Payment overview · 2025
General Payments
$88.03
4 reported records · 3 companies
Healthcare provider profile · identity verified
Gilbert Ledesma, MD
Allopathic & Osteopathic Physicians|Family Medicine · ARLINGTON, TX · NPI 1720045842
Verified facts
What the public records show
CMS Open Payments records show Gilbert Ledesma, MD received $88.03 in general payments during 2025 across 4 reported records.
Novo Nordisk Inc accounted for 38.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
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 126 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Rybelsus 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $33.69 | 38.3% | 2 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $33.50 | 38.1% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $20.84 | 23.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $88.03 | 4 |
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 |
|---|---|---|---|---|---|
| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $33.50 | 1 | 2025 |
Source payment records
|
|||||
| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $20.84 | 1 | 2025 |
Source payment records
|
|||||
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $17.61 | 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 |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 126 | 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 |
|---|---|---|---|---|---|---|
| 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 |
126 | 32 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
11 | 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 |
|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 574 | 178 |
| Amlodipine Besylate | Amlodipine Besylate | 429 | 131 |
| Atorvastatin Calcium | Atorvastatin Calcium | 332 | 106 |
| Metformin Hcl | Metformin Hcl | 308 | 93 |
| Levothyroxine Sodium | Levothyroxine Sodium | 300 | 86 |
| Montelukast Sodium | Montelukast Sodium | 181 | 59 |
| Omeprazole | Omeprazole | 173 | 64 |
| Lisinopril | Lisinopril | 165 | 56 |
| Prednisone | Prednisone | 143 | 116 |
| Metoprolol Succinate | Metoprolol Succinate | 138 | 41 |
| Pantoprazole Sodium | Pantoprazole Sodium | 137 | 50 |
| Ozempic | Semaglutide | 126 | 32 |
| Glimepiride | Glimepiride | 122 | 37 |
| Simvastatin | Simvastatin | 121 | 37 |
| Tamsulosin Hcl | Tamsulosin Hcl | 117 | 42 |
| Celecoxib | Celecoxib | 112 | 34 |
| Zolpidem Tartrate | Zolpidem Tartrate | 112 | 42 |
| Hydrochlorothiazide | Hydrochlorothiazide | 109 | 36 |
| Trazodone Hcl | Trazodone Hcl | 101 | 29 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 100 | 32 |
| Alprazolam | Alprazolam | 99 | 32 |
| Allopurinol | Allopurinol | 98 | 31 |
| Losartan Potassium | Losartan Potassium | 95 | 32 |
| Valsartan | Valsartan | 90 | 29 |
| Cefuroxime | Cefuroxime Axetil | 89 | 75 |
| Carvedilol | Carvedilol | 85 | 29 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 83 | 30 |
| Azithromycin | Azithromycin | 80 | 61 |
| Gabapentin | Gabapentin | 78 | 32 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 77 | 22 |
| Furosemide | Furosemide | 73 | 24 |
| Farxiga | Dapagliflozin Propanediol | 72 | 18 |
| Sertraline Hcl | Sertraline Hcl | 71 | 15 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 70 | 30 |
| Fluticasone Propionate | Fluticasone Propionate | 65 | 30 |
| Fluoxetine Hcl | Fluoxetine Hcl | 63 | 19 |
| Meloxicam | Meloxicam | 61 | 19 |
| Pioglitazone Hcl | Pioglitazone Hcl | 59 | 18 |
| Potassium Chloride | Potassium Chloride | 58 | 19 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 56 | 38 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 55 | 17 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 54 | 22 |
| Diclofenac Sodium | Diclofenac Sodium | 54 | 21 |
| Bupropion Xl | Bupropion Hcl | 52 | 12 |
| Symbicort | Budesonide/Formoterol Fumarate | 52 | 20 |
| Eliquis | Apixaban | 51 | 13 |
| Topiramate | Topiramate | 51 | 12 |
| Mirtazapine | Mirtazapine | 49 | 20 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 49 | 34 |
| Clopidogrel | Clopidogrel Bisulfate | 46 | 14 |
| Escitalopram Oxalate | Escitalopram Oxalate | 46 | 15 |
| Mounjaro | Tirzepatide | 45 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 42 | 15 |
| Jardiance | Empagliflozin | 41 | 15 |
| Alendronate Sodium | Alendronate Sodium | 39 | 12 |
| Spironolactone | Spironolactone | 39 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 38 | 15 |
| Januvia | Sitagliptin Phosphate | 37 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 36 | 27 |
| Synthroid | Levothyroxine Sodium | 36 | 11 |
| Terbinafine Hcl | Terbinafine Hcl | 36 | 14 |
| Glipizide | Glipizide | 35 | suppressed |
| Memantine Hcl | Memantine Hcl | 35 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 35 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 34 | suppressed |
| Eszopiclone | Eszopiclone | 33 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 32 | suppressed |
| Benazepril-Hydrochlorothiazide | Benazepril/Hydrochlorothiazide | 31 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 30 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 29 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 29 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 29 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 28 | 12 |
| Famotidine | Famotidine | 28 | 11 |
| Benazepril Hcl | Benazepril Hcl | 27 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 26 | suppressed |
| Fluconazole | Fluconazole | 26 | 12 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 26 | suppressed |
| Pregabalin | Pregabalin | 26 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 26 | 14 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 26 | suppressed |
| Clonazepam | Clonazepam | 25 | suppressed |
| Estradiol | Estradiol | 25 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 25 | suppressed |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 24 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 23 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 23 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 23 | 11 |
| Ibuprofen | Ibuprofen | 22 | 13 |
| Metformin Hcl Er | Metformin Hcl | 21 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 20 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 20 | suppressed |
| Nifedipine Er | Nifedipine | 20 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 20 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 20 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 19 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 18 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 18 | suppressed |
| Irbesartan | Irbesartan | 18 | suppressed |
| Myrbetriq | Mirabegron | 18 | suppressed |
| Temazepam | Temazepam | 18 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 18 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 17 | 13 |
| Breyna | Budesonide/Formoterol Fumarate | 17 | suppressed |
| Linzess | Linaclotide | 17 | suppressed |
| Methylprednisolone | Methylprednisolone | 17 | 16 |
| Pro Comfort Alcohol Pads | Alcohol Antiseptic Pads | 17 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 16 | suppressed |
| Ezetimibe | Ezetimibe | 16 | suppressed |
| Lorazepam | Lorazepam | 16 | suppressed |
| Aripiprazole | Aripiprazole | 15 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Dutasteride | Dutasteride | 15 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 15 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 15 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 15 | suppressed |
| Xigduo Xr | Dapaglifloz Propaned/Metformin | 15 | suppressed |
| Colesevelam Hcl | Colesevelam Hcl | 14 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 14 | suppressed |
| Lovastatin | Lovastatin | 14 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 14 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 13 | suppressed |
| Ibu | Ibuprofen | 13 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 13 | suppressed |
| Sucralfate | Sucralfate | 13 | suppressed |
| Verapamil Hcl | Verapamil Hcl | 13 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 12 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 12 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 12 | suppressed |
| Lamotrigine | Lamotrigine | 12 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 12 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 12 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 12 | suppressed |
| Rabeprazole Sodium | Rabeprazole Sodium | 12 | suppressed |
| Telmisartan-Hydrochlorothiazid | Telmisartan/Hydrochlorothiazid | 12 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 12 | suppressed |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 11 | suppressed |
| Chlorthalidone | Chlorthalidone | 11 | suppressed |
| Levemir Flexpen | Insulin Detemir | 11 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 11 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 11 | suppressed |
| Rybelsus | Semaglutide | 11 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 11 | suppressed |
| Testosterone | Testosterone | 11 | suppressed |
| Ultra-Fine Mini 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 | $88.03 · 4 records | Novo Nordisk Inc | Cologuard Collection Kit, FREESTYLE LIBRE 3, Ozempic | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk 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