | 2025 |
Source payment records
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| TARPEYO Normalized: tarpeyo |
Drug | Calliditas Therapeutics US Inc. | $103.59 | 5 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $89.09 | 10 | 2025 |
Source payment records
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| ACTHAR Normalized: acthar |
Biological | Mallinckrodt Hospital Products Inc. | $83.27 | 4 | 2025 |
Source payment records
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| QUTENZA Normalized: qutenza |
Drug | Averitas Pharma Inc. | $69.16 | 3 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $60.07 | 4 | 2025 |
Source payment records
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| RAYALDEE Normalized: rayaldee |
Drug | OPKO Pharmaceuticals, LLC | $45.23 | 2 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $32.85 | 2 | 2025 |
Source payment records
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| VOYXACT Normalized: voyxact |
Drug | Otsuka America Pharmaceutical, Inc. | $26.57 | 1 | 2025 |
Source payment records
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| CeQur Simplicity Normalized: cequr simplicity |
Device | CeQur Corporation | $25.00 | 1 | 2025 |
Source payment records
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| KRYSTEXXA Normalized: krystexxa |
Biological | Amgen Inc. | $21.32 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $18.59 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $18.59 | 1 | 2025 |
Source payment records
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| MINIMED 780G Normalized: minimed 780g |
Device | Medtronic, Inc. | $17.37 | 1 | 2025 |
Source payment records
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| PURIFIED CORTROPHIN GEL Normalized: purified cortrophin gel |
Drug | ANI Pharmaceuticals, Inc. | $15.43 | 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 |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 118 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 253 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 499 | exact normalized | Medicare Part D |
| Rybelsus rybelsus |
2025 | Rybelsus | 2024 | 37 | 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 |
|---|---|---|---|---|---|---|
| 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 |
118 | 35 |
| 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 |
115 | 35 |
| 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 |
253 | 47 |
| 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 |
116 | 23 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Fiasp open payments reported associated product |
CMS Open Payments — General Payments 15 supporting records · 15 recipient NPIs · example record 1188262936 |
Fiasp · 2024 Exact normalized brand match · 1 Part D row |
12 | 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 |
499 | 129 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
37 | 11 |
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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 564 | 183 |
| Ozempic | Semaglutide | 499 | 129 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 394 | 128 |
| Mounjaro | Tirzepatide | 253 | 47 |
| Tresiba Flextouch U-100 | Insulin Degludec | 241 | 74 |
| Metformin Hcl Er | Metformin Hcl | 234 | 89 |
| Novolog Flexpen | Insulin Aspart | 220 | 84 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 211 | 101 |
| Humalog Kwikpen U-100 | Insulin Lispro | 190 | 63 |
| Methimazole | Methimazole | 174 | 55 |
| Synthroid | Levothyroxine Sodium | 171 | 40 |
| Metformin Hcl | Metformin Hcl | 154 | 49 |
| Glimepiride | Glimepiride | 131 | 44 |
| Farxiga | Dapagliflozin Propanediol | 118 | 35 |
| Trulicity | Dulaglutide | 116 | 23 |
| Jardiance | Empagliflozin | 115 | 35 |
| Omnipod 5 Dexg7g6 Pods (Gen 5) | Insulin Pump Cart,auto,bt,g6/7 | 105 | 28 |
| Novolog | Insulin Aspart | 87 | 28 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 79 | 30 |
| Glipizide | Glipizide | 73 | 30 |
| Humalog | Insulin Lispro | 69 | 18 |
| Hydrocortisone | Hydrocortisone | 66 | 20 |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 66 | 21 |
| Atorvastatin Calcium | Atorvastatin Calcium | 65 | 22 |
| Amlodipine Besylate | Amlodipine Besylate | 63 | 22 |
| Januvia | Sitagliptin Phosphate | 63 | 18 |
| Levemir Flexpen | Insulin Detemir | 63 | 33 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 58 | 17 |
| Losartan Potassium | Losartan Potassium | 51 | 15 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 51 | 20 |
| Glipizide Er | Glipizide | 46 | 14 |
| Liothyronine Sodium | Liothyronine Sodium | 46 | 15 |
| Pioglitazone Hcl | Pioglitazone Hcl | 46 | 16 |
| Testosterone Cypionate | Testosterone Cypionate | 45 | 15 |
| Cinacalcet Hcl | Cinacalcet Hcl | 44 | 14 |
| Droplet Pen Needle | Pen Needle, Diabetic | 42 | 15 |
| Humulin R U-500 Kwikpen | Insulin Regular, Human | 41 | suppressed |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 39 | suppressed |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 39 | 13 |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 39 | 12 |
| Rybelsus | Semaglutide | 37 | 11 |
| Potassium Chloride | Potassium Chloride | 36 | 14 |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 35 | 13 |
| Gabapentin | Gabapentin | 34 | 12 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 34 | 13 |
| Tresiba Flextouch U-200 | Insulin Degludec | 34 | 16 |
| Alendronate Sodium | Alendronate Sodium | 33 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 33 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 32 | 12 |
| Ezetimibe | Ezetimibe | 31 | suppressed |
| Prednisone | Prednisone | 31 | suppressed |
| Simvastatin | Simvastatin | 31 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 30 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 28 | 11 |
| Lisinopril | Lisinopril | 28 | suppressed |
| Novolin 70-30 Flexpen | Insulin Nph Hum/Reg Insulin Hm | 28 | suppressed |
| Insulin Lispro | Insulin Lispro | 27 | suppressed |
| Carvedilol | Carvedilol | 26 | suppressed |
| Furosemide | Furosemide | 24 | 12 |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 24 | suppressed |
| Testosterone | Testosterone | 24 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 22 | suppressed |
| Omnipod 5 Dexg7g6 Intro(Gen 5) | Insulin Pmp Cart,aut,g6/7,cntr | 21 | 21 |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 21 | 15 |
| Estradiol | Estradiol | 20 | suppressed |
| Humalog Mix 75-25 Kwikpen | Insulin Lispro Protamin/Lispro | 20 | suppressed |
| Semglee (Yfgn) Pen | Insulin Glargine-Yfgn | 20 | suppressed |
| Ulticare Pen Needle | Pen Needle, Diabetic | 20 | suppressed |
| Insulin Aspart Flexpen | Insulin Aspart | 19 | 11 |
| Montelukast Sodium | Montelukast Sodium | 19 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 19 | suppressed |
| Teriparatide | Teriparatide | 19 | suppressed |
| Calcitriol | Calcitriol | 18 | suppressed |
| Unifine Pentips | Pen Needle, Diabetic | 18 | suppressed |
| Fenofibrate | Fenofibrate | 17 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 17 | suppressed |
| Fluconazole | Fluconazole | 16 | suppressed |
| Novolin R Flexpen | Insulin Regular, Human | 16 | suppressed |
| Clonazepam | Clonazepam | 15 | suppressed |
| Creon | Lipase/Protease/Amylase | 15 | suppressed |
| Alprazolam | Alprazolam | 14 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 14 | suppressed |
| Lovastatin | Lovastatin | 14 | suppressed |
| Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 14 | suppressed |
| Admelog Solostar | Insulin Lispro | 13 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 13 | suppressed |
| Comfort Ez Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Omeprazole | Omeprazole | 13 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 13 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 12 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 12 | suppressed |
| Dexamethasone | Dexamethasone | 12 | suppressed |
| Estradiol (Twice Weekly) | Estradiol | 12 | suppressed |
| Fiasp | Insulin Aspart (Niacinamide) | 12 | suppressed |
| Humulin 70/30 Kwikpen | Insulin Nph Hum/Reg Insulin Hm | 12 | suppressed |
| Irbesartan | Irbesartan | 12 | suppressed |
| Meloxicam | Meloxicam | 12 | suppressed |
| Pentoxifylline | Pentoxifylline | 12 | suppressed |
| Temazepam | Temazepam | 12 | suppressed |
| Allopurinol | Allopurinol | 11 | suppressed |
| Bydureon Bcise | Exenatide Microspheres | 11 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 11 | suppressed |
| Spironolactone | Spironolactone | 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 | $1,033.09 · 56 records | Otsuka America Pharmaceutical, Inc. | ACTHAR, CeQur Simplicity, FARXIGA, JYNARQUE, KRYSTEXXA, MINIMED 780G, MOUNJARO, Omnipod, Ozempic, PURIFIED CORTROPHIN GEL, QUTENZA, RAYALDEE, Rybelsus, TARPEYO, VOYXACT, Wegovy, ZEPBOUND | 7 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Farxiga play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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