Payment overview · 2025
General Payments
$34.89
2 reported records · 2 companies
Healthcare provider profile · identity verified
Marc Peter Guerra, MD
Allopathic & Osteopathic Physicians|Internal Medicine · LENOIR, NC · NPI 1740573484
Verified facts
What the public records show
CMS Open Payments records show Marc Peter Guerra, MD received $34.89 in general payments during 2025 across 2 reported records.
PFIZER INC. accounted for 53.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
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 27 claims for Trelegy Ellipta 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 126 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 PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Paxlovid 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 | $18.75 | 53.7% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $16.14 | 46.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $34.89 | 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 |
|---|---|---|---|---|---|
| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $18.75 | 1 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $18.75 | 1 | 2025 |
Source payment records
|
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $16.14 | 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 |
|---|---|---|---|---|---|---|
| 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 |
27 | 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 |
126 | 26 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | PAXLOVID open payments reported associated product |
CMS Open Payments — General Payments 24465 supporting records · 15715 recipient NPIs · example record 1228794432 |
Paxlovid · 2024 Exact normalized brand match · 1 Part D row |
16 | 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 300 | 95 |
| Atorvastatin Calcium | Atorvastatin Calcium | 250 | 93 |
| Levothyroxine Sodium | Levothyroxine Sodium | 238 | 63 |
| Pravastatin Sodium | Pravastatin Sodium | 227 | 69 |
| Omeprazole | Omeprazole | 226 | 72 |
| Pantoprazole Sodium | Pantoprazole Sodium | 224 | 88 |
| Lisinopril | Lisinopril | 215 | 60 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 206 | 68 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 179 | 55 |
| Gabapentin | Gabapentin | 178 | 52 |
| Losartan Potassium | Losartan Potassium | 160 | 53 |
| Metformin Hcl Er | Metformin Hcl | 140 | 43 |
| Metformin Hcl | Metformin Hcl | 139 | 46 |
| Clopidogrel | Clopidogrel Bisulfate | 137 | 41 |
| Ozempic | Semaglutide | 134 | 24 |
| Eliquis | Apixaban | 126 | 26 |
| Pregabalin | Pregabalin | 124 | 16 |
| Alprazolam | Alprazolam | 116 | 19 |
| Tamsulosin Hcl | Tamsulosin Hcl | 116 | 39 |
| Sertraline Hcl | Sertraline Hcl | 114 | 39 |
| Meloxicam | Meloxicam | 112 | 38 |
| Metoprolol Succinate | Metoprolol Succinate | 108 | 41 |
| Doxycycline Hyclate | Doxycycline Hyclate | 106 | 87 |
| Furosemide | Furosemide | 106 | 42 |
| Hydrochlorothiazide | Hydrochlorothiazide | 106 | 34 |
| Jardiance | Empagliflozin | 106 | 29 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 104 | 27 |
| Fluticasone Propionate | Fluticasone Propionate | 102 | 59 |
| Duloxetine Hcl | Duloxetine Hcl | 99 | 23 |
| Cephalexin | Cephalexin | 94 | 77 |
| Baclofen | Baclofen | 92 | 40 |
| Prednisone | Prednisone | 91 | 73 |
| Trazodone Hcl | Trazodone Hcl | 90 | 34 |
| Montelukast Sodium | Montelukast Sodium | 86 | 27 |
| Potassium Chloride | Potassium Chloride | 86 | 29 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 81 | 23 |
| Carvedilol | Carvedilol | 73 | 28 |
| Symbicort | Budesonide/Formoterol Fumarate | 71 | 17 |
| Lorazepam | Lorazepam | 66 | 13 |
| Spironolactone | Spironolactone | 61 | 20 |
| Famotidine | Famotidine | 60 | 26 |
| Warfarin Sodium | Warfarin Sodium | 60 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 59 | 18 |
| Tramadol Hcl | Tramadol Hcl | 59 | 18 |
| Allopurinol | Allopurinol | 58 | 18 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 57 | 51 |
| Escitalopram Oxalate | Escitalopram Oxalate | 57 | 15 |
| Zolpidem Tartrate | Zolpidem Tartrate | 57 | suppressed |
| Glipizide | Glipizide | 53 | 15 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 52 | 33 |
| Ropinirole Hcl | Ropinirole Hcl | 49 | 11 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 48 | 15 |
| Nortriptyline Hcl | Nortriptyline Hcl | 46 | suppressed |
| Cefdinir | Cefdinir | 45 | 36 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 45 | 12 |
| Citalopram Hbr | Citalopram Hydrobromide | 44 | 11 |
| Sucralfate | Sucralfate | 44 | 27 |
| Paroxetine Hcl | Paroxetine Hcl | 42 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 40 | 15 |
| Xarelto | Rivaroxaban | 38 | 13 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 37 | 31 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 37 | 15 |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 36 | suppressed |
| Lovastatin | Lovastatin | 36 | suppressed |
| Mirtazapine | Mirtazapine | 33 | 14 |
| Mounjaro | Tirzepatide | 33 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 33 | suppressed |
| Aripiprazole | Aripiprazole | 32 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 31 | suppressed |
| Atenolol | Atenolol | 30 | suppressed |
| Simvastatin | Simvastatin | 30 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 29 | suppressed |
| Memantine Hcl | Memantine Hcl | 29 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 29 | suppressed |
| Celecoxib | Celecoxib | 28 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 28 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 28 | 17 |
| Vraylar | Cariprazine Hcl | 28 | suppressed |
| Bupropion Xl | Bupropion Hcl | 27 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 27 | suppressed |
| Diazepam | Diazepam | 27 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 27 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 27 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 27 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 26 | 15 |
| Quetiapine Fumarate | Quetiapine Fumarate | 26 | suppressed |
| Rybelsus | Semaglutide | 25 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 25 | suppressed |
| Glimepiride | Glimepiride | 24 | suppressed |
| Nitroglycerin | Nitroglycerin | 24 | 18 |
| Topiramate | Topiramate | 24 | suppressed |
| Amoxicillin | Amoxicillin | 23 | 23 |
| Azithromycin | Azithromycin | 23 | 22 |
| Dicyclomine Hcl | Dicyclomine Hcl | 23 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 23 | suppressed |
| Valsartan | Valsartan | 23 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 22 | suppressed |
| Ondansetron Odt | Ondansetron | 22 | suppressed |
| Telmisartan | Telmisartan | 22 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 21 | suppressed |
| Mupirocin | Mupirocin | 21 | 16 |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 20 | suppressed |
| Fluconazole | Fluconazole | 20 | 17 |
| Levetiracetam | Levetiracetam | 20 | suppressed |
| Olanzapine | Olanzapine | 20 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 20 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 19 | suppressed |
| Colchicine | Colchicine | 18 | suppressed |
| Etodolac | Etodolac | 18 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 18 | suppressed |
| Januvia | Sitagliptin Phosphate | 18 | suppressed |
| Nystatin | Nystatin | 18 | 12 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | suppressed |
| Novolog Flexpen | Insulin Aspart | 17 | suppressed |
| Metronidazole | Metronidazole | 16 | 13 |
| Paxlovid | Nirmatrelvir/Ritonavir | 16 | 16 |
| Ramipril | Ramipril | 16 | suppressed |
| Risperidone | Risperidone | 16 | suppressed |
| Torsemide | Torsemide | 16 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 16 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 15 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 15 | suppressed |
| Linzess | Linaclotide | 15 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 14 | suppressed |
| Clonazepam | Clonazepam | 14 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 14 | suppressed |
| Glipizide Er | Glipizide | 14 | suppressed |
| Trulicity | Dulaglutide | 14 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 13 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 13 | suppressed |
| Methocarbamol | Methocarbamol | 13 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Novolin 70-30 Flexpen | Insulin Nph Hum/Reg Insulin Hm | 13 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 13 | suppressed |
| Single Use Swab | Alcohol Antiseptic Pads | 13 | suppressed |
| Ubrelvy | Ubrogepant | 13 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 12 | suppressed |
| Bumetanide | Bumetanide | 12 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 12 | suppressed |
| Methadone Hcl | Methadone Hcl | 12 | suppressed |
| Myrbetriq | Mirabegron | 12 | suppressed |
| Lactulose | Lactulose | 11 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 11 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 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 | $34.89 · 2 records | PFIZER INC. | NURTEC ODT, SHINGRIX, ZAVZPRET | 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 GlaxoSmithKline, LLC.?
- 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