Payment overview · 2025
General Payments
$19.91
1 reported records · 1 companies
Healthcare provider profile · identity verified
Elene S Pilapil, MD
Allopathic & Osteopathic Physicians|Internal Medicine · SPRINGFIELD, MO · NPI 1679771844
Verified facts
What the public records show
CMS Open Payments records show Elene S Pilapil, MD received $19.91 in general payments during 2025 across 1 reported records.
Dexcom, Inc. 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 |
|---|---|---|---|---|---|
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $19.91 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $19.91 | 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 |
|---|---|---|---|---|---|
| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $19.91 | 1 | 2025 |
Source payment records
|
|||||
* 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 1166 | 303 |
| Levothyroxine Sodium | Levothyroxine Sodium | 945 | 231 |
| Amlodipine Besylate | Amlodipine Besylate | 569 | 158 |
| Losartan Potassium | Losartan Potassium | 518 | 132 |
| Omeprazole | Omeprazole | 450 | 120 |
| Metoprolol Succinate | Metoprolol Succinate | 433 | 121 |
| Lisinopril | Lisinopril | 420 | 111 |
| Alprazolam | Alprazolam | 404 | 87 |
| Potassium Chloride | Potassium Chloride | 403 | 102 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 369 | 87 |
| Gabapentin | Gabapentin | 368 | 93 |
| Furosemide | Furosemide | 359 | 110 |
| Trazodone Hcl | Trazodone Hcl | 334 | 98 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 307 | 104 |
| Pantoprazole Sodium | Pantoprazole Sodium | 288 | 82 |
| Tizanidine Hcl | Tizanidine Hcl | 288 | 75 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 286 | 80 |
| Hydrochlorothiazide | Hydrochlorothiazide | 269 | 74 |
| Metformin Hcl Er | Metformin Hcl | 255 | 72 |
| Duloxetine Hcl | Duloxetine Hcl | 235 | 45 |
| Metoprolol Tartrate | Metoprolol Tartrate | 223 | 62 |
| Zolpidem Tartrate | Zolpidem Tartrate | 205 | 29 |
| Eliquis | Apixaban | 201 | 46 |
| Ezetimibe | Ezetimibe | 201 | 52 |
| Clonazepam | Clonazepam | 199 | 36 |
| Spironolactone | Spironolactone | 196 | 53 |
| Lorazepam | Lorazepam | 186 | 36 |
| Alendronate Sodium | Alendronate Sodium | 182 | 55 |
| Carvedilol | Carvedilol | 176 | 39 |
| Simvastatin | Simvastatin | 176 | 44 |
| Citalopram Hbr | Citalopram Hydrobromide | 174 | 48 |
| Meloxicam | Meloxicam | 173 | 46 |
| Tramadol Hcl | Tramadol Hcl | 173 | 43 |
| Metformin Hcl | Metformin Hcl | 170 | 53 |
| Escitalopram Oxalate | Escitalopram Oxalate | 165 | 47 |
| Famotidine | Famotidine | 162 | 47 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 154 | 47 |
| Sertraline Hcl | Sertraline Hcl | 151 | 46 |
| Buspirone Hcl | Buspirone Hcl | 150 | 36 |
| Donepezil Hcl | Donepezil Hcl | 134 | 21 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 133 | 32 |
| Fluticasone Propionate | Fluticasone Propionate | 132 | 51 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 127 | 33 |
| Atenolol | Atenolol | 126 | 31 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 121 | 94 |
| Allopurinol | Allopurinol | 118 | 31 |
| Bupropion Xl | Bupropion Hcl | 113 | 37 |
| Glimepiride | Glimepiride | 110 | 28 |
| Montelukast Sodium | Montelukast Sodium | 110 | 35 |
| Breo Ellipta | Fluticasone/Vilanterol | 103 | 24 |
| Fluoxetine Hcl | Fluoxetine Hcl | 101 | 30 |
| Pravastatin Sodium | Pravastatin Sodium | 99 | 29 |
| Cefdinir | Cefdinir | 97 | 84 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 97 | 26 |
| Ropinirole Hcl | Ropinirole Hcl | 94 | 25 |
| Topiramate | Topiramate | 94 | 24 |
| Azithromycin | Azithromycin | 89 | 77 |
| Clopidogrel | Clopidogrel Bisulfate | 89 | 24 |
| Hydralazine Hcl | Hydralazine Hcl | 88 | 24 |
| Warfarin Sodium | Warfarin Sodium | 88 | 16 |
| Irbesartan | Irbesartan | 86 | 23 |
| Ozempic | Semaglutide | 84 | 17 |
| Terazosin Hcl | Terazosin Hcl | 81 | 20 |
| Clonidine Hcl | Clonidine Hcl | 80 | 23 |
| Lovastatin | Lovastatin | 80 | 24 |
| Symbicort | Budesonide/Formoterol Fumarate | 80 | 17 |
| Doxycycline Hyclate | Doxycycline Hyclate | 79 | 54 |
| Paroxetine Hcl | Paroxetine Hcl | 79 | 22 |
| Synthroid | Levothyroxine Sodium | 74 | 18 |
| Mirtazapine | Mirtazapine | 72 | 25 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 72 | 54 |
| Ketoconazole | Ketoconazole | 68 | 32 |
| Bupropion Hcl Sr | Bupropion Hcl | 67 | 21 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 67 | 20 |
| Ondansetron Odt | Ondansetron | 67 | 24 |
| Tamsulosin Hcl | Tamsulosin Hcl | 65 | 18 |
| Oxybutynin Chloride | Oxybutynin Chloride | 63 | 18 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 62 | 20 |
| Celecoxib | Celecoxib | 59 | 15 |
| Estradiol | Estradiol | 59 | 23 |
| Mounjaro | Tirzepatide | 59 | 14 |
| Dicyclomine Hcl | Dicyclomine Hcl | 56 | 16 |
| Nystatin | Nystatin | 52 | 22 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 51 | 18 |
| Oxycodone Hcl | Oxycodone Hcl | 51 | 12 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 51 | 12 |
| Arexvy | Rsvpref3 Antigen/As01e/Pf | 50 | 50 |
| Amitriptyline Hcl | Amitriptyline Hcl | 49 | 13 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 49 | suppressed |
| Temazepam | Temazepam | 48 | suppressed |
| Diazepam | Diazepam | 46 | suppressed |
| Gemfibrozil | Gemfibrozil | 46 | 11 |
| Ramipril | Ramipril | 46 | 12 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 45 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 44 | 11 |
| Methylprednisolone | Methylprednisolone | 43 | 37 |
| Enalapril Maleate | Enalapril Maleate | 40 | 12 |
| Repatha Sureclick | Evolocumab | 40 | suppressed |
| Prednisone | Prednisone | 39 | 29 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 37 | 35 |
| Azelastine Hcl | Azelastine Hcl | 37 | 14 |
| Memantine Hcl | Memantine Hcl | 37 | suppressed |
| Abrysvo | Rsv Vacc, Pref A And Pref B/Pf | 36 | 36 |
| Nitroglycerin | Nitroglycerin | 36 | 22 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 36 | 11 |
| Bumetanide | Bumetanide | 35 | suppressed |
| Finasteride | Finasteride | 34 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 34 | suppressed |
| Fluconazole | Fluconazole | 33 | 26 |
| Jardiance | Empagliflozin | 33 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 33 | 19 |
| Cephalexin | Cephalexin | 32 | 13 |
| Ventolin Hfa | Albuterol Sulfate | 32 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 31 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 31 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 30 | suppressed |
| Chlorthalidone | Chlorthalidone | 30 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 30 | suppressed |
| Pregabalin | Pregabalin | 30 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 29 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 29 | suppressed |
| Valsartan | Valsartan | 29 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 28 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 28 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 28 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 26 | suppressed |
| Levofloxacin | Levofloxacin | 26 | 25 |
| Linzess | Linaclotide | 26 | suppressed |
| Xarelto | Rivaroxaban | 26 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 25 | 15 |
| Paxlovid | Nirmatrelvir/Ritonavir | 25 | 25 |
| Valacyclovir | Valacyclovir Hcl | 25 | 13 |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 24 | suppressed |
| Levetiracetam | Levetiracetam | 24 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 24 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 22 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 21 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 21 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 21 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 21 | suppressed |
| Breyna | Budesonide/Formoterol Fumarate | 20 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 20 | 13 |
| Diltiazem Hcl | Diltiazem Hcl | 20 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 20 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 20 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 20 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 20 | suppressed |
| Trulicity | Dulaglutide | 20 | suppressed |
| Lubiprostone | Lubiprostone | 19 | suppressed |
| Premarin | Estrogens, Conjugated | 19 | 11 |
| Primidone | Primidone | 19 | suppressed |
| Risperidone | Risperidone | 19 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 19 | suppressed |
| Acyclovir | Acyclovir | 18 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 18 | suppressed |
| Baclofen | Baclofen | 17 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 17 | suppressed |
| Entresto | Sacubitril/Valsartan | 17 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 17 | suppressed |
| Minoxidil | Minoxidil | 17 | suppressed |
| Myrbetriq | Mirabegron | 17 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 17 | suppressed |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 17 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 16 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 16 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 16 | suppressed |
| Methocarbamol | Methocarbamol | 16 | suppressed |
| Tradjenta | Linagliptin | 16 | suppressed |
| Ciclopirox | Ciclopirox Olamine | 15 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 15 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 15 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 15 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 15 | suppressed |
| Wegovy | Semaglutide | 15 | suppressed |
| Zaleplon | Zaleplon | 15 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 14 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 14 | suppressed |
| Levemir Flexpen | Insulin Detemir | 14 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 14 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 14 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 14 | suppressed |
| Verapamil Sr | Verapamil Hcl | 14 | suppressed |
| Vyvanse | Lisdexamfetamine Dimesylate | 14 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Butalb-Acetaminoph-Caff-Codein | Butalbit/Acetamin/Caff/Codeine | 13 | suppressed |
| Colchicine | Colchicine | 13 | suppressed |
| Eszopiclone | Eszopiclone | 13 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Livalo | Pitavastatin Calcium | 13 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 13 | suppressed |
| Metronidazole | Metronidazole | 13 | suppressed |
| Novolog Flexpen | Insulin Aspart | 13 | suppressed |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 13 | suppressed |
| Rybelsus | Semaglutide | 13 | suppressed |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 13 | suppressed |
| Ursodiol | Ursodiol | 13 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 13 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 13 | suppressed |
| Advair Diskus | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Benazepril-Hydrochlorothiazide | Benazepril/Hydrochlorothiazide | 12 | suppressed |
| Clotrimazole | Clotrimazole | 12 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 12 | suppressed |
| Naproxen | Naproxen | 12 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 12 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 12 | suppressed |
| Vascepa | Icosapent Ethyl | 12 | suppressed |
| Alprazolam Xr | Alprazolam | 11 | suppressed |
| Creon | Lipase/Protease/Amylase | 11 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 11 | suppressed |
| Ibuprofen | Ibuprofen | 11 | suppressed |
| Klor-Con M20 | Potassium Chloride | 11 | suppressed |
| Loperamide | Loperamide Hcl | 11 | suppressed |
| Nexium | Esomeprazole Magnesium | 11 | suppressed |
| Ultra-Fine Nano 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 | $19.91 · 1 records | Dexcom, Inc. | Dexcom G6 Transmitter | — | — |
| 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