Payment overview · 2025
General Payments
$641.29
38 reported records · 11 companies
Healthcare provider profile · identity verified
Nancy Clearkin Germany, MD
Allopathic & Osteopathic Physicians|Family Medicine · SHREVEPORT, LA · NPI 1760418131
Verified facts
What the public records show
CMS Open Payments records show Nancy Clearkin Germany, MD received $641.29 in general payments during 2025 across 38 reported records.
ABBVIE INC. accounted for 48.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 14 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ubrelvy.
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 51 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 UBRELVY as an associated drug or biological on 299803 records involving 61203 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Ubrelvy 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $310.79 | 48.5% | 21 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $69.53 | 10.8% | 4 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $67.22 | 10.5% | 4 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $54.59 | 8.5% | 2 | 2025 |
| Saluda Medical Americas, Inc. | Unresolved — no canonical attribution shown | $29.38 | 4.6% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $22.36 | 3.5% | 1 | 2025 |
| Tonix Medicines, Inc. | Unresolved — no canonical attribution shown | $22.00 | 3.4% | 1 | 2025 |
| Averitas Pharma Inc. | Unresolved — no canonical attribution shown | $19.74 | 3.1% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $16.61 | 2.6% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $15.56 | 2.4% | 1 | 2025 |
| SCILEX PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $13.51 | 2.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $641.29 | 38 |
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 |
|---|---|---|---|---|---|
| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $310.79 | 21 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $305.52 | 20 | 2025 |
Source payment records
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| RELISTOR Normalized: relistor |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $69.53 | 4 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $67.22 | 4 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $67.22 | 4 | 2025 |
Source payment records
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| Symbravo Normalized: symbravo |
Drug | Axsome Therapeutics, Inc. | $54.59 | 2 | 2025 |
Source payment records
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| Evoke Normalized: evoke |
Device | Saluda Medical Americas, Inc. | $29.38 | 1 | 2025 |
Source payment records
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| ETERNA Normalized: eterna |
Device | Abbott Laboratories | $22.36 | 1 | 2025 |
Source payment records
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| TONMYA Normalized: tonmya |
Drug | Tonix Medicines, Inc. | $22.00 | 1 | 2025 |
Source payment records
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| QUTENZA Normalized: qutenza |
Drug | Averitas Pharma Inc. | $19.74 | 1 | 2025 |
Source payment records
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| WaveWriter Alpha Prime 16 Normalized: wavewriter alpha prime 16 |
Device | Boston Scientific Corporation | $16.61 | 1 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $15.56 | 1 | 2025 |
Source payment records
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| ZTLido Normalized: ztlido |
Drug | SCILEX PHARMACEUTICALS INC. | $13.51 | 1 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $5.27 | 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 |
|---|---|---|---|---|---|---|
| UBRELVY ubrelvy |
2025 | Ubrelvy | 2024 | 14 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 |
|---|---|---|---|---|---|---|
| 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 |
51 | 11 |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | UBRELVY open payments reported associated product |
CMS Open Payments — General Payments 299803 supporting records · 61203 recipient NPIs · example record 1201352530 |
Ubrelvy · 2024 Exact normalized brand match · 1 Part D row |
14 | 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 |
|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 2226 | 358 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 1229 | 203 |
| Gabapentin | Gabapentin | 1059 | 232 |
| Pregabalin | Pregabalin | 584 | 132 |
| Tramadol Hcl | Tramadol Hcl | 444 | 151 |
| Duloxetine Hcl | Duloxetine Hcl | 326 | 78 |
| Morphine Sulfate Er | Morphine Sulfate | 315 | 46 |
| Tramadol Hcl Er | Tramadol Hcl | 299 | 52 |
| Tizanidine Hcl | Tizanidine Hcl | 218 | 52 |
| Methocarbamol | Methocarbamol | 183 | 63 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 163 | 54 |
| Morphine Sulfate | Morphine Sulfate | 151 | 26 |
| Buprenorphine | Buprenorphine | 127 | 43 |
| Diclofenac Sodium | Diclofenac Sodium | 110 | 41 |
| Oxycodone Hcl | Oxycodone Hcl | 102 | 28 |
| Trazodone Hcl | Trazodone Hcl | 102 | 16 |
| Nucynta Er | Tapentadol Hcl | 69 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 64 | 16 |
| Xtampza Er | Oxycodone Myristate | 57 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 55 | 16 |
| Meloxicam | Meloxicam | 55 | 12 |
| Baclofen | Baclofen | 52 | 13 |
| Naloxone Hcl | Naloxone Hcl | 52 | 41 |
| Linzess | Linaclotide | 51 | 11 |
| Methadone Hcl | Methadone Hcl | 50 | suppressed |
| Belbuca | Buprenorphine Hcl | 49 | 16 |
| Buprenorphine Hcl | Buprenorphine Hcl | 46 | suppressed |
| Movantik | Naloxegol Oxalate | 43 | 14 |
| Fentanyl | Fentanyl | 30 | suppressed |
| Bupropion Xl | Bupropion Hcl | 28 | suppressed |
| Lidocaine | Lidocaine | 28 | suppressed |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 27 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 21 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 21 | suppressed |
| Lactulose | Lactulose | 20 | suppressed |
| Nucynta | Tapentadol Hcl | 20 | suppressed |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 20 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 15 | suppressed |
| Ubrelvy | Ubrogepant | 14 | suppressed |
| Hydrocodone Bitartrate Er | Hydrocodone Bitartrate | 13 | suppressed |
| Clonazepam | Clonazepam | 12 | suppressed |
| Hysingla Er | Hydrocodone Bitartrate | 12 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 12 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 11 | suppressed |
| Carbamazepine Er | Carbamazepine | 11 | suppressed |
| Oxycontin | Oxycodone Hcl | 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 | $641.29 · 38 records | ABBVIE INC. | BOTOX, ETERNA, Evoke, JOURNAVX, NURTEC ODT, QULIPTA, QUTENZA, RELISTOR, Symbravo, TONMYA, UBRELVY, WaveWriter Alpha Prime 16, ZAVZPRET, ZTLido | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ubrelvy play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE 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