Payment overview · 2025
General Payments
$20.17
1 reported records · 1 companies
Healthcare provider profile · identity verified
Nancy Lefever, MD
Allopathic & Osteopathic Physicians|Family Medicine · TATE, GA · NPI 1629158852
Verified facts
What the public records show
CMS Open Payments records show Nancy Lefever, MD received $20.17 in general payments during 2025 across 1 reported records.
Exact Sciences Corporation accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $20.17 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $20.17 | 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 |
|---|---|---|---|---|---|
| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $20.17 | 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.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
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 | 606 | 182 |
| Alprazolam | Alprazolam | 371 | 69 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 351 | 61 |
| Lisinopril | Lisinopril | 343 | 97 |
| Atorvastatin Calcium | Atorvastatin Calcium | 317 | 94 |
| Metformin Hcl | Metformin Hcl | 294 | 83 |
| Amlodipine Besylate | Amlodipine Besylate | 293 | 84 |
| Omeprazole | Omeprazole | 270 | 79 |
| Lorazepam | Lorazepam | 236 | 47 |
| Pantoprazole Sodium | Pantoprazole Sodium | 214 | 67 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 211 | 67 |
| Trazodone Hcl | Trazodone Hcl | 193 | 56 |
| Gabapentin | Gabapentin | 192 | 63 |
| Potassium Chloride | Potassium Chloride | 188 | 47 |
| Tramadol Hcl | Tramadol Hcl | 184 | 58 |
| Metoprolol Succinate | Metoprolol Succinate | 170 | 49 |
| Losartan Potassium | Losartan Potassium | 158 | 51 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 154 | 62 |
| Furosemide | Furosemide | 148 | 45 |
| Carvedilol | Carvedilol | 147 | 44 |
| Sertraline Hcl | Sertraline Hcl | 145 | 37 |
| Tamsulosin Hcl | Tamsulosin Hcl | 140 | 38 |
| Clonazepam | Clonazepam | 139 | 30 |
| Simvastatin | Simvastatin | 133 | 36 |
| Fluticasone Propionate | Fluticasone Propionate | 125 | 50 |
| Zolpidem Tartrate | Zolpidem Tartrate | 122 | 28 |
| Escitalopram Oxalate | Escitalopram Oxalate | 117 | 29 |
| Montelukast Sodium | Montelukast Sodium | 113 | 41 |
| Duloxetine Hcl | Duloxetine Hcl | 110 | 32 |
| Synthroid | Levothyroxine Sodium | 100 | 28 |
| Pravastatin Sodium | Pravastatin Sodium | 99 | 26 |
| Citalopram Hbr | Citalopram Hydrobromide | 93 | 26 |
| Estradiol | Estradiol | 92 | 23 |
| Ezetimibe | Ezetimibe | 90 | 22 |
| Fluoxetine Hcl | Fluoxetine Hcl | 88 | 23 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 87 | 20 |
| Eliquis | Apixaban | 83 | 22 |
| Famotidine | Famotidine | 81 | 31 |
| Pregabalin | Pregabalin | 81 | 15 |
| Meloxicam | Meloxicam | 80 | 29 |
| Metoprolol Tartrate | Metoprolol Tartrate | 79 | 25 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 78 | 19 |
| Hydrochlorothiazide | Hydrochlorothiazide | 76 | 25 |
| Bupropion Xl | Bupropion Hcl | 73 | 21 |
| Amitriptyline Hcl | Amitriptyline Hcl | 69 | 21 |
| Januvia | Sitagliptin Phosphate | 68 | 14 |
| Allopurinol | Allopurinol | 67 | 19 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 65 | suppressed |
| Temazepam | Temazepam | 65 | 11 |
| Donepezil Hcl | Donepezil Hcl | 63 | 16 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 62 | 19 |
| Glimepiride | Glimepiride | 60 | 18 |
| Atenolol | Atenolol | 59 | 17 |
| Trulicity | Dulaglutide | 59 | 16 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 57 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 56 | 19 |
| Ropinirole Hcl | Ropinirole Hcl | 56 | 16 |
| Azithromycin | Azithromycin | 55 | 40 |
| Nystatin | Nystatin | 55 | 17 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 54 | 16 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 53 | 11 |
| Buspirone Hcl | Buspirone Hcl | 51 | 17 |
| Finasteride | Finasteride | 50 | 13 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 49 | 44 |
| Armour Thyroid | Thyroid,pork | 49 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 49 | 14 |
| Memantine Hcl | Memantine Hcl | 47 | 11 |
| Fenofibrate | Fenofibrate | 45 | 13 |
| Glipizide | Glipizide | 45 | 12 |
| Jardiance | Empagliflozin | 45 | 11 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 45 | 30 |
| Doxycycline Hyclate | Doxycycline Hyclate | 44 | 29 |
| Diazepam | Diazepam | 43 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 43 | 11 |
| Methocarbamol | Methocarbamol | 43 | 20 |
| Mounjaro | Tirzepatide | 43 | 11 |
| Aripiprazole | Aripiprazole | 41 | suppressed |
| Baclofen | Baclofen | 41 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 41 | 13 |
| Cefdinir | Cefdinir | 40 | 33 |
| Tradjenta | Linagliptin | 40 | suppressed |
| Linzess | Linaclotide | 39 | 12 |
| Oxycodone Hcl | Oxycodone Hcl | 39 | 12 |
| Ozempic | Semaglutide | 39 | 11 |
| Celecoxib | Celecoxib | 38 | 14 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 38 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 38 | 13 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 38 | 13 |
| Ondansetron Odt | Ondansetron | 37 | 19 |
| Prednisone | Prednisone | 37 | 22 |
| Xarelto | Rivaroxaban | 36 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 35 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 35 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 34 | 11 |
| Liothyronine Sodium | Liothyronine Sodium | 34 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 34 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 33 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 33 | 16 |
| Ventolin Hfa | Albuterol Sulfate | 33 | 11 |
| Alendronate Sodium | Alendronate Sodium | 32 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 32 | 11 |
| Ondansetron Hcl | Ondansetron Hcl | 32 | 11 |
| Spironolactone | Spironolactone | 32 | suppressed |
| Amoxicillin | Amoxicillin | 31 | 20 |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 31 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 31 | 12 |
| Testosterone Cypionate | Testosterone Cypionate | 31 | 14 |
| Chlorthalidone | Chlorthalidone | 30 | suppressed |
| Fluconazole | Fluconazole | 29 | 22 |
| Valacyclovir | Valacyclovir Hcl | 29 | 12 |
| Methylprednisolone | Methylprednisolone | 28 | 24 |
| Fenofibrate | Fenofibrate Nanocrystallized | 27 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 27 | suppressed |
| Glipizide Er | Glipizide | 26 | suppressed |
| Myrbetriq | Mirabegron | 26 | 11 |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 26 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 25 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 25 | 14 |
| Ipratropium Bromide | Ipratropium Bromide | 24 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 24 | suppressed |
| Mupirocin | Mupirocin | 24 | 17 |
| Np Thyroid | Thyroid,pork | 24 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 24 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 24 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 23 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 23 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 23 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 23 | suppressed |
| Olanzapine | Olanzapine | 22 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 22 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 21 | 11 |
| Eszopiclone | Eszopiclone | 21 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 21 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 20 | suppressed |
| Ketoconazole | Ketoconazole | 20 | 11 |
| Lansoprazole | Lansoprazole | 20 | suppressed |
| Novolog Flexpen | Insulin Aspart | 20 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 20 | suppressed |
| Torsemide | Torsemide | 20 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 20 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 19 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 19 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 19 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 19 | suppressed |
| Clorazepate Dipotassium | Clorazepate Dipotassium | 18 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 18 | suppressed |
| Acyclovir | Acyclovir | 17 | suppressed |
| Ibuprofen | Ibuprofen | 17 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 17 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 17 | 14 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 17 | suppressed |
| Telmisartan | Telmisartan | 17 | suppressed |
| Benazepril-Hydrochlorothiazide | Benazepril/Hydrochlorothiazide | 16 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 16 | suppressed |
| Livalo | Pitavastatin Calcium | 16 | suppressed |
| Lovastatin | Lovastatin | 16 | suppressed |
| Mirtazapine | Mirtazapine | 16 | suppressed |
| Progesterone | Progesterone, Micronized | 16 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 16 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 15 | suppressed |
| Carbamazepine | Carbamazepine | 15 | suppressed |
| Cartia Xt | Diltiazem Hcl | 15 | suppressed |
| Famciclovir | Famciclovir | 15 | suppressed |
| Hydrocortisone | Hydrocortisone | 15 | suppressed |
| Praluent Pen | Alirocumab | 15 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 15 | suppressed |
| Repatha Sureclick | Evolocumab | 15 | suppressed |
| Rybelsus | Semaglutide | 15 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 14 | suppressed |
| Felodipine Er | Felodipine | 14 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 14 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 14 | suppressed |
| Lamotrigine | Lamotrigine | 14 | suppressed |
| Movantik | Naloxegol Oxalate | 14 | suppressed |
| Ramipril | Ramipril | 14 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 14 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 14 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 13 | suppressed |
| Colesevelam Hcl | Colesevelam Hcl | 13 | suppressed |
| Elmiron | Pentosan Polysulfate Sodium | 13 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 13 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 13 | suppressed |
| Verapamil Er | Verapamil Hcl | 13 | suppressed |
| Cephalexin | Cephalexin | 12 | 11 |
| Nitroglycerin | Nitroglycerin | 12 | suppressed |
| Ranolazine Er | Ranolazine | 12 | suppressed |
| Silodosin | Silodosin | 12 | suppressed |
| Sucralfate | Sucralfate | 12 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 12 | suppressed |
| Carisoprodol | Carisoprodol | 11 | suppressed |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 11 | suppressed |
| Glyburide | Glyburide | 11 | suppressed |
| Methimazole | Methimazole | 11 | suppressed |
| Ulticare Pen Needle | Pen Needle, Diabetic | 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 | $20.17 · 1 records | Exact Sciences Corporation | Cologuard Collection Kit | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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