Payment overview · 2025
General Payments
$30,139.25
26 reported records · 7 companies
Healthcare provider profile · identity verified
James Gerard Krings, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease · SAINT LOUIS, MO · NPI 1629495676
Verified facts
What the public records show
CMS Open Payments records show James Gerard Krings, MD received $30,139.25 in general payments during 2025 across 26 reported records.
GENZYME CORPORATION accounted for 40.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 associated products.
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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 48 claims for Symbicort by this doctor in 2024.
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 TEZSPIRE as an associated drug or biological on 33983 records involving 10291 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Tezspire 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 |
|---|---|---|---|---|---|
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $12,288.96 | 40.8% | 9 | 2025 |
| Chiesi USA, Inc. | Unresolved — no canonical attribution shown | $9,000.26 | 29.9% | 6 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $5,710.94 | 18.9% | 7 | 2025 |
| Aero US Inc | Unresolved — no canonical attribution shown | $2,971.90 | 9.9% | 1 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $124.90 | 0.4% | 1 | 2025 |
| Regeneron Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $23.02 | 0.1% | 1 | 2025 |
| Verona Pharma, Inc. | Unresolved — no canonical attribution shown | $19.27 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $25,457.90 | 5 |
| Travel and Lodging | $3,467.01 | 7 |
| Food and Beverage | $1,214.34 | 14 |
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 |
|---|---|---|---|---|---|
| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $3,339.08 | 2 | 2025 |
Source payment records
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| AEROGEN SOLO NEBULIZER SYSTEM Normalized: aerogen solo nebulizer system |
Device | Aero US Inc | $2,971.90 | 1 | 2025 |
Source payment records
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| AEROGEN USB CONTROLLER SYSTEM Normalized: aerogen usb controller system |
Device | Aero US Inc | $2,971.90 | 1 | 2025 |
Source payment records
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| Aerogen Solo; Aerogen Ultra Normalized: aerogen solo aerogen ultra |
Device | Aero US Inc | $2,971.90 | 1 | 2025 |
Source payment records
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| FASENRA Normalized: fasenra |
Biological | AstraZeneca Pharmaceuticals LP | $2,258.45 | 2 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Pharmaceuticals, Inc. | $338.55 | 4 | 2025 |
Source payment records
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| Esbriet Normalized: esbriet |
Biological | Genentech USA, Inc. | $124.90 | 1 | 2025 |
Source payment records
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| Pulmozyme Normalized: pulmozyme |
Biological | Genentech USA, Inc. | $124.90 | 1 | 2025 |
Source payment records
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| Xolair Normalized: xolair |
Biological | Genentech USA, Inc. | $124.90 | 1 | 2025 |
Source payment records
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| Ohtuvayre Normalized: ohtuvayre |
Drug | Verona Pharma, Inc. | $19.27 | 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
48 | 16 |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | TEZSPIRE open payments reported associated product |
CMS Open Payments — General Payments 33983 supporting records · 10291 recipient NPIs · example record 1206131392 |
Tezspire · 2024 Exact normalized brand match · 1 Part D row |
14 | 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 |
|---|---|---|---|
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 84 | 22 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 84 | 14 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 83 | 24 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 57 | 20 |
| Prednisone | Prednisone | 49 | 20 |
| Dupixent Pen | Dupilumab | 48 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 48 | 16 |
| Fluticasone Propionate | Fluticasone Propionate | 41 | 12 |
| Fasenra Pen | Benralizumab | 36 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 30 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 26 | suppressed |
| Azithromycin | Azithromycin | 24 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 23 | suppressed |
| Breyna | Budesonide/Formoterol Fumarate | 22 | suppressed |
| Dulera | Mometasone/Formoterol | 17 | suppressed |
| Nucala | Mepolizumab | 15 | suppressed |
| Omeprazole | Omeprazole | 14 | suppressed |
| Tezspire | Tezepelumab-Ekko | 14 | suppressed |
| Arexvy | Rsvpref3 Antigen/As01e/Pf | 11 | 11 |
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 | $30,139.25 · 26 records | GENZYME CORPORATION | AEROGEN SOLO NEBULIZER SYSTEM, AEROGEN USB CONTROLLER SYSTEM, AIRSUPRA, Aerogen Solo; Aerogen Ultra, DUPIXENT, Esbriet, FASENRA, Ohtuvayre, Pulmozyme, Xolair | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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