Payment overview · 2025
General Payments
$44.95
2 reported records · 2 companies
Healthcare provider profile · identity verified
David L Kyger, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · MUSKOGEE, OK · NPI 1730126210
Verified facts
What the public records show
CMS Open Payments records show David L Kyger, M.D. received $44.95 in general payments during 2025 across 2 reported records.
Novartis Pharmaceuticals Corporation accounted for 52.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ENTRESTO as an associated drug or biological on 9346 records involving 6254 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Entresto 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 191 claims for Eliquis 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 NURTEC ODT as an associated drug or biological on 217574 records involving 54025 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Nurtec Odt 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 |
|---|---|---|---|---|---|
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $23.74 | 52.8% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $21.21 | 47.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $44.95 | 2 |
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 |
|---|---|---|---|---|---|
| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $23.74 | 1 | 2025 |
Source payment records
|
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| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $21.21 | 1 | 2025 |
Source payment records
|
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| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $21.21 | 1 | 2025 |
Source payment records
|
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $21.21 | 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 |
|---|---|---|---|---|---|---|
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | ENTRESTO open payments reported associated product |
CMS Open Payments — General Payments 9346 supporting records · 6254 recipient NPIs · example record 1200004797 |
Entresto · 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 |
191 | 39 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | NURTEC ODT open payments reported associated product |
CMS Open Payments — General Payments 217574 supporting records · 54025 recipient NPIs · example record 1228794063 |
Nurtec Odt · 2024 Exact normalized brand match · 1 Part D row |
12 | 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 | 600 | 133 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 559 | 154 |
| Losartan Potassium | Losartan Potassium | 388 | 107 |
| Amlodipine Besylate | Amlodipine Besylate | 342 | 87 |
| Atorvastatin Calcium | Atorvastatin Calcium | 331 | 86 |
| Ezetimibe | Ezetimibe | 217 | 64 |
| Jardiance | Empagliflozin | 203 | 37 |
| Alprazolam | Alprazolam | 199 | 37 |
| Omeprazole | Omeprazole | 194 | 50 |
| Eliquis | Apixaban | 191 | 39 |
| Pantoprazole Sodium | Pantoprazole Sodium | 180 | 42 |
| Lisinopril | Lisinopril | 174 | 45 |
| Hydrochlorothiazide | Hydrochlorothiazide | 160 | 44 |
| Furosemide | Furosemide | 153 | 47 |
| Metformin Hcl | Metformin Hcl | 150 | 45 |
| Mirtazapine | Mirtazapine | 130 | 28 |
| Gabapentin | Gabapentin | 121 | 34 |
| Tamsulosin Hcl | Tamsulosin Hcl | 119 | 38 |
| Potassium Chloride | Potassium Chloride | 115 | 37 |
| Ozempic | Semaglutide | 113 | 19 |
| Famotidine | Famotidine | 109 | 34 |
| Metoprolol Succinate | Metoprolol Succinate | 106 | 28 |
| Tramadol Hcl | Tramadol Hcl | 105 | 18 |
| Spironolactone | Spironolactone | 103 | 28 |
| Zolpidem Tartrate | Zolpidem Tartrate | 101 | 15 |
| Memantine Hcl | Memantine Hcl | 100 | 19 |
| Metformin Hcl Er | Metformin Hcl | 100 | 27 |
| Sertraline Hcl | Sertraline Hcl | 99 | 28 |
| Meloxicam | Meloxicam | 93 | 27 |
| Duloxetine Hcl | Duloxetine Hcl | 88 | 24 |
| Clopidogrel | Clopidogrel Bisulfate | 83 | 22 |
| Clonazepam | Clonazepam | 80 | 11 |
| Alendronate Sodium | Alendronate Sodium | 75 | 17 |
| Donepezil Hcl | Donepezil Hcl | 73 | 19 |
| Montelukast Sodium | Montelukast Sodium | 70 | 22 |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 68 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 66 | 14 |
| Hydralazine Hcl | Hydralazine Hcl | 61 | 16 |
| Farxiga | Dapagliflozin Propanediol | 59 | 13 |
| Finasteride | Finasteride | 59 | 12 |
| Metoprolol Tartrate | Metoprolol Tartrate | 59 | 16 |
| Nifedipine Er | Nifedipine | 58 | 11 |
| Pravastatin Sodium | Pravastatin Sodium | 58 | 20 |
| Candesartan Cilexetil | Candesartan Cilexetil | 57 | 19 |
| Carvedilol | Carvedilol | 57 | 17 |
| Fluticasone Propionate | Fluticasone Propionate | 57 | 25 |
| Trazodone Hcl | Trazodone Hcl | 57 | 13 |
| Celecoxib | Celecoxib | 54 | suppressed |
| Irbesartan | Irbesartan | 54 | 11 |
| Glimepiride | Glimepiride | 52 | 14 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 52 | 11 |
| Lorazepam | Lorazepam | 51 | suppressed |
| Allopurinol | Allopurinol | 49 | 14 |
| Azithromycin | Azithromycin | 49 | 40 |
| Chlorthalidone | Chlorthalidone | 49 | 18 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 49 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 48 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 42 | suppressed |
| Indapamide | Indapamide | 42 | 12 |
| Januvia | Sitagliptin Phosphate | 42 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 40 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 40 | 24 |
| Novolog Flexpen | Insulin Aspart | 40 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 39 | suppressed |
| Pregabalin | Pregabalin | 39 | suppressed |
| Simvastatin | Simvastatin | 38 | 11 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 36 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 36 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 36 | suppressed |
| Lamotrigine | Lamotrigine | 35 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 34 | suppressed |
| Estradiol | Estradiol | 34 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 34 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 33 | 12 |
| Clonidine | Clonidine | 32 | suppressed |
| Sucralfate | Sucralfate | 32 | suppressed |
| Xarelto | Rivaroxaban | 32 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 31 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 30 | suppressed |
| Nateglinide | Nateglinide | 29 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 28 | suppressed |
| Synthroid | Levothyroxine Sodium | 28 | suppressed |
| Icosapent Ethyl | Icosapent Ethyl | 27 | suppressed |
| Torsemide | Torsemide | 27 | suppressed |
| Atenolol | Atenolol | 26 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 26 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 26 | suppressed |
| Mounjaro | Tirzepatide | 25 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 25 | 14 |
| Tradjenta | Linagliptin | 25 | suppressed |
| Trulicity | Dulaglutide | 25 | suppressed |
| Entresto | Sacubitril/Valsartan | 24 | suppressed |
| Ramipril | Ramipril | 24 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 23 | suppressed |
| Aliskiren | Aliskiren Hemifumarate | 22 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 22 | 13 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 22 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 22 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 22 | suppressed |
| Temazepam | Temazepam | 22 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 22 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 21 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 21 | suppressed |
| Bupropion Xl | Bupropion Hcl | 20 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 20 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 20 | suppressed |
| Levetiracetam | Levetiracetam | 20 | suppressed |
| Mupirocin | Mupirocin | 20 | 11 |
| Repatha Sureclick | Evolocumab | 20 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 20 | suppressed |
| Rybelsus | Semaglutide | 20 | suppressed |
| Calcitriol | Calcitriol | 19 | suppressed |
| Vascepa | Icosapent Ethyl | 19 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 19 | suppressed |
| Acetazolamide | Acetazolamide | 18 | suppressed |
| Fenofibrate | Fenofibrate | 18 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 18 | suppressed |
| Prednisone | Prednisone | 18 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 17 | suppressed |
| Fluconazole | Fluconazole | 17 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 17 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 17 | suppressed |
| Zonisamide | Zonisamide | 17 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 16 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 16 | suppressed |
| Lovastatin | Lovastatin | 16 | suppressed |
| Methylprednisolone | Methylprednisolone | 16 | 14 |
| Metoclopramide Hcl | Metoclopramide Hcl | 16 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 16 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 16 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 16 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 15 | suppressed |
| Spironolactone-Hctz | Spironolact/Hydrochlorothiazid | 15 | suppressed |
| Testosterone | Testosterone | 15 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 15 | suppressed |
| Gemtesa | Vibegron | 14 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 14 | suppressed |
| Ketoconazole | Ketoconazole | 14 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 14 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 14 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 14 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 14 | suppressed |
| Advair Hfa | Fluticasone Propion/Salmeterol | 13 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 13 | suppressed |
| Cefpodoxime Proxetil | Cefpodoxime Proxetil | 13 | 13 |
| Cephalexin | Cephalexin | 13 | 13 |
| Copaxone | Glatiramer Acetate | 13 | suppressed |
| Hydrocortisone | Hydrocortisone | 13 | suppressed |
| Alprazolam Xr | Alprazolam | 12 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 12 | suppressed |
| Niacin Er | Niacin | 12 | suppressed |
| Nurtec Odt | Rimegepant Sulfate | 12 | suppressed |
| Oxazepam | Oxazepam | 12 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 12 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 12 | suppressed |
| Toviaz | Fesoterodine Fumarate | 12 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 11 | suppressed |
| Ibuprofen | Ibuprofen | 11 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 11 | suppressed |
| Klor-Con M20 | Potassium Chloride | 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 | $44.95 · 2 records | Novartis Pharmaceuticals Corporation | ABRYSVO, COMIRNATY, LEQVIO, PREVNAR 20 | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Novartis Pharmaceuticals Corporation?
- 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