Payment overview · 2025
General Payments
$234.84
23 reported records · 3 companies
Healthcare provider profile · identity verified
Ernest Todd Ajax, MD
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology · WASHINGTON, IA · NPI 1740256502
Verified facts
What the public records show
CMS Open Payments records show Ernest Todd Ajax, MD received $234.84 in general payments during 2025 across 23 reported records.
PFIZER INC. accounted for 78.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Nurtec Odt.
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 40 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 |
|---|---|---|---|---|---|
| PFIZER INC. | Unresolved — no canonical attribution shown | $184.62 | 78.6% | 21 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$33.28 | 14.2% | 1 | 2025 |
| Biogen, Inc. | Unresolved — no canonical attribution shown | $16.94 | 7.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $234.84 | 23 |
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 |
|---|---|---|---|---|---|
| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $184.62 | 21 | 2025 |
Source payment records
|
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $184.62 | 21 | 2025 |
Source payment records
|
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| COREVALVE EVOLUT R Normalized: corevalve evolut r |
Device | Medtronic, Inc. | $33.28 | 1 | 2025 |
Source payment records
|
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| VUMERITY Normalized: vumerity |
Drug | Biogen, Inc. | $16.94 | 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 |
|---|---|---|---|---|---|---|
| NURTEC ODT nurtec odt |
2025 | Nurtec Odt | 2024 | 40 Beneficiary count suppressed |
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 |
|---|---|---|---|---|---|---|
| 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 |
40 | 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 |
|---|---|---|---|
| Carbidopa-Levodopa | Carbidopa/Levodopa | 472 | 98 |
| Donepezil Hcl | Donepezil Hcl | 296 | 70 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 257 | 58 |
| Gabapentin | Gabapentin | 207 | 40 |
| Memantine Hcl | Memantine Hcl | 173 | 34 |
| Pregabalin | Pregabalin | 173 | 30 |
| Buspirone Hcl | Buspirone Hcl | 172 | 23 |
| Levetiracetam | Levetiracetam | 154 | 27 |
| Clonazepam | Clonazepam | 122 | 27 |
| Propranolol Hcl Er | Propranolol Hcl | 112 | 23 |
| Primidone | Primidone | 93 | 18 |
| Trazodone Hcl | Trazodone Hcl | 86 | 20 |
| Tramadol Hcl | Tramadol Hcl | 76 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 75 | 12 |
| Baclofen | Baclofen | 73 | 14 |
| Duloxetine Hcl | Duloxetine Hcl | 67 | 16 |
| Lamotrigine | Lamotrigine | 67 | 13 |
| Amantadine | Amantadine Hcl | 61 | 14 |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 60 | 11 |
| Ropinirole Hcl | Ropinirole Hcl | 50 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 48 | 13 |
| Zolpidem Tartrate | Zolpidem Tartrate | 48 | suppressed |
| Topiramate | Topiramate | 43 | suppressed |
| Atorvastatin Calcium | Atorvastatin Calcium | 40 | suppressed |
| Nurtec Odt | Rimegepant Sulfate | 40 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 40 | 12 |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 37 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 37 | suppressed |
| Carbamazepine | Carbamazepine | 36 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 36 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 35 | 12 |
| Zonisamide | Zonisamide | 33 | suppressed |
| Entacapone | Entacapone | 32 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 29 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 29 | suppressed |
| Potassium Chloride | Potassium Chloride | 29 | suppressed |
| Aimovig Autoinjector | Erenumab-Aooe | 28 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 27 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 27 | suppressed |
| Celecoxib | Celecoxib | 24 | suppressed |
| Mirtazapine | Mirtazapine | 23 | suppressed |
| Pyridostigmine Bromide | Pyridostigmine Bromide | 23 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 23 | suppressed |
| Atomoxetine Hcl | Atomoxetine Hcl | 22 | suppressed |
| Clotrimazole | Clotrimazole | 21 | suppressed |
| Levothyroxine Sodium | Levothyroxine Sodium | 21 | suppressed |
| Nabumetone | Nabumetone | 21 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 21 | suppressed |
| Dronabinol | Dronabinol | 20 | suppressed |
| Dalfampridine Er | Dalfampridine | 19 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 19 | suppressed |
| Naratriptan Hcl | Naratriptan Hcl | 19 | suppressed |
| Amlodipine Besylate | Amlodipine Besylate | 18 | suppressed |
| Rasagiline Mesylate | Rasagiline Mesylate | 18 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 16 | suppressed |
| Eletriptan Hbr | Eletriptan Hydrobromide | 16 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 16 | suppressed |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 16 | suppressed |
| Atenolol | Atenolol | 15 | suppressed |
| Ajovy Autoinjector | Fremanezumab-Vfrm | 13 | suppressed |
| Desipramine Hcl | Desipramine Hcl | 13 | suppressed |
| Rivastigmine | Rivastigmine | 13 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 13 | suppressed |
| Carbamazepine Er | Carbamazepine | 12 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 12 | suppressed |
| Losartan Potassium | Losartan Potassium | 12 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 12 | suppressed |
| Neupro | Rotigotine | 12 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 12 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 11 | suppressed |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 11 | suppressed |
| Lisinopril | Lisinopril | 11 | suppressed |
| Modafinil | Modafinil | 11 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 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 | $234.84 · 23 records | PFIZER INC. | COREVALVE EVOLUT R, NURTEC ODT, VUMERITY, ZAVZPRET | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Nurtec Odt play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with PFIZER 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