Payment overview · 2025
General Payments
$14.89
1 reported records · 1 companies
Healthcare provider profile · identity verified
David S Shapiro, MD
Allopathic & Osteopathic Physicians|Internal Medicine · MELBOURNE, FL · NPI 1699730671
Verified facts
What the public records show
CMS Open Payments records show David S Shapiro, MD received $14.89 in general payments during 2025 across 1 reported records.
Optinose US, 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 |
|---|---|---|---|---|---|
| Optinose US, Inc. | Unresolved — no canonical attribution shown | $14.89 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $14.89 | 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 |
|---|---|---|---|---|---|
| Xhance Normalized: xhance |
Drug | Optinose US, Inc. | $14.89 | 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 | 672 | 190 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 515 | 156 |
| Levothyroxine Sodium | Levothyroxine Sodium | 483 | 137 |
| Lisinopril | Lisinopril | 377 | 113 |
| Amlodipine Besylate | Amlodipine Besylate | 362 | 102 |
| Losartan Potassium | Losartan Potassium | 350 | 101 |
| Metoprolol Succinate | Metoprolol Succinate | 323 | 93 |
| Metformin Hcl | Metformin Hcl | 248 | 72 |
| Omeprazole | Omeprazole | 244 | 74 |
| Gabapentin | Gabapentin | 215 | 53 |
| Pantoprazole Sodium | Pantoprazole Sodium | 209 | 69 |
| Duloxetine Hcl | Duloxetine Hcl | 180 | 58 |
| Hydrochlorothiazide | Hydrochlorothiazide | 135 | 37 |
| Metoprolol Tartrate | Metoprolol Tartrate | 131 | 41 |
| Simvastatin | Simvastatin | 124 | 37 |
| Tamsulosin Hcl | Tamsulosin Hcl | 124 | 37 |
| Allopurinol | Allopurinol | 121 | 30 |
| Escitalopram Oxalate | Escitalopram Oxalate | 120 | 38 |
| Glimepiride | Glimepiride | 117 | 35 |
| Montelukast Sodium | Montelukast Sodium | 114 | 33 |
| Clopidogrel | Clopidogrel Bisulfate | 111 | 33 |
| Doxazosin Mesylate | Doxazosin Mesylate | 110 | 29 |
| Alprazolam | Alprazolam | 107 | 33 |
| Synthroid | Levothyroxine Sodium | 98 | 27 |
| Alendronate Sodium | Alendronate Sodium | 97 | 30 |
| Pravastatin Sodium | Pravastatin Sodium | 97 | 27 |
| Potassium Chloride | Potassium Chloride | 95 | 28 |
| Trazodone Hcl | Trazodone Hcl | 91 | 27 |
| Ezetimibe | Ezetimibe | 86 | 28 |
| Ozempic | Semaglutide | 85 | 15 |
| Jardiance | Empagliflozin | 84 | 20 |
| Sertraline Hcl | Sertraline Hcl | 84 | 25 |
| Paroxetine Hcl | Paroxetine Hcl | 83 | 26 |
| Meloxicam | Meloxicam | 75 | 32 |
| Zolpidem Tartrate | Zolpidem Tartrate | 74 | 29 |
| Atenolol | Atenolol | 72 | 18 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 69 | 31 |
| Spironolactone | Spironolactone | 68 | 17 |
| Tramadol Hcl | Tramadol Hcl | 67 | 18 |
| Fluticasone Propionate | Fluticasone Propionate | 62 | 22 |
| Eliquis | Apixaban | 61 | 18 |
| Bupropion Xl | Bupropion Hcl | 56 | 20 |
| Finasteride | Finasteride | 54 | 16 |
| Furosemide | Furosemide | 53 | 17 |
| Citalopram Hbr | Citalopram Hydrobromide | 51 | 17 |
| Famotidine | Famotidine | 51 | 19 |
| Lorazepam | Lorazepam | 48 | 18 |
| Irbesartan | Irbesartan | 45 | 12 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 45 | 11 |
| Methylprednisolone | Methylprednisolone | 44 | 40 |
| Buspirone Hcl | Buspirone Hcl | 42 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 42 | 13 |
| Xarelto | Rivaroxaban | 42 | 13 |
| Metformin Hcl Er | Metformin Hcl | 40 | 11 |
| Clonazepam | Clonazepam | 39 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 38 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 38 | 11 |
| Nifedipine Er | Nifedipine | 38 | 12 |
| Mounjaro | Tirzepatide | 37 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 37 | 22 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 36 | 14 |
| Glipizide | Glipizide | 35 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 34 | 11 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 33 | suppressed |
| Mirtazapine | Mirtazapine | 33 | 12 |
| Lovastatin | Lovastatin | 32 | suppressed |
| Carvedilol | Carvedilol | 30 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 30 | 26 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 30 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 29 | 28 |
| Tradjenta | Linagliptin | 28 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 27 | suppressed |
| Celecoxib | Celecoxib | 26 | suppressed |
| Dutasteride | Dutasteride | 25 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 25 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 25 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 25 | suppressed |
| Temazepam | Temazepam | 25 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 25 | suppressed |
| Ramipril | Ramipril | 24 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 23 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 23 | suppressed |
| Repatha Sureclick | Evolocumab | 22 | suppressed |
| Calcitriol | Calcitriol | 21 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 21 | suppressed |
| Fenofibrate | Fenofibrate | 21 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 21 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 21 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 20 | 17 |
| Fluoxetine Hcl | Fluoxetine Hcl | 19 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 19 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 18 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 18 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 18 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 18 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 18 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 18 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 18 | suppressed |
| Ibuprofen | Ibuprofen | 17 | suppressed |
| Januvia | Sitagliptin Phosphate | 17 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 17 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 17 | suppressed |
| Prednisone | Prednisone | 17 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 16 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 16 | 16 |
| Valsartan | Valsartan | 16 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 15 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 15 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 15 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 15 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 15 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 15 | suppressed |
| Verapamil Er | Verapamil Hcl | 15 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 14 | suppressed |
| Lansoprazole | Lansoprazole | 14 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 14 | suppressed |
| Testosterone | Testosterone | 14 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 14 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 13 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 13 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 13 | suppressed |
| Rexulti | Brexpiprazole | 13 | suppressed |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 13 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 12 | suppressed |
| Fosinopril Sodium | Fosinopril Sodium | 12 | suppressed |
| Gemfibrozil | Gemfibrozil | 12 | suppressed |
| Vancomycin Hcl | Vancomycin Hcl | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 11 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 11 | suppressed |
| Estradiol | Estradiol | 11 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 11 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 11 | suppressed |
| Lubiprostone | Lubiprostone | 11 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 11 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 11 | suppressed |
| Trulicity | Dulaglutide | 11 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 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 | $14.89 · 1 records | Optinose US, Inc. | Xhance | — | — |
| 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