Payment overview · 2025
General Payments
We did not find matching Open Payments records for this doctor in the selected program year.
Healthcare provider profile · identity verified
Michael Shane Rust, ARNP
Nurse Practitioner · WEST PADUCAH, KY · NPI 1679624217
Verified facts
What the public records show
We did not find matching Open Payments records for this doctor in 2025.
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.
Analysis 1 · Payment-linked products
Products named in Open Payments records
No payment-linked product analysis is available because no matching General Payment records were found for the selected year.
Public prescribing for products named in payments
There is no explicit payment-product set available for a Part D comparison.
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.
There is no payer-company set available for this comparison.
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 |
|---|---|---|---|
| Lisinopril | Lisinopril | 314 | 77 |
| Amlodipine Besylate | Amlodipine Besylate | 240 | 62 |
| Atorvastatin Calcium | Atorvastatin Calcium | 205 | 57 |
| Azithromycin | Azithromycin | 201 | 131 |
| Pantoprazole Sodium | Pantoprazole Sodium | 186 | 37 |
| Levothyroxine Sodium | Levothyroxine Sodium | 184 | 42 |
| Losartan Potassium | Losartan Potassium | 164 | 37 |
| Gabapentin | Gabapentin | 152 | 34 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 143 | 38 |
| Hydrochlorothiazide | Hydrochlorothiazide | 137 | 34 |
| Citalopram Hbr | Citalopram Hydrobromide | 118 | 25 |
| Meloxicam | Meloxicam | 111 | 30 |
| Tizanidine Hcl | Tizanidine Hcl | 109 | 35 |
| Eliquis | Apixaban | 106 | 24 |
| Metoprolol Succinate | Metoprolol Succinate | 98 | 24 |
| Zolpidem Tartrate | Zolpidem Tartrate | 93 | 12 |
| Potassium Chloride | Potassium Chloride | 92 | 23 |
| Tramadol Hcl | Tramadol Hcl | 88 | 19 |
| Tamsulosin Hcl | Tamsulosin Hcl | 86 | 27 |
| Furosemide | Furosemide | 84 | 29 |
| Trazodone Hcl | Trazodone Hcl | 84 | 28 |
| Metoprolol Tartrate | Metoprolol Tartrate | 83 | 19 |
| Omeprazole | Omeprazole | 81 | 22 |
| Glimepiride | Glimepiride | 77 | 18 |
| Allopurinol | Allopurinol | 75 | 17 |
| Prednisone | Prednisone | 74 | 40 |
| Celecoxib | Celecoxib | 70 | 16 |
| Cefdinir | Cefdinir | 66 | 53 |
| Simvastatin | Simvastatin | 61 | 18 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 60 | suppressed |
| Synthroid | Levothyroxine Sodium | 57 | 11 |
| Ezetimibe | Ezetimibe | 55 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 51 | 17 |
| Montelukast Sodium | Montelukast Sodium | 51 | 15 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 50 | 18 |
| Mounjaro | Tirzepatide | 49 | suppressed |
| Metformin Hcl | Metformin Hcl | 46 | 14 |
| Pravastatin Sodium | Pravastatin Sodium | 46 | 12 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 45 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 44 | 28 |
| Buspirone Hcl | Buspirone Hcl | 43 | 12 |
| Carvedilol | Carvedilol | 43 | 15 |
| Famotidine | Famotidine | 42 | 14 |
| Fenofibrate | Fenofibrate Nanocrystallized | 42 | 13 |
| Alprazolam | Alprazolam | 41 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 41 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 37 | suppressed |
| Methylprednisolone | Methylprednisolone | 37 | 25 |
| Spironolactone | Spironolactone | 36 | suppressed |
| Temazepam | Temazepam | 35 | suppressed |
| Lansoprazole | Lansoprazole | 34 | 11 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 34 | suppressed |
| Linzess | Linaclotide | 33 | suppressed |
| Cefprozil | Cefprozil | 32 | 30 |
| Escitalopram Oxalate | Escitalopram Oxalate | 32 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 32 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 31 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 31 | 11 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 31 | suppressed |
| Sucralfate | Sucralfate | 31 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 31 | suppressed |
| Estradiol | Estradiol | 30 | suppressed |
| Irbesartan | Irbesartan | 30 | 12 |
| Ropinirole Hcl | Ropinirole Hcl | 30 | suppressed |
| Candesartan Cilexetil | Candesartan Cilexetil | 29 | suppressed |
| Verapamil Er | Verapamil Hcl | 29 | suppressed |
| Bupropion Xl | Bupropion Hcl | 28 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 28 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 28 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 27 | 11 |
| Alendronate Sodium | Alendronate Sodium | 26 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 26 | 24 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 26 | suppressed |
| Topiramate | Topiramate | 26 | suppressed |
| Clindamycin Hcl | Clindamycin Hcl | 25 | 19 |
| Fenofibrate | Fenofibrate | 25 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 25 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 24 | suppressed |
| Glipizide Er | Glipizide | 24 | suppressed |
| Levofloxacin | Levofloxacin | 24 | 19 |
| Pioglitazone Hcl | Pioglitazone Hcl | 24 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 23 | suppressed |
| Cephalexin | Cephalexin | 23 | 19 |
| Cilostazol | Cilostazol | 23 | suppressed |
| Jardiance | Empagliflozin | 23 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 23 | 12 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 23 | 11 |
| Trandolapril | Trandolapril | 23 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 22 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 22 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 22 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 22 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 20 | 17 |
| Azelastine Hcl | Azelastine Hcl | 20 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 20 | 14 |
| Januvia | Sitagliptin Phosphate | 20 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 20 | 16 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 19 | suppressed |
| Metolazone | Metolazone | 19 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 19 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 19 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 18 | suppressed |
| Colchicine | Colchicine | 18 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 18 | suppressed |
| Lamotrigine | Lamotrigine | 18 | suppressed |
| Ondansetron Odt | Ondansetron | 18 | 11 |
| Rybelsus | Semaglutide | 18 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 18 | suppressed |
| Colestipol Hcl | Colestipol Hcl | 17 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 17 | suppressed |
| Mirtazapine | Mirtazapine | 17 | suppressed |
| Perindopril Erbumine | Perindopril Erbumine | 17 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 16 | suppressed |
| Telmisartan | Telmisartan | 16 | suppressed |
| Acebutolol Hcl | Acebutolol Hcl | 15 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 15 | suppressed |
| Glipizide | Glipizide | 15 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 15 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 14 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 14 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 14 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 13 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 13 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 13 | suppressed |
| Levemir Flexpen | Insulin Detemir | 13 | suppressed |
| Novolog Flexpen | Insulin Aspart | 13 | suppressed |
| Olmesartan-Amlodipine-Hctz | Olmesartan/Amlodipin/Hcthiazid | 13 | suppressed |
| Ozempic | Semaglutide | 13 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 13 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 13 | suppressed |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 12 | suppressed |
| Amoxicillin | Amoxicillin | 12 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 12 | suppressed |
| Dexilant | Dexlansoprazole | 12 | suppressed |
| Fluconazole | Fluconazole | 12 | suppressed |
| Lubiprostone | Lubiprostone | 12 | suppressed |
| Metronidazole | Metronidazole | 12 | 11 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 12 | suppressed |
| Ranolazine Er | Ranolazine | 12 | suppressed |
| Trintellix | Vortioxetine Hydrobromide | 12 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 12 | suppressed |
| Verapamil Sr | Verapamil Hcl | 12 | suppressed |
| Alprazolam Xr | Alprazolam | 11 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 11 | suppressed |
| Diltiazem 24hr Er (La) | Diltiazem Hcl | 11 | suppressed |
| Levemir | Insulin Detemir | 11 | suppressed |
| Lovastatin | Lovastatin | 11 | suppressed |
| Nifedipine Er | Nifedipine | 11 | suppressed |
| Trulicity | Dulaglutide | 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 | — | — | — | — | — |
| 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