Healthcare provider profile · identity verified

George Gabriel Toldness, APRN

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · LAS VEGAS, NV · NPI 1720646045

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 George Gabriel Toldness, APRN received $795.30 in general payments during 2025 across 32 reported records.

AstraZeneca Pharmaceuticals LP accounted for 34.2% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 16 associated products.

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

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 LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 32 claims for Linzess by this doctor in 2024.

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 12 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 22 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.

GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Trelegy Ellipta 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 40 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 133 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 24 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 71 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

$795.30

32 reported records · 9 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 $271.7234.2%82025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $207.1026.0%92025
Amgen Inc. Unresolved — no canonical attribution shown $90.1011.3%42025
PFIZER INC. Unresolved — no canonical attribution shown $71.018.9%32025
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) Unresolved — no canonical attribution shown $69.698.8%32025
Novo Nordisk Inc Unresolved — no canonical attribution shown $35.744.5%22025
ABBVIE INC. Unresolved — no canonical attribution shown $19.082.4%12025
Phadia US Inc. Unresolved — no canonical attribution shown $17.062.1%12025
Lilly USA, LLC Unresolved — no canonical attribution shown $13.801.7%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$795.3032

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
TRELEGY ELLIPTA
Normalized: trelegy ellipta
Drug GlaxoSmithKline, LLC. $207.10 9 2025
Source payment records
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $201.20 5 2025
Source payment records
OTEZLA
Normalized: otezla
Drug Amgen Inc. $74.98 3 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $74.98 3 2025
Source payment records
CAPLYTA
Normalized: caplyta
Drug ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $69.69 3 2025
Source payment records
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $52.58 2 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $52.44 2 2025
Source payment records
ELIQUIS
Normalized: eliquis
Drug PFIZER INC. $50.73 2 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $50.73 2 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $35.74 2 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $35.74 2 2025
Source payment records
PAXLOVID
Normalized: paxlovid
Drug PFIZER INC. $20.28 1 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $19.08 1 2025
Source payment records
ImmunoCAP
Normalized: immunocap
Device Phadia US Inc. $17.06 1 2025
Source payment records
KRYSTEXXA
Normalized: krystexxa
Biological Amgen Inc. $15.12 1 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Lilly USA, LLC $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 71 exact normalized Medicare Part D
FARXIGA
farxiga
2025 Farxiga 2024 22 exact normalized Medicare Part D
JARDIANCE
jardiance
2025 Jardiance 2024 40 exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 24
Beneficiary count suppressed
exact normalized Medicare Part D
TRELEGY ELLIPTA
trelegy ellipta
2025 Trelegy Ellipta 2024 31 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 LINZESS
open payments reported associated product
CMS Open Payments — General Payments
87954 supporting records · 21815 recipient NPIs · example record 1201352608
Linzess · 2024
Exact normalized brand match · 1 Part D row
32 suppressed by CMS
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
12 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
22 11
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
GlaxoSmithKline, LLC.
Exact reporting entity; no affiliate inference
2025 TRELEGY ELLIPTA
open payments reported associated product
CMS Open Payments — General Payments
131532 supporting records · 37148 recipient NPIs · example record 1190332369
Trelegy Ellipta · 2024
Exact normalized brand match · 1 Part D row
31 11
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
40 20
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
133 28
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
24 suppressed by CMS
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
71 28

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen38892
Rosuvastatin CalciumRosuvastatin Calcium308120
Atorvastatin CalciumAtorvastatin Calcium296106
Amlodipine BesylateAmlodipine Besylate290110
AlprazolamAlprazolam28069
LisinoprilLisinopril27594
Levothyroxine SodiumLevothyroxine Sodium24882
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen19538
Losartan PotassiumLosartan Potassium18768
Metformin HclMetformin Hcl17066
GabapentinGabapentin16772
Metoprolol SuccinateMetoprolol Succinate16262
Montelukast SodiumMontelukast Sodium15458
Pantoprazole SodiumPantoprazole Sodium15261
FamotidineFamotidine14762
OmeprazoleOmeprazole14461
Pioglitazone HclPioglitazone Hcl14348
Tizanidine HclTizanidine Hcl13972
Tamsulosin HclTamsulosin Hcl13659
MounjaroTirzepatide13328
MethylprednisoloneMethylprednisolone12896
GlimepirideGlimepiride12743
Albuterol Sulfate HfaAlbuterol Sulfate11865
Pravastatin SodiumPravastatin Sodium10840
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav9981
Tramadol HclTramadol Hcl9237
FinasterideFinasteride8534
AllopurinolAllopurinol8431
Ibandronate SodiumIbandronate Sodium8031
Oxycodone HclOxycodone Hcl7715
LorazepamLorazepam7518
IrbesartanIrbesartan7430
Trazodone HclTrazodone Hcl7427
Alendronate SodiumAlendronate Sodium7324
Escitalopram OxalateEscitalopram Oxalate7327
EliquisApixaban7128
Fluticasone PropionateFluticasone Propionate7137
SimvastatinSimvastatin6928
TemazepamTemazepam6613
EzetimibeEzetimibe6524
FurosemideFurosemide6425
CefdinirCefdinir6353
SulindacSulindac6232
HydrochlorothiazideHydrochlorothiazide6129
Ciprofloxacin HclCiprofloxacin Hcl5748
Potassium ChloridePotassium Chloride5729
Zolpidem TartrateZolpidem Tartrate5721
Isosorbide Mononitrate ErIsosorbide Mononitrate5617
ClonazepamClonazepam5318
Ondansetron OdtOndansetron5229
CarvedilolCarvedilol5024
Hydroxyzine HclHydroxyzine Hcl5032
IbuprofenIbuprofen4927
Clonidine HclClonidine Hcl4621
ClopidogrelClopidogrel Bisulfate4618
SpironolactoneSpironolactone4620
Breztri AerosphereBudesonide/Glycopyr/Formoterol4320
Sertraline HclSertraline Hcl4316
Oxybutynin Chloride ErOxybutynin Chloride4217
Metoprolol TartrateMetoprolol Tartrate4117
JardianceEmpagliflozin4020
Triamcinolone AcetonideTriamcinolone Acetonide4024
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim3931
Diclofenac SodiumDiclofenac Sodium3719
MeloxicamMeloxicam3711
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid3716
NaproxenNaproxen3615
PrimidonePrimidone36suppressed
Donepezil HclDonepezil Hcl3511
Morphine Sulfate ErMorphine Sulfate34suppressed
Doxycycline MonohydrateDoxycycline Monohydrate3325
Nifedipine ErNifedipine3313
PrednisonePrednisone3321
DiazepamDiazepam32suppressed
LinzessLinaclotide32suppressed
Trelegy ElliptaFluticasone/Umeclidin/Vilanter3111
EstradiolEstradiol30suppressed
LevofloxacinLevofloxacin3024
RisperidoneRisperidone30suppressed
Duloxetine HclDuloxetine Hcl28suppressed
LevetiracetamLevetiracetam28suppressed
PregabalinPregabalin2812
VascepaIcosapent Ethyl28suppressed
Buspirone HclBuspirone Hcl2713
FenofibrateFenofibrate2712
Spironolactone-HctzSpironolact/Hydrochlorothiazid2715
CarisoprodolCarisoprodol26suppressed
Clobetasol PropionateClobetasol Propionate2518
ClotrimazoleClotrimazole2514
Dicyclomine HclDicyclomine Hcl25suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog25suppressed
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst2523
Amitriptyline HclAmitriptyline Hcl24suppressed
OzempicSemaglutide24suppressed
Ropinirole HclRopinirole Hcl24suppressed
XareltoRivaroxaban24suppressed
AcyclovirAcyclovir2311
FarxigaDapagliflozin Propanediol2211
Metformin Hcl ErMetformin Hcl22suppressed
Moxifloxacin HclMoxifloxacin Hcl2118
TopiramateTopiramate21suppressed
GlipizideGlipizide20suppressed
MethocarbamolMethocarbamol20suppressed
Citalopram HbrCitalopram Hydrobromide19suppressed
HydrocortisoneHydrocortisone19suppressed
Ventolin HfaAlbuterol Sulfate1913
Quetiapine FumarateQuetiapine Fumarate18suppressed
Venlafaxine Hcl ErVenlafaxine Hcl18suppressed
Acetaminophen-CodeineAcetaminophen With Codeine17suppressed
Bupropion Hcl SrBupropion Hcl17suppressed
Cyclobenzaprine HclCyclobenzaprine Hcl17suppressed
MyrbetriqMirabegron17suppressed
Omega-3 Acid Ethyl EstersOmega-3 Acid Ethyl Esters17suppressed
ValacyclovirValacyclovir Hcl1712
BaclofenBaclofen16suppressed
Meclizine HclMeclizine Hcl1614
Pramipexole DihydrochloridePramipexole Di-Hcl16suppressed
CiclopiroxCiclopirox15suppressed
Fluoxetine HclFluoxetine Hcl15suppressed
LidocaineLidocaine15suppressed
Olmesartan MedoxomilOlmesartan Medoxomil15suppressed
FluconazoleFluconazole14suppressed
Fluticasone-SalmeterolFluticasone Propion/Salmeterol14suppressed
Methadone HclMethadone Hcl14suppressed
MethotrexateMethotrexate Sodium14suppressed
Amiodarone HclAmiodarone Hcl13suppressed
Betamethasone DipropionateBetamethasone Dipropionate1311
CelecoxibCelecoxib13suppressed
Niacin ErNiacin13suppressed
Sildenafil CitrateSildenafil Citrate13suppressed
Sumatriptan SuccinateSumatriptan Succinate13suppressed
Azelastine HclAzelastine Hcl1211
Bupropion XlBupropion Hcl12suppressed
Esomeprazole MagnesiumEsomeprazole Magnesium12suppressed
LacosamideLacosamide12suppressed
LactuloseLactulose12suppressed
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide12suppressed
Propranolol HclPropranolol Hcl12suppressed
Repatha SureclickEvolocumab12suppressed
SymbicortBudesonide/Formoterol Fumarate12suppressed
SynthroidLevothyroxine Sodium12suppressed
Warfarin SodiumWarfarin Sodium12suppressed
AmoxicillinAmoxicillin11suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide11suppressed
Midodrine HclMidodrine Hcl11suppressed
Phenytoin Sodium ExtendedPhenytoin Sodium Extended11suppressed
RamiprilRamipril11suppressed
Testosterone CypionateTestosterone Cypionate11suppressed

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 $795.30 · 32 records AstraZeneca Pharmaceuticals LP AIRSUPRA, BREZTRI, CAPLYTA, ELIQUIS, FARXIGA, ImmunoCAP, JARDIANCE, KRYSTEXXA, NURTEC ODT, OTEZLA, Ozempic, PAXLOVID, REPATHA, Rybelsus, TRELEGY ELLIPTA, VRAYLAR 9
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