Healthcare provider profile · identity verified

Nicholas Guinn, MD

Allopathic & Osteopathic Physicians|Family Medicine · JONESBORO, AR · NPI 1710253208

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Nicholas Guinn, MD received $1,737.90 in general payments during 2025 across 129 reported records.

AstraZeneca Pharmaceuticals LP accounted for 32.1% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 23 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, Farxiga, Jardiance, Mounjaro, Ozempic.

ABBVIE 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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Synthroid by this doctor in 2024.

AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 50 claims for Farxiga by this doctor in 2024.

AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Symbicort by this doctor in 2024.

Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 56 claims for Jardiance by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 56 claims for Jardiance by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 36 claims for Mounjaro by this doctor in 2024.

Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 64 claims for Ozempic by this doctor in 2024.

PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 73 claims for Eliquis by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$1,737.90

129 reported records · 13 companies

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 companyCanonical companyAmountShareRecordsYear
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $558.6832.1%192025
PFIZER INC. Unresolved — no canonical attribution shown $284.8716.4%372025
ABBVIE INC. Unresolved — no canonical attribution shown $211.0612.1%222025
Novo Nordisk Inc Unresolved — no canonical attribution shown $153.578.8%132025
Otsuka America Pharmaceutical, Inc. Unresolved — no canonical attribution shown $151.718.7%112025
Lilly USA, LLC Unresolved — no canonical attribution shown $112.176.5%82025
Abbott Laboratories Unresolved — no canonical attribution shown $76.554.4%42025
Phathom Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $70.904.1%82025
Amgen Inc. Unresolved — no canonical attribution shown $41.522.4%32025
Salix Pharmaceuticals, a division of Bausch Health US, LLC Unresolved — no canonical attribution shown $23.481.4%12025
Bayer Healthcare Pharmaceuticals Inc. Unresolved — no canonical attribution shown $18.811.1%12025
ACADIA Pharmaceuticals Inc Unresolved — no canonical attribution shown $18.701.1%12025
Boehringer Ingelheim Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $15.880.9%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$1,737.90129

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 productTypeReported companyRelated amount*RecordsYear
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $371.66 7 2025
Source payment records
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $346.02 10 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $284.87 37 2025
Source payment records
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $252.74 4 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $170.15 25 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $156.88 18 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $156.88 18 2025
Source payment records
REXULTI
Normalized: rexulti
Drug Otsuka America Pharmaceutical, Inc. $151.71 11 2025
Source payment records
ELIQUIS
Normalized: eliquis
Drug PFIZER INC. $114.72 12 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $112.17 8 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $112.17 8 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $102.04 6 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $102.04 6 2025
Source payment records
FREESTYLE LIBRE 3
Normalized: freestyle libre 3
Device Abbott Laboratories $76.55 4 2025
Source payment records
VOQUEZNA
Normalized: voquezna
Drug Phathom Pharmaceuticals, Inc. $70.90 8 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $54.18 4 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $51.53 7 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $41.52 3 2025
Source payment records
XIFAXAN
Normalized: xifaxan
Drug Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.48 1 2025
Source payment records
  • 2025-02-28 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $23.48 · Open Payments source
Kerendia
Normalized: kerendia
Drug Bayer Healthcare Pharmaceuticals Inc. $18.81 1 2025
Source payment records
DAYBUE
Normalized: daybue
Drug ACADIA Pharmaceuticals Inc $18.70 1 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Boehringer Ingelheim Pharmaceuticals, Inc. $15.88 1 2025
Source payment records
OTEZLA
Normalized: otezla
Drug Amgen Inc. $13.80 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

Open Payments productPayment yearPart D brandPart D yearClaimsMatch methodSource
ELIQUIS
eliquis
2025 Eliquis 2024 73 exact normalized Medicare Part D
FARXIGA
farxiga
2025 Farxiga 2024 50 exact normalized Medicare Part D
JARDIANCE
jardiance
2025 Jardiance 2024 56 exact normalized Medicare Part D
MOUNJARO
mounjaro
2025 Mounjaro 2024 36
Beneficiary count suppressed
exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 64 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 companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 SYNTHROID
open payments reported associated product
CMS Open Payments — General Payments
10655 supporting records · 4881 recipient NPIs · example record 1201352636
Synthroid · 2024
Exact normalized brand match · 1 Part D row
23 suppressed by CMS
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 FARXIGA
open payments reported associated product
CMS Open Payments — General Payments
106133 supporting records · 42906 recipient NPIs · example record 1206131362
Farxiga · 2024
Exact normalized brand match · 1 Part D row
50 13
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 SYMBICORT
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 51 recipient NPIs · example record 1206132610
Symbicort · 2024
Exact normalized brand match · 1 Part D row
12 suppressed by CMS
Boehringer Ingelheim Pharmaceuticals, Inc.
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
123636 supporting records · 49438 recipient NPIs · example record 1221811583
Jardiance · 2024
Exact normalized brand match · 1 Part D row
56 17
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
47708 supporting records · 23833 recipient NPIs · example record 1186464557
Jardiance · 2024
Exact normalized brand match · 1 Part D row
56 17
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 MOUNJARO
open payments reported associated product
CMS Open Payments — General Payments
186719 supporting records · 66436 recipient NPIs · example record 1186464455
Mounjaro · 2024
Exact normalized brand match · 1 Part D row
36 suppressed by CMS
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Ozempic
open payments reported associated product
CMS Open Payments — General Payments
261625 supporting records · 77793 recipient NPIs · example record 1188130076
Ozempic · 2024
Exact normalized brand match · 1 Part D row
64 11
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 ELIQUIS
open payments reported associated product
CMS Open Payments — General Payments
87112 supporting records · 36032 recipient NPIs · example record 1228794063
Eliquis · 2024
Exact normalized brand match · 1 Part D row
73 16

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

BrandGenericClaimsBeneficiaries
Atorvastatin CalciumAtorvastatin Calcium460120
Pantoprazole SodiumPantoprazole Sodium28882
Amlodipine BesylateAmlodipine Besylate26071
LisinoprilLisinopril24663
GabapentinGabapentin18159
Levothyroxine SodiumLevothyroxine Sodium18147
OmeprazoleOmeprazole17646
Metformin HclMetformin Hcl17253
Losartan PotassiumLosartan Potassium16253
Diclofenac SodiumDiclofenac Sodium13666
HydrochlorothiazideHydrochlorothiazide12740
FurosemideFurosemide12446
CarvedilolCarvedilol11730
MeloxicamMeloxicam11745
Citalopram HbrCitalopram Hydrobromide11228
Duloxetine HclDuloxetine Hcl10532
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen9834
Tramadol HclTramadol Hcl8930
ClopidogrelClopidogrel Bisulfate8326
Metoprolol SuccinateMetoprolol Succinate8326
Pravastatin SodiumPravastatin Sodium8218
ClonazepamClonazepam8124
SimvastatinSimvastatin8119
Rosuvastatin CalciumRosuvastatin Calcium8022
Trazodone HclTrazodone Hcl7822
Albuterol Sulfate HfaAlbuterol Sulfate7334
EliquisApixaban7316
Tamsulosin HclTamsulosin Hcl7326
AllopurinolAllopurinol7018
Sertraline HclSertraline Hcl7019
EzetimibeEzetimibe6916
OzempicSemaglutide6411
PregabalinPregabalin6014
Potassium ChloridePotassium Chloride5920
ValsartanValsartan5916
FamotidineFamotidine5820
Fluticasone PropionateFluticasone Propionate5729
JardianceEmpagliflozin5617
AtenololAtenolol53suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide5213
Bupropion XlBupropion Hcl5113
GlimepirideGlimepiride5115
Metoprolol TartrateMetoprolol Tartrate5117
FarxigaDapagliflozin Propanediol5013
PrednisonePrednisone5043
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide4915
Fluoxetine HclFluoxetine Hcl4812
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav4339
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide4212
FenofibrateFenofibrate3813
MounjaroTirzepatide36suppressed
Alendronate SodiumAlendronate Sodium35suppressed
Oxybutynin Chloride ErOxybutynin Chloride3512
EntrestoSacubitril/Valsartan33suppressed
Buspirone HclBuspirone Hcl32suppressed
Cyclobenzaprine HclCyclobenzaprine Hcl3215
FinasterideFinasteride32suppressed
Meclizine HclMeclizine Hcl3213
Donepezil HclDonepezil Hcl31suppressed
Metformin Hcl ErMetformin Hcl3111
Amitriptyline HclAmitriptyline Hcl29suppressed
CelecoxibCelecoxib29suppressed
Ondansetron OdtOndansetron2817
Pioglitazone HclPioglitazone Hcl28suppressed
DexamethasoneDexamethasone2727
GlipizideGlipizide26suppressed
Oxybutynin ChlorideOxybutynin Chloride26suppressed
AlprazolamAlprazolam25suppressed
Montelukast SodiumMontelukast Sodium2411
Ropinirole HclRopinirole Hcl24suppressed
SynthroidLevothyroxine Sodium23suppressed
Doxycycline HyclateDoxycycline Hyclate2219
Hydroxyzine HclHydroxyzine Hcl22suppressed
JanuviaSitagliptin Phosphate22suppressed
Tresiba Flextouch U-200Insulin Degludec22suppressed
Venlafaxine Hcl ErVenlafaxine Hcl22suppressed
XareltoRivaroxaban22suppressed
Amlodipine-ValsartanAmlodipine Besylate/Valsartan21suppressed
Dicyclomine HclDicyclomine Hcl21suppressed
Ibandronate SodiumIbandronate Sodium21suppressed
Quetiapine FumarateQuetiapine Fumarate21suppressed
Stiolto RespimatTiotropium Br/Olodaterol Hcl21suppressed
Breztri AerosphereBudesonide/Glycopyr/Formoterol20suppressed
Testosterone CypionateTestosterone Cypionate20suppressed
Warfarin SodiumWarfarin Sodium20suppressed
MethylprednisoloneMethylprednisolone1919
MirtazapineMirtazapine19suppressed
Spiriva RespimatTiotropium Bromide19suppressed
Varenicline TartrateVarenicline Tartrate19suppressed
Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril18suppressed
Azelastine HclAzelastine Hcl18suppressed
AzithromycinAzithromycin1815
Fluticasone-SalmeterolFluticasone Propion/Salmeterol18suppressed
Tizanidine HclTizanidine Hcl1811
DigoxinDigoxin17suppressed
FenofibrateFenofibrate Nanocrystallized17suppressed
Hydralazine HclHydralazine Hcl17suppressed
Incruse ElliptaUmeclidinium Bromide17suppressed
Nortriptyline HclNortriptyline Hcl17suppressed
Orphenadrine Citrate ErOrphenadrine Citrate1716
Triamcinolone AcetonideTriamcinolone Acetonide1715
ValacyclovirValacyclovir Hcl17suppressed
Zolpidem TartrateZolpidem Tartrate17suppressed
Breo ElliptaFluticasone/Vilanterol16suppressed
JanumetSitagliptin Phos/Metformin Hcl16suppressed
Paroxetine HclParoxetine Hcl16suppressed
AripiprazoleAripiprazole15suppressed
IbuprofenIbuprofen15suppressed
MyrbetriqMirabegron15suppressed
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst1513
SpironolactoneSpironolactone15suppressed
Amiodarone HclAmiodarone Hcl14suppressed
Isosorbide Mononitrate ErIsosorbide Mononitrate14suppressed
Ranolazine ErRanolazine14suppressed
Trelegy ElliptaFluticasone/Umeclidin/Vilanter14suppressed
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr13suppressed
BaclofenBaclofen13suppressed
CefuroximeCefuroxime Axetil1312
Clonidine HclClonidine Hcl12suppressed
Enalapril MaleateEnalapril Maleate12suppressed
EstradiolEstradiol12suppressed
Glipizide ErGlipizide12suppressed
PrimidonePrimidone12suppressed
SymbicortBudesonide/Formoterol Fumarate12suppressed
BelsomraSuvorexant11suppressed
Escitalopram OxalateEscitalopram Oxalate11suppressed
FluconazoleFluconazole11suppressed
Irbesartan-HydrochlorothiazideIrbesartan/Hydrochlorothiazide11suppressed
Labetalol HclLabetalol Hcl11suppressed
Prazosin HclPrazosin Hcl11suppressed

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.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $1,737.90 · 129 records AstraZeneca Pharmaceuticals LP AIRSUPRA, BREZTRI, DAYBUE, ELIQUIS, FARXIGA, FREESTYLE LIBRE 3, JARDIANCE, Kerendia, MOUNJARO, NURTEC ODT, OTEZLA, Ozempic, QULIPTA, REPATHA, REXULTI, Rybelsus, UBRELVY, VOQUEZNA, VRAYLAR, Wegovy, XIFAXAN, ZAVZPRET, ZEPBOUND 8
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error