Payment overview · 2025
General Payments
$259.88
11 reported records · 9 companies
Healthcare provider profile · identity verified
John M Byrnes, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · SMYRNA, TN · NPI 1700846334
Verified facts
What the public records show
CMS Open Payments records show John M Byrnes, M.D. received $259.88 in general payments during 2025 across 11 reported records.
Indivior Inc. accounted for 21.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 associated products.
Astellas Pharma US 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 Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 32 claims for Myrbetriq 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 |
|---|---|---|---|---|---|
| Indivior Inc. | Unresolved — no canonical attribution shown | $55.88 | 21.5% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $42.42 | 16.3% | 2 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $33.14 | 12.8% | 1 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $31.24 | 12.0% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $21.10 | 8.1% | 1 | 2025 |
| Antares Pharma, Inc. | Unresolved — no canonical attribution shown | $20.93 | 8.1% | 1 | 2025 |
| Azurity Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $19.28 | 7.4% | 1 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $19.13 | 7.4% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $16.76 | 6.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $259.88 | 11 |
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 |
|---|---|---|---|---|---|
| SUBLOCADE Normalized: sublocade |
Drug | Indivior Inc. | $55.88 | 2 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $42.42 | 2 | 2025 |
Source payment records
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| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $33.14 | 1 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $31.24 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $21.10 | 1 | 2025 |
Source payment records
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| XYOSTED Normalized: xyosted |
Drug | Antares Pharma, Inc. | $20.93 | 1 | 2025 |
Source payment records
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| AZMIRO Normalized: azmiro |
Drug | Azurity Pharmaceuticals, Inc. | $19.28 | 1 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $19.13 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $16.76 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $16.76 | 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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
32 | suppressed by CMS |
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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 355 | 52 |
| Omeprazole | Omeprazole | 212 | 27 |
| Amlodipine Besylate | Amlodipine Besylate | 170 | 29 |
| Simvastatin | Simvastatin | 148 | 22 |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 126 | 20 |
| Lisinopril | Lisinopril | 110 | 32 |
| Famotidine | Famotidine | 107 | 11 |
| Tamsulosin Hcl | Tamsulosin Hcl | 106 | 16 |
| Atorvastatin Calcium | Atorvastatin Calcium | 103 | 28 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 91 | 22 |
| Metformin Hcl | Metformin Hcl | 73 | 19 |
| Lamotrigine | Lamotrigine | 70 | suppressed |
| Furosemide | Furosemide | 58 | 12 |
| Losartan Potassium | Losartan Potassium | 52 | suppressed |
| Topiramate | Topiramate | 52 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 49 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 49 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 47 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 42 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 42 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 42 | suppressed |
| Meloxicam | Meloxicam | 41 | 11 |
| Eliquis | Apixaban | 39 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 39 | suppressed |
| Linzess | Linaclotide | 38 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 35 | suppressed |
| Latanoprost | Latanoprost | 35 | suppressed |
| Levetiracetam | Levetiracetam | 35 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 32 | suppressed |
| Mirtazapine | Mirtazapine | 32 | suppressed |
| Myrbetriq | Mirabegron | 32 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 32 | suppressed |
| Alprazolam | Alprazolam | 31 | suppressed |
| Junel Fe | Norethindrone-E.Estradiol-Iron | 31 | suppressed |
| Lactulose | Lactulose | 30 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 29 | suppressed |
| Potassium Chloride | Potassium Chloride | 29 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 28 | suppressed |
| Gabapentin | Gabapentin | 27 | 11 |
| Trazodone Hcl | Trazodone Hcl | 27 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 26 | suppressed |
| Baclofen | Baclofen | 24 | suppressed |
| Carbamazepine | Carbamazepine | 24 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 24 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 23 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 23 | suppressed |
| Ibuprofen | Ibuprofen | 23 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 22 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 22 | suppressed |
| Fenofibrate | Fenofibrate | 21 | suppressed |
| Spironolactone | Spironolactone | 21 | suppressed |
| Suboxone | Buprenorphine Hcl/Naloxone Hcl | 21 | suppressed |
| Finasteride | Finasteride | 20 | suppressed |
| Levonorgestrel-Eth Estradiol | Levonorgestrel/Ethin.Estradiol | 20 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 19 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 19 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 19 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 18 | suppressed |
| Carvedilol | Carvedilol | 17 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 17 | suppressed |
| Valproic Acid | Valproic Acid (As Sodium Salt) | 17 | suppressed |
| Valsartan | Valsartan | 17 | suppressed |
| Naproxen | Naproxen | 16 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 16 | suppressed |
| Risperidone | Risperidone | 16 | suppressed |
| Azithromycin | Azithromycin | 15 | 15 |
| Estradiol-Norethindrone Acetat | Estradiol/Norethindrone Acet | 15 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 15 | suppressed |
| Scopolamine | Scopolamine | 15 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 15 | suppressed |
| Zonisamide | Zonisamide | 15 | suppressed |
| Diazepam | Diazepam | 14 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 13 | suppressed |
| Amoxicillin | Amoxicillin | 13 | suppressed |
| Celecoxib | Celecoxib | 13 | suppressed |
| Ezetimibe | Ezetimibe | 13 | suppressed |
| Temazepam | Temazepam | 13 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 12 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 12 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 12 | suppressed |
| Chlorhexidine Gluconate | Chlorhexidine Gluconate | 12 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 12 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 12 | suppressed |
| Febuxostat | Febuxostat | 12 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 12 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 12 | suppressed |
| Gemfibrozil | Gemfibrozil | 12 | suppressed |
| Ketoconazole | Ketoconazole | 12 | suppressed |
| Loperamide | Loperamide Hcl | 12 | suppressed |
| Lovastatin | Lovastatin | 12 | suppressed |
| Methylprednisolone | Methylprednisolone | 12 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 12 | suppressed |
| Nabumetone | Nabumetone | 12 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 12 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 12 | suppressed |
| Armodafinil | Armodafinil | 11 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 11 | suppressed |
| Prednisone | Prednisone | 11 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 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 | $259.88 · 11 records | Indivior Inc. | AZMIRO, CAPLYTA, Cologuard Collection Kit, INSPIRE, MOUNJARO, SUBLOCADE, Veozah, Wegovy, XYOSTED, ZEPBOUND | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US Inc?
- 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