Payment overview · 2025
General Payments
14 reported records · 8 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Family Medicine · MCGEHEE, AR · NPI 1740693183
Verified facts
CMS Open Payments records show James A Renfroe, MD received $484.82 in general payments during 2025 across 14 reported records.
Novo Nordisk Inc accounted for 28.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Mounjaro, Ozempic, Rybelsus.
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 27 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 15 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 133 claims for Farxiga by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 134 claims for Jardiance by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, 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 SYNJARDY as an associated drug or biological on 33 records involving 33 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Synjardy 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 134 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 12 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 41 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 148 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 22 claims for Rybelsus by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
14 reported records · 8 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $136.06 | 28.1% | 3 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $103.69 | 21.4% | 1 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $94.73 | 19.5% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $65.42 | 13.5% | 4 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $29.53 | 6.1% | 2 | 2025 |
| Organon LLC | Unresolved — no canonical attribution shown | $20.94 | 4.3% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $20.12 | 4.2% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $14.33 | 3.0% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $484.82 | 14 |
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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $136.06 | 3 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $103.69 | 1 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $103.69 | 1 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $94.73 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $65.42 | 4 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $38.39 | 2 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $29.53 | 2 | 2025 |
Source payment records
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| NEXPLANON Normalized: nexplanon |
Drug | Organon LLC | $20.94 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $20.12 | 1 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $14.33 | 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 |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 134 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 148 | exact normalized | Medicare Part D |
| Rybelsus rybelsus |
2025 | Rybelsus | 2024 | 22 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
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 |
27 | 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 |
15 | 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 |
133 | 19 |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
134 | 23 |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | SYNJARDY open payments reported associated product |
CMS Open Payments — General Payments 33 supporting records · 33 recipient NPIs · example record 1222725005 |
Synjardy · 2024 Exact normalized brand match · 1 Part D row |
13 | 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 |
134 | 23 |
| 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 |
12 | suppressed by CMS |
| 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 |
41 | suppressed by CMS |
| 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 |
148 | 22 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
22 | 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 545 | 128 |
| Amlodipine Besylate | Amlodipine Besylate | 477 | 112 |
| Levothyroxine Sodium | Levothyroxine Sodium | 385 | 63 |
| Lisinopril | Lisinopril | 351 | 76 |
| Pantoprazole Sodium | Pantoprazole Sodium | 325 | 77 |
| Gabapentin | Gabapentin | 305 | 61 |
| Losartan Potassium | Losartan Potassium | 273 | 52 |
| Omeprazole | Omeprazole | 258 | 57 |
| Potassium Chloride | Potassium Chloride | 244 | 59 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 221 | 51 |
| Metformin Hcl | Metformin Hcl | 217 | 50 |
| Hydrochlorothiazide | Hydrochlorothiazide | 197 | 54 |
| Furosemide | Furosemide | 167 | 45 |
| Metoprolol Succinate | Metoprolol Succinate | 163 | 42 |
| Tamsulosin Hcl | Tamsulosin Hcl | 150 | 32 |
| Ozempic | Semaglutide | 148 | 22 |
| Metoprolol Tartrate | Metoprolol Tartrate | 147 | 35 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 137 | 24 |
| Jardiance | Empagliflozin | 134 | 23 |
| Farxiga | Dapagliflozin Propanediol | 133 | 19 |
| Clopidogrel | Clopidogrel Bisulfate | 130 | 28 |
| Sertraline Hcl | Sertraline Hcl | 125 | 28 |
| Simvastatin | Simvastatin | 123 | 26 |
| Carvedilol | Carvedilol | 120 | 24 |
| Escitalopram Oxalate | Escitalopram Oxalate | 120 | 22 |
| Glipizide | Glipizide | 120 | 25 |
| Nifedipine Er | Nifedipine | 119 | 20 |
| Duloxetine Hcl | Duloxetine Hcl | 114 | 22 |
| Tramadol Hcl | Tramadol Hcl | 114 | 31 |
| Eliquis | Apixaban | 107 | 24 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 104 | 32 |
| Meloxicam | Meloxicam | 103 | 24 |
| Allopurinol | Allopurinol | 99 | 27 |
| Atenolol | Atenolol | 95 | 25 |
| Zolpidem Tartrate | Zolpidem Tartrate | 94 | 14 |
| Diclofenac Sodium | Diclofenac Sodium | 92 | 23 |
| Glipizide Er | Glipizide | 91 | 14 |
| Metformin Hcl Er | Metformin Hcl | 87 | 19 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 86 | 20 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 82 | 24 |
| Hydralazine Hcl | Hydralazine Hcl | 77 | 18 |
| Fluoxetine Hcl | Fluoxetine Hcl | 76 | 15 |
| Fluticasone Propionate | Fluticasone Propionate | 73 | 39 |
| Alprazolam | Alprazolam | 70 | suppressed |
| Clonazepam | Clonazepam | 70 | 12 |
| Famotidine | Famotidine | 68 | 19 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 66 | 12 |
| Clonidine Hcl | Clonidine Hcl | 63 | 14 |
| Lorazepam | Lorazepam | 63 | suppressed |
| Ezetimibe | Ezetimibe | 61 | 14 |
| Glimepiride | Glimepiride | 61 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 59 | 19 |
| Donepezil Hcl | Donepezil Hcl | 58 | 12 |
| Ondansetron Hcl | Ondansetron Hcl | 58 | 19 |
| Prednisone | Prednisone | 52 | 27 |
| Chlorthalidone | Chlorthalidone | 50 | 13 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 49 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 49 | 11 |
| Januvia | Sitagliptin Phosphate | 48 | suppressed |
| Torsemide | Torsemide | 48 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 47 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 46 | suppressed |
| Sucralfate | Sucralfate | 45 | 14 |
| Tizanidine Hcl | Tizanidine Hcl | 45 | 19 |
| Warfarin Sodium | Warfarin Sodium | 44 | suppressed |
| Azithromycin | Azithromycin | 43 | 22 |
| Tresiba Flextouch U-200 | Insulin Degludec | 43 | suppressed |
| Celecoxib | Celecoxib | 42 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 41 | 14 |
| Quetiapine Fumarate | Quetiapine Fumarate | 41 | 11 |
| Trulicity | Dulaglutide | 41 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 40 | 11 |
| Pregabalin | Pregabalin | 39 | suppressed |
| Klor-Con M20 | Potassium Chloride | 37 | 15 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 36 | suppressed |
| Verapamil Er | Verapamil Hcl | 35 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 32 | 23 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 31 | 14 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 31 | suppressed |
| Spironolactone | Spironolactone | 31 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 30 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 29 | 22 |
| Citalopram Hbr | Citalopram Hydrobromide | 29 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 28 | suppressed |
| Linzess | Linaclotide | 27 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 26 | suppressed |
| Lansoprazole | Lansoprazole | 26 | suppressed |
| Valsartan | Valsartan | 26 | suppressed |
| Fluconazole | Fluconazole | 25 | 17 |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 24 | suppressed |
| Levofloxacin | Levofloxacin | 24 | 15 |
| Montelukast Sodium | Montelukast Sodium | 24 | suppressed |
| Novolog Flexpen | Insulin Aspart | 24 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 24 | 12 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 23 | suppressed |
| Myrbetriq | Mirabegron | 23 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 23 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 22 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 22 | suppressed |
| Rybelsus | Semaglutide | 22 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 21 | suppressed |
| Ramipril | Ramipril | 20 | suppressed |
| Temazepam | Temazepam | 20 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 18 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 18 | suppressed |
| Cartia Xt | Diltiazem Hcl | 17 | suppressed |
| Levetiracetam | Levetiracetam | 17 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 17 | suppressed |
| Mirtazapine | Mirtazapine | 17 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 17 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 17 | suppressed |
| Calcitriol | Calcitriol | 16 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 16 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 16 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 16 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 16 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 16 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 16 | suppressed |
| Bupropion Xl | Bupropion Hcl | 15 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 15 | suppressed |
| Lovastatin | Lovastatin | 15 | suppressed |
| Naproxen | Naproxen | 15 | suppressed |
| Synthroid | Levothyroxine Sodium | 15 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 15 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 14 | suppressed |
| Methylprednisolone | Methylprednisolone | 14 | 12 |
| Nitroglycerin | Nitroglycerin | 14 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 14 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 13 | suppressed |
| Entresto | Sacubitril/Valsartan | 13 | suppressed |
| Lubiprostone | Lubiprostone | 13 | suppressed |
| Nadolol | Nadolol | 13 | suppressed |
| Synjardy | Empagliflozin/Metformin Hcl | 13 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 12 | suppressed |
| Ibu | Ibuprofen | 12 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 12 | suppressed |
| Misoprostol | Misoprostol | 12 | suppressed |
| Mounjaro | Tirzepatide | 12 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 12 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 11 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 11 | suppressed |
| Colestipol Hcl | Colestipol Hcl | 11 | suppressed |
| Estradiol | Estradiol | 11 | suppressed |
| Humira(Cf) | Adalimumab | 11 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 11 | suppressed |
| Mexiletine Hcl | Mexiletine Hcl | 11 | suppressed |
| Mometasone Furoate | Mometasone Furoate | 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 | $484.82 · 14 records | Novo Nordisk Inc | BREZTRI, JARDIANCE, MOUNJARO, NEXPLANON, Ozempic, QULIPTA, REXULTI, Rybelsus, The Cologuard Plus Collection Kit, UBRELVY | 10 | — |
| 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