Payment overview · 2025
General Payments
$923.09
10 reported records · 7 companies
Healthcare provider profile · identity verified
Fernando Ron Parawan, APRN
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · JACKSONVILLE, FL · NPI 1649377441
Verified facts
What the public records show
CMS Open Payments records show Fernando Ron Parawan, APRN received $923.09 in general payments during 2025 across 10 reported records.
Novo Nordisk Inc accounted for 40.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 7 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Jardiance, Ozempic.
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 29 claims for Farxiga 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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 79 claims for Symbicort by this doctor in 2024.
Boehringer Ingelheim 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 52 claims for Jardiance 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 98 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $373.02 | 40.4% | 3 | 2025 |
| INTUITIVE SURGICAL, INC. | Unresolved — no canonical attribution shown | $124.10 | 13.4% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $123.49 | 13.4% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $112.39 | 12.2% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $106.54 | 11.5% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $57.95 | 6.3% | 2 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $25.60 | 2.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $923.09 | 10 |
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 |
|---|---|---|---|---|---|
| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $249.01 | 2 | 2025 |
Source payment records
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| Da Vinci Surgical System Normalized: da vinci surgical system |
Device | INTUITIVE SURGICAL, INC. | $124.10 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $124.01 | 1 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $112.39 | 1 | 2025 |
Source payment records
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $106.54 | 1 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $57.95 | 2 | 2025 |
Source payment records
|
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $25.60 | 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 | 29 | exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 52 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 98 | 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 |
29 | 12 |
| 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 |
79 | 22 |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
52 | 19 |
| 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 |
98 | 24 |
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 823 | 311 |
| Amlodipine Besylate | Amlodipine Besylate | 569 | 205 |
| Losartan Potassium | Losartan Potassium | 393 | 150 |
| Lisinopril | Lisinopril | 379 | 143 |
| Metformin Hcl | Metformin Hcl | 286 | 102 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 230 | 90 |
| Metoprolol Succinate | Metoprolol Succinate | 211 | 86 |
| Omeprazole | Omeprazole | 211 | 75 |
| Carvedilol | Carvedilol | 204 | 81 |
| Gabapentin | Gabapentin | 204 | 82 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 159 | 66 |
| Levothyroxine Sodium | Levothyroxine Sodium | 156 | 56 |
| Tamsulosin Hcl | Tamsulosin Hcl | 153 | 50 |
| Hydrochlorothiazide | Hydrochlorothiazide | 139 | 61 |
| Celecoxib | Celecoxib | 127 | 63 |
| Hydralazine Hcl | Hydralazine Hcl | 127 | 43 |
| Fluticasone Propionate | Fluticasone Propionate | 118 | 47 |
| Pioglitazone Hcl | Pioglitazone Hcl | 118 | 45 |
| Pantoprazole Sodium | Pantoprazole Sodium | 115 | 50 |
| Furosemide | Furosemide | 112 | 47 |
| Trazodone Hcl | Trazodone Hcl | 111 | 41 |
| Meloxicam | Meloxicam | 101 | 52 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 98 | 38 |
| Ozempic | Semaglutide | 98 | 24 |
| Pravastatin Sodium | Pravastatin Sodium | 97 | 43 |
| Bupropion Hcl Sr | Bupropion Hcl | 95 | 38 |
| Potassium Chloride | Potassium Chloride | 88 | 34 |
| Glimepiride | Glimepiride | 87 | 33 |
| Metoprolol Tartrate | Metoprolol Tartrate | 85 | 42 |
| Ezetimibe | Ezetimibe | 84 | 31 |
| Allopurinol | Allopurinol | 81 | 32 |
| Symbicort | Budesonide/Formoterol Fumarate | 79 | 22 |
| Ibuprofen | Ibuprofen | 78 | 38 |
| Alendronate Sodium | Alendronate Sodium | 75 | 29 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 75 | 29 |
| Duloxetine Hcl | Duloxetine Hcl | 74 | 29 |
| Simvastatin | Simvastatin | 70 | 26 |
| Clopidogrel | Clopidogrel Bisulfate | 67 | 27 |
| Montelukast Sodium | Montelukast Sodium | 66 | 24 |
| Eliquis | Apixaban | 63 | 24 |
| Nifedipine Er | Nifedipine | 63 | 32 |
| Spironolactone | Spironolactone | 59 | 24 |
| Jardiance | Empagliflozin | 52 | 19 |
| Sertraline Hcl | Sertraline Hcl | 51 | 22 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 50 | 22 |
| Glipizide | Glipizide | 49 | 17 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 49 | 19 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 47 | 19 |
| Clonidine Hcl | Clonidine Hcl | 46 | 20 |
| Diclofenac Sodium | Diclofenac Sodium | 44 | 24 |
| Baclofen | Baclofen | 39 | 17 |
| Meclizine Hcl | Meclizine Hcl | 39 | 18 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 39 | 15 |
| Valsartan | Valsartan | 38 | 16 |
| Levetiracetam | Levetiracetam | 37 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 36 | 12 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 35 | 16 |
| Donepezil Hcl | Donepezil Hcl | 33 | 13 |
| Paroxetine Hcl | Paroxetine Hcl | 33 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 32 | 12 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 30 | 12 |
| Farxiga | Dapagliflozin Propanediol | 29 | 12 |
| Fenofibrate | Fenofibrate | 28 | 11 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 28 | 13 |
| Terazosin Hcl | Terazosin Hcl | 28 | suppressed |
| Azithromycin | Azithromycin | 27 | 22 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 27 | suppressed |
| Mupirocin | Mupirocin | 27 | 19 |
| Sildenafil Citrate | Sildenafil Citrate | 27 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 26 | suppressed |
| Methylprednisolone | Methylprednisolone | 26 | 22 |
| Telmisartan | Telmisartan | 26 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 25 | suppressed |
| Irbesartan | Irbesartan | 24 | suppressed |
| Januvia | Sitagliptin Phosphate | 23 | 11 |
| Propranolol Hcl | Propranolol Hcl | 23 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 22 | suppressed |
| Famotidine | Famotidine | 22 | 13 |
| Metformin Hcl Er | Metformin Hcl | 22 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 22 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 21 | 13 |
| Linzess | Linaclotide | 21 | suppressed |
| Xarelto | Rivaroxaban | 21 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 20 | 20 |
| Lovastatin | Lovastatin | 19 | suppressed |
| Colchicine | Colchicine | 18 | 11 |
| Cyproheptadine Hcl | Cyproheptadine Hcl | 18 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 18 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 18 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 18 | suppressed |
| Chlorthalidone | Chlorthalidone | 17 | suppressed |
| Levemir Flexpen | Insulin Detemir | 17 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 17 | suppressed |
| Clotrimazole | Clotrimazole | 16 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 16 | suppressed |
| Finasteride | Finasteride | 16 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 16 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 16 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 15 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 15 | suppressed |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 15 | suppressed |
| Synthroid | Levothyroxine Sodium | 15 | suppressed |
| Trulicity | Dulaglutide | 15 | suppressed |
| Cilostazol | Cilostazol | 14 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 14 | suppressed |
| Entresto | Sacubitril/Valsartan | 14 | suppressed |
| Fluconazole | Fluconazole | 14 | 14 |
| Solifenacin Succinate | Solifenacin Succinate | 14 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 14 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 13 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 13 | 12 |
| Breyna | Budesonide/Formoterol Fumarate | 13 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 13 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 13 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Aripiprazole | Aripiprazole | 12 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 12 | suppressed |
| Glipizide Er | Glipizide | 12 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 12 | suppressed |
| Mirtazapine | Mirtazapine | 12 | suppressed |
| Novolog Flexpen | Insulin Aspart | 12 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 12 | suppressed |
| Clonidine | Clonidine | 11 | suppressed |
| Sps | Sodium Polystyrene Sulfon/Sorb | 11 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 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 | $923.09 · 10 records | Novo Nordisk Inc | Auvelity, Da Vinci Surgical System, FARXIGA, FREESTYLE LIBRE 3, JARDIANCE, Ozempic, Wegovy | 4 | — |
| 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