Payment overview · 2025
General Payments
57 reported records · 13 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Family Medicine · ASHLAND, MO · NPI 1740592435
Verified facts
CMS Open Payments records show Michael Dewayne Roach, D.O. received $1,058.62 in general payments during 2025 across 57 reported records.
Lilly USA, LLC accounted for 18.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 19 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro, Ozempic.
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 13 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 31 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 21 claims for Farxiga 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 99 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 62 claims for Mounjaro 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 36 claims for Trulicity 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 88 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 50 claims for Eliquis by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
57 reported records · 13 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $194.34 | 18.4% | 11 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $172.54 | 16.3% | 6 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $135.68 | 12.8% | 11 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $114.97 | 10.9% | 6 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $78.77 | 7.4% | 4 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $77.84 | 7.3% | 4 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $60.60 | 5.7% | 3 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $57.85 | 5.5% | 3 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $56.85 | 5.4% | 3 | 2025 |
| Kowa Pharmaceuticals America, Inc. | Unresolved — no canonical attribution shown | $32.23 | 3.0% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $31.96 | 3.0% | 2 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $28.54 | 2.7% | 1 | 2025 |
| KYOWA KIRIN, INC. | Unresolved — no canonical attribution shown | $16.45 | 1.6% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,058.62 | 57 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $194.34 | 11 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $194.34 | 11 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $149.93 | 5 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC, Otsuka America Pharmaceutical, Inc. | $118.45 | 6 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $110.84 | 10 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $109.77 | 2 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $78.77 | 4 | 2025 |
Source payment records
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| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $77.84 | 4 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $56.85 | 3 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $56.85 | 3 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $38.46 | 2 | 2025 |
Source payment records
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| ZORYVE Normalized: zoryve |
Drug | Kowa Pharmaceuticals America, Inc. | $32.23 | 2 | 2025 |
Source payment records
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $28.54 | 1 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $24.84 | 1 | 2025 |
Source payment records
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $19.44 | 1 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $17.66 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $17.38 | 1 | 2025 |
Source payment records
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| CRYSVITA Normalized: crysvita |
Drug | KYOWA KIRIN, INC. | $16.45 | 1 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $14.30 | 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.
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 62 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 88 | 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
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 |
|---|---|---|---|---|---|---|
| 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 |
13 | 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 |
31 | 11 |
| 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 |
21 | suppressed by CMS |
| 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 |
99 | 29 |
| 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 |
62 | 15 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 2024 Exact normalized brand match · 1 Part D row |
36 | 11 |
| 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 |
88 | 21 |
| 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 |
50 | 17 |
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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 295 | 125 |
| Levothyroxine Sodium | Levothyroxine Sodium | 268 | 104 |
| Amlodipine Besylate | Amlodipine Besylate | 216 | 93 |
| Lisinopril | Lisinopril | 195 | 72 |
| Methylprednisolone | Methylprednisolone | 174 | 142 |
| Losartan Potassium | Losartan Potassium | 170 | 56 |
| Montelukast Sodium | Montelukast Sodium | 163 | 66 |
| Hydrochlorothiazide | Hydrochlorothiazide | 162 | 57 |
| Omeprazole | Omeprazole | 156 | 61 |
| Metformin Hcl | Metformin Hcl | 151 | 61 |
| Duloxetine Hcl | Duloxetine Hcl | 142 | 51 |
| Tamsulosin Hcl | Tamsulosin Hcl | 141 | 55 |
| Gabapentin | Gabapentin | 129 | 44 |
| Celecoxib | Celecoxib | 110 | 50 |
| Jardiance | Empagliflozin | 99 | 29 |
| Pantoprazole Sodium | Pantoprazole Sodium | 99 | 38 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 96 | 42 |
| Furosemide | Furosemide | 96 | 35 |
| Ozempic | Semaglutide | 88 | 21 |
| Carvedilol | Carvedilol | 85 | 26 |
| Meloxicam | Meloxicam | 85 | 41 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 83 | 32 |
| Fluticasone Propionate | Fluticasone Propionate | 79 | 38 |
| Azithromycin | Azithromycin | 74 | 60 |
| Simvastatin | Simvastatin | 74 | 23 |
| Potassium Chloride | Potassium Chloride | 73 | 30 |
| Prednisone | Prednisone | 73 | 43 |
| Quetiapine Fumarate | Quetiapine Fumarate | 72 | 27 |
| Metoprolol Succinate | Metoprolol Succinate | 68 | 29 |
| Amitriptyline Hcl | Amitriptyline Hcl | 66 | 21 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 64 | 19 |
| Metformin Hcl Er | Metformin Hcl | 64 | 26 |
| Pravastatin Sodium | Pravastatin Sodium | 63 | 29 |
| Mounjaro | Tirzepatide | 62 | 15 |
| Allopurinol | Allopurinol | 61 | 28 |
| Fluoxetine Hcl | Fluoxetine Hcl | 61 | 20 |
| Lovastatin | Lovastatin | 59 | 25 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 59 | 19 |
| Metoprolol Tartrate | Metoprolol Tartrate | 58 | 21 |
| Irbesartan | Irbesartan | 57 | 30 |
| Finasteride | Finasteride | 55 | 19 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 54 | 19 |
| Clopidogrel | Clopidogrel Bisulfate | 52 | 23 |
| Eliquis | Apixaban | 50 | 17 |
| Sertraline Hcl | Sertraline Hcl | 47 | 23 |
| Tramadol Hcl | Tramadol Hcl | 47 | 20 |
| Doxycycline Hyclate | Doxycycline Hyclate | 46 | 37 |
| Trazodone Hcl | Trazodone Hcl | 43 | 18 |
| Levofloxacin | Levofloxacin | 42 | 37 |
| Doxazosin Mesylate | Doxazosin Mesylate | 38 | 14 |
| Pioglitazone Hcl | Pioglitazone Hcl | 38 | 15 |
| Escitalopram Oxalate | Escitalopram Oxalate | 36 | 14 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 36 | suppressed |
| Trulicity | Dulaglutide | 36 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 35 | 14 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 35 | 33 |
| Baclofen | Baclofen | 34 | 21 |
| Buspirone Hcl | Buspirone Hcl | 34 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 33 | 13 |
| Cefdinir | Cefdinir | 32 | 29 |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 31 | 22 |
| Synthroid | Levothyroxine Sodium | 31 | 11 |
| Cephalexin | Cephalexin | 30 | 28 |
| Donepezil Hcl | Donepezil Hcl | 30 | 13 |
| Nystatin | Nystatin | 30 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 29 | 18 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 29 | 12 |
| Ondansetron Odt | Ondansetron | 29 | 12 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 29 | suppressed |
| Alprazolam | Alprazolam | 27 | suppressed |
| Famotidine | Famotidine | 27 | 15 |
| Olanzapine | Olanzapine | 27 | suppressed |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 27 | suppressed |
| Spironolactone | Spironolactone | 27 | 12 |
| Tolterodine Tartrate | Tolterodine Tartrate | 25 | suppressed |
| Lorazepam | Lorazepam | 24 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 23 | suppressed |
| Ezetimibe | Ezetimibe | 23 | 11 |
| Fenofibrate | Fenofibrate Nanocrystallized | 23 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 23 | suppressed |
| Fluconazole | Fluconazole | 22 | 12 |
| Pregabalin | Pregabalin | 22 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 21 | 19 |
| Bupropion Xl | Bupropion Hcl | 21 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 21 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 21 | suppressed |
| Mirtazapine | Mirtazapine | 21 | 12 |
| Oxycodone Hcl | Oxycodone Hcl | 21 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 21 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 19 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 19 | suppressed |
| Xarelto | Rivaroxaban | 19 | suppressed |
| Estradiol | Estradiol | 18 | suppressed |
| Lamotrigine | Lamotrigine | 18 | suppressed |
| Levetiracetam | Levetiracetam | 18 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 18 | suppressed |
| Sucralfate | Sucralfate | 18 | suppressed |
| Atenolol | Atenolol | 17 | suppressed |
| Clonazepam | Clonazepam | 17 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 17 | suppressed |
| Myrbetriq | Mirabegron | 16 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 16 | 11 |
| Valacyclovir | Valacyclovir Hcl | 16 | suppressed |
| Zonisamide | Zonisamide | 16 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 15 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 14 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 14 | suppressed |
| Xultophy 100-3.6 | Insulin Degludec/Liraglutide | 14 | suppressed |
| Januvia | Sitagliptin Phosphate | 13 | suppressed |
| Linzess | Linaclotide | 13 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 13 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 13 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 13 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 13 | suppressed |
| Spironolactone-Hctz | Spironolact/Hydrochlorothiazid | 13 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 13 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 12 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 12 | suppressed |
| Hydrocortisone | Hydrocortisone | 12 | suppressed |
| Levalbuterol Tartrate Hfa | Levalbuterol Tartrate | 12 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 12 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 11 | 11 |
| Diclofenac Sodium | Diclofenac Sodium | 11 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 11 | suppressed |
| Ibuprofen | Ibuprofen | 11 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 11 | suppressed |
| Methotrexate | Methotrexate Sodium | 11 | suppressed |
| Metolazone | Metolazone | 11 | suppressed |
| Omeprazole-Sodium Bicarbonate | Omeprazole/Sodium Bicarbonate | 11 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 11 | suppressed |
| Theophylline Er | Theophylline Anhydrous | 11 | suppressed |
Timeline
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 | $1,058.62 · 57 records | Lilly USA, LLC | AIRSUPRA, Auvelity, BREZTRI, CRYSVITA, Cologuard Collection Kit, Dexcom G6 Transmitter, EVENITY, MOUNJARO, NURTEC ODT, Ozempic, PROLIA, REXULTI, Rybelsus, The Cologuard Plus Collection Kit, UBRELVY, VRAYLAR, ZAVZPRET, ZEPBOUND, ZORYVE | 8 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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