Payment overview · 2025
General Payments
$277.92
13 reported records · 7 companies
Healthcare provider profile · identity verified
Richard Duane Cespedes, MD
Allopathic & Osteopathic Physicians|Urology · EASTON, MD · NPI 1710094792
Verified facts
What the public records show
CMS Open Payments records show Richard Duane Cespedes, MD received $277.92 in general payments during 2025 across 13 reported records.
ABBVIE INC. accounted for 19.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Gemtesa.
Sumitomo Pharma America, 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 GEMTESA as an associated drug or biological on 61692 records involving 22152 distinct recipient NPIs. Public Medicare Part D data also shows 163 claims for Gemtesa 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $54.65 | 19.7% | 2 | 2025 |
| Endo USA, Inc. | Unresolved — no canonical attribution shown | $52.55 | 18.9% | 3 | 2025 |
| COLOPLAST CORP | Unresolved — no canonical attribution shown | $50.23 | 18.1% | 3 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $45.47 | 16.4% | 2 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $28.12 | 10.1% | 1 | 2025 |
| PROGENICS PHARMACEUTICALS, INC. | Unresolved — no canonical attribution shown | $24.73 | 8.9% | 1 | 2025 |
| IMMUNITYBIO, INC. | Unresolved — no canonical attribution shown | $22.17 | 8.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $277.92 | 13 |
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 |
|---|---|---|---|---|---|
| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $54.65 | 2 | 2025 |
Source payment records
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| AVEED Normalized: aveed |
Biological | Endo USA, Inc. | $52.55 | 3 | 2025 |
Source payment records
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| XIAFLEX Normalized: xiaflex |
Biological | Endo USA, Inc. | $52.55 | 3 | 2025 |
Source payment records
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $45.47 | 2 | 2025 |
Source payment records
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| AMS 700 Normalized: ams 700 |
Device | Boston Scientific Corporation | $28.12 | 1 | 2025 |
Source payment records
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| PYLARIFY Normalized: pylarify |
Drug | PROGENICS PHARMACEUTICALS, INC. | $24.73 | 1 | 2025 |
Source payment records
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| ANKTIVA Normalized: anktiva |
Drug | IMMUNITYBIO, INC. | $22.17 | 1 | 2025 |
Source payment records
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| Titan Normalized: titan |
Device | COLOPLAST CORP | $19.20 | 1 | 2025 |
Source payment records
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| SpeediCath Normalized: speedicath |
Device | COLOPLAST CORP | $16.64 | 1 | 2025 |
Source payment records
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| Porges Coloplast Normalized: porges coloplast |
Device | COLOPLAST CORP | $14.39 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| GEMTESA gemtesa |
2025 | Gemtesa | 2024 | 163 | exact normalized | Medicare Part D |
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 |
|---|---|---|---|---|---|---|
| Sumitomo Pharma America, Inc. Exact reporting entity; no affiliate inference |
2025 | GEMTESA open payments reported associated product |
CMS Open Payments — General Payments 61692 supporting records · 22152 recipient NPIs · example record 1176593503 |
Gemtesa · 2024 Exact normalized brand match · 1 Part D row |
163 | 29 |
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 |
|---|---|---|---|
| Myrbetriq | Mirabegron | 1186 | 233 |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 594 | 121 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 553 | 284 |
| Solifenacin Succinate | Solifenacin Succinate | 523 | 135 |
| Trospium Chloride | Trospium Chloride | 406 | 98 |
| Cephalexin | Cephalexin | 369 | 227 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 358 | 77 |
| Estradiol | Estradiol | 193 | 127 |
| Gemtesa | Vibegron | 163 | 29 |
| Fesoterodine Fumarate Er | Fesoterodine Fumarate | 131 | 24 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 105 | 71 |
| Oxybutynin Chloride | Oxybutynin Chloride | 101 | 22 |
| Mirabegron Er | Mirabegron | 90 | 37 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 77 | 17 |
| Methenamine Hippurate | Methenamine Hippurate | 73 | 19 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 71 | 44 |
| Ondansetron Hcl | Ondansetron Hcl | 52 | 49 |
| Tolterodine Tartrate | Tolterodine Tartrate | 48 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 47 | 47 |
| Tamsulosin Hcl | Tamsulosin Hcl | 43 | suppressed |
| Clotrimazole | Clotrimazole | 31 | 13 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 30 | 14 |
| Colestipol Hcl | Colestipol Hcl | 27 | 16 |
| Trospium Chloride Er | Trospium Chloride | 25 | suppressed |
| Premarin | Estrogens, Conjugated | 23 | 16 |
| Cefuroxime | Cefuroxime Axetil | 17 | 11 |
| Finasteride | Finasteride | 17 | suppressed |
| Potassium Citrate Er | Potassium Citrate | 17 | suppressed |
| Cefdinir | Cefdinir | 16 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 12 | suppressed |
| Fluconazole | Fluconazole | 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 | $277.92 · 13 records | ABBVIE INC. | AMS 700, ANKTIVA, AVEED, BOTOX, GEMTESA, PYLARIFY, Porges Coloplast, SpeediCath, Titan, XIAFLEX | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Gemtesa play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Sumitomo Pharma America, 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