Payment overview · 2025
General Payments
$260.70
4 reported records · 4 companies
Healthcare provider profile · identity verified
Joseph Chacko, FNP-BC
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · SAGINAW, MI · NPI 1649511734
Verified facts
What the public records show
CMS Open Payments records show Joseph Chacko, FNP-BC received $260.70 in general payments during 2025 across 4 reported records.
GENZYME CORPORATION accounted for 49.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 6 associated products.
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 | $129.42 | 49.6% | 1 | 2025 |
| KYOWA KIRIN, INC. | Unresolved — no canonical attribution shown | $54.00 | 20.7% | 1 | 2025 |
| Solventum Corporation | Unresolved — no canonical attribution shown | $44.07 | 16.9% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $33.21 | 12.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $260.70 | 4 |
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 |
|---|---|---|---|---|---|
| FABRAZYME Normalized: fabrazyme |
Biological | GENZYME CORPORATION | $129.42 | 1 | 2025 |
Source payment records
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| CRYSVITA Normalized: crysvita |
Drug | KYOWA KIRIN, INC. | $54.00 | 1 | 2025 |
Source payment records
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| ACTIV.A.C. Normalized: activ a c |
Device | Solventum Corporation | $44.07 | 1 | 2025 |
Source payment records
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| PROMOGRAN PRISMA Normalized: promogran prisma |
Device | Solventum Corporation | $44.07 | 1 | 2025 |
Source payment records
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| V.A.C. DERMATAC Normalized: v a c dermatac |
Device | Solventum Corporation | $44.07 | 1 | 2025 |
Source payment records
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $33.21 | 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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 | 434 | 30 |
| Gabapentin | Gabapentin | 387 | 22 |
| Quetiapine Fumarate | Quetiapine Fumarate | 290 | 15 |
| Omeprazole | Omeprazole | 283 | 15 |
| Levothyroxine Sodium | Levothyroxine Sodium | 268 | 24 |
| Lisinopril | Lisinopril | 268 | 22 |
| Pantoprazole Sodium | Pantoprazole Sodium | 258 | 19 |
| Tamsulosin Hcl | Tamsulosin Hcl | 208 | 16 |
| Memantine Hcl | Memantine Hcl | 189 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 181 | 17 |
| Eliquis | Apixaban | 180 | 15 |
| Donepezil Hcl | Donepezil Hcl | 172 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 159 | suppressed |
| Furosemide | Furosemide | 159 | 19 |
| Potassium Chloride | Potassium Chloride | 157 | 15 |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 149 | suppressed |
| Jardiance | Empagliflozin | 148 | suppressed |
| Risperidone | Risperidone | 146 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 145 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 143 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 143 | 13 |
| Sertraline Hcl | Sertraline Hcl | 142 | 11 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 140 | 24 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 139 | suppressed |
| Simvastatin | Simvastatin | 135 | suppressed |
| Losartan Potassium | Losartan Potassium | 133 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 125 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 123 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 115 | suppressed |
| Ezetimibe | Ezetimibe | 112 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 111 | 11 |
| Escitalopram Oxalate | Escitalopram Oxalate | 108 | suppressed |
| Cymbalta | Duloxetine Hcl | 106 | suppressed |
| Metaxalone | Metaxalone | 106 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 101 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 99 | suppressed |
| Lamotrigine | Lamotrigine | 99 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 98 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 93 | suppressed |
| Gemtesa | Vibegron | 91 | suppressed |
| Pregabalin | Pregabalin | 89 | suppressed |
| Bumetanide | Bumetanide | 87 | suppressed |
| Famotidine | Famotidine | 86 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 85 | suppressed |
| Amlodipine Besylate | Amlodipine Besylate | 83 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 79 | suppressed |
| Lorazepam | Lorazepam | 79 | suppressed |
| Bupropion Xl | Bupropion Hcl | 78 | suppressed |
| Levetiracetam | Levetiracetam | 71 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 71 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 69 | suppressed |
| Ozempic | Semaglutide | 69 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 66 | suppressed |
| Olanzapine | Olanzapine | 64 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 63 | suppressed |
| Clonazepam | Clonazepam | 63 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 62 | suppressed |
| Allopurinol | Allopurinol | 61 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 60 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 57 | suppressed |
| Spironolactone | Spironolactone | 56 | suppressed |
| Vilazodone Hcl | Vilazodone Hcl | 55 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 54 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 54 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 53 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 52 | 25 |
| Divalproex Sodium | Divalproex Sodium | 49 | suppressed |
| Metformin Hcl | Metformin Hcl | 49 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 48 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 47 | suppressed |
| Insulin Glargine-Yfgn | Insulin Glargine-Yfgn | 41 | suppressed |
| Carvedilol | Carvedilol | 40 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 39 | suppressed |
| Bethanechol Chloride | Bethanechol Chloride | 37 | suppressed |
| Finasteride | Finasteride | 36 | suppressed |
| Trintellix | Vortioxetine Hydrobromide | 34 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 33 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 28 | 16 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 27 | suppressed |
| Fluvoxamine Maleate | Fluvoxamine Maleate | 27 | suppressed |
| Sucralfate | Sucralfate | 26 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 26 | suppressed |
| Latanoprost | Latanoprost | 25 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 25 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 24 | suppressed |
| Topiramate | Topiramate | 24 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 22 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 21 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 21 | 14 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 21 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 21 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 19 | suppressed |
| Lacosamide | Lacosamide | 19 | suppressed |
| Thiothixene | Thiothixene | 19 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 18 | suppressed |
| Mirtazapine | Mirtazapine | 18 | suppressed |
| Prednisone | Prednisone | 17 | suppressed |
| Xarelto | Rivaroxaban | 16 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 15 | suppressed |
| Baclofen | Baclofen | 15 | suppressed |
| Cephalexin | Cephalexin | 15 | 13 |
| Meloxicam | Meloxicam | 15 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 15 | 11 |
| Ondansetron Odt | Ondansetron | 15 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 14 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 14 | suppressed |
| Selegiline Hcl | Selegiline Hcl | 14 | suppressed |
| Dutasteride | Dutasteride | 13 | suppressed |
| Myrbetriq | Mirabegron | 13 | suppressed |
| Primidone | Primidone | 13 | suppressed |
| Ceftriaxone | Ceftriaxone Sodium | 12 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 12 | suppressed |
| Embrace Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 12 | suppressed |
| Febuxostat | Febuxostat | 12 | suppressed |
| Fenofibrate | Fenofibrate | 12 | suppressed |
| Invega Sustenna | Paliperidone Palmitate | 12 | suppressed |
| Isradipine | Isradipine | 12 | suppressed |
| Levetiracetam Er | Levetiracetam | 12 | suppressed |
| Otezla | Apremilast | 12 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 12 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 12 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 12 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 11 | suppressed |
| Procto-Med Hc | Hydrocortisone | 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 | $260.70 · 4 records | GENZYME CORPORATION | ACTIV.A.C., Auvelity, CRYSVITA, FABRAZYME, PROMOGRAN PRISMA, V.A.C. DERMATAC | — | — |
| 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