Payment overview · 2025
General Payments
$205.93
11 reported records · 9 companies
Healthcare provider profile · identity verified
Tim Shepherd, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · LEWISVILLE, TX · NPI 1760488027
Verified facts
What the public records show
CMS Open Payments records show Tim Shepherd, M.D. received $205.93 in general payments during 2025 across 11 reported records.
Lilly USA, LLC accounted for 18.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 11 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro, Ozempic, Trelegy Ellipta.
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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Symbicort by this doctor in 2024.
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 66 claims for Trelegy Ellipta 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 56 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 14 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 119 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $39.02 | 18.9% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $30.45 | 14.8% | 2 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $25.59 | 12.4% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $25.25 | 12.3% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $19.90 | 9.7% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $17.96 | 8.7% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $16.23 | 7.9% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $16.03 | 7.8% | 1 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $15.50 | 7.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $205.93 | 11 |
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 |
|---|---|---|---|---|---|
| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $39.02 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $39.02 | 2 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $30.45 | 2 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $25.59 | 1 | 2025 |
Source payment records
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| PROCLAIM Normalized: proclaim |
Device | Abbott Laboratories | $25.25 | 1 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $19.90 | 1 | 2025 |
Source payment records
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| Repatha Normalized: repatha |
Biological | Amgen Inc. | $17.96 | 1 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $16.23 | 1 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $16.03 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $16.03 | 1 | 2025 |
Source payment records
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| VYEPTI Normalized: vyepti |
Biological | Lundbeck LLC | $15.50 | 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 |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 56 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 119 | exact normalized | Medicare Part D |
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 66 | 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| 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 |
66 | 14 |
| 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 |
56 | 14 |
| 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 |
14 | 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 |
119 | 44 |
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 492 | 172 |
| Levothyroxine Sodium | Levothyroxine Sodium | 308 | 111 |
| Lisinopril | Lisinopril | 190 | 76 |
| Metformin Hcl | Metformin Hcl | 179 | 66 |
| Prednisone | Prednisone | 166 | 130 |
| Losartan Potassium | Losartan Potassium | 161 | 62 |
| Amlodipine Besylate | Amlodipine Besylate | 160 | 65 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 133 | 42 |
| Tamsulosin Hcl | Tamsulosin Hcl | 129 | 38 |
| Montelukast Sodium | Montelukast Sodium | 122 | 48 |
| Alprazolam | Alprazolam | 121 | 37 |
| Ozempic | Semaglutide | 119 | 44 |
| Omeprazole | Omeprazole | 115 | 47 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 112 | 57 |
| Gabapentin | Gabapentin | 111 | 50 |
| Pantoprazole Sodium | Pantoprazole Sodium | 103 | 34 |
| Azithromycin | Azithromycin | 99 | 85 |
| Trazodone Hcl | Trazodone Hcl | 99 | 35 |
| Tramadol Hcl | Tramadol Hcl | 96 | 33 |
| Hydrochlorothiazide | Hydrochlorothiazide | 95 | 36 |
| Furosemide | Furosemide | 82 | 41 |
| Simvastatin | Simvastatin | 81 | 23 |
| Meloxicam | Meloxicam | 76 | 28 |
| Zolpidem Tartrate | Zolpidem Tartrate | 75 | 26 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 68 | 22 |
| Potassium Chloride | Potassium Chloride | 68 | 28 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 66 | 14 |
| Fluticasone Propionate | Fluticasone Propionate | 63 | 31 |
| Carvedilol | Carvedilol | 60 | 22 |
| Sertraline Hcl | Sertraline Hcl | 57 | 17 |
| Mounjaro | Tirzepatide | 56 | 14 |
| Metoprolol Tartrate | Metoprolol Tartrate | 55 | 25 |
| Glipizide | Glipizide | 54 | 22 |
| Metoprolol Succinate | Metoprolol Succinate | 50 | 22 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 49 | 22 |
| Eliquis | Apixaban | 47 | 12 |
| Alendronate Sodium | Alendronate Sodium | 46 | 15 |
| Allopurinol | Allopurinol | 45 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 43 | 15 |
| Escitalopram Oxalate | Escitalopram Oxalate | 42 | 14 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 42 | 19 |
| Pravastatin Sodium | Pravastatin Sodium | 41 | 16 |
| Buspirone Hcl | Buspirone Hcl | 37 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 35 | 12 |
| Finasteride | Finasteride | 34 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 33 | 28 |
| Bupropion Xl | Bupropion Hcl | 32 | 12 |
| Pioglitazone Hcl | Pioglitazone Hcl | 32 | 12 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 31 | 23 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 30 | 27 |
| Cephalexin | Cephalexin | 29 | 28 |
| Atenolol | Atenolol | 28 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 28 | suppressed |
| Ondansetron Odt | Ondansetron | 28 | 15 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 27 | 22 |
| Sumatriptan Succinate | Sumatriptan Succinate | 27 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 25 | suppressed |
| Linzess | Linaclotide | 23 | suppressed |
| Methocarbamol | Methocarbamol | 23 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 22 | 11 |
| Famotidine | Famotidine | 22 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 22 | 11 |
| Quetiapine Fumarate | Quetiapine Fumarate | 22 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 21 | 17 |
| Propranolol Hcl | Propranolol Hcl | 21 | suppressed |
| Lorazepam | Lorazepam | 20 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 19 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 18 | suppressed |
| Levetiracetam | Levetiracetam | 18 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 18 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 17 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 17 | suppressed |
| Glimepiride | Glimepiride | 16 | suppressed |
| Irbesartan | Irbesartan | 16 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 16 | suppressed |
| Eszopiclone | Eszopiclone | 15 | suppressed |
| Ezetimibe | Ezetimibe | 15 | suppressed |
| Glipizide Er | Glipizide | 15 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 15 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 15 | 13 |
| Primidone | Primidone | 15 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Temazepam | Temazepam | 15 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 14 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 14 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 14 | suppressed |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 14 | suppressed |
| Trulicity | Dulaglutide | 14 | suppressed |
| Celecoxib | Celecoxib | 13 | suppressed |
| Nifedipine Er | Nifedipine | 13 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 13 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 13 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 12 | suppressed |
| Estradiol | Estradiol | 12 | suppressed |
| Fluconazole | Fluconazole | 12 | suppressed |
| Nystatin | Nystatin | 12 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 12 | suppressed |
| Amoxicillin | Amoxicillin | 11 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 11 | suppressed |
| Naproxen | Naproxen | 11 | suppressed |
| Olanzapine | Olanzapine | 11 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 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 | $205.93 · 11 records | Lilly USA, LLC | BREZTRI, Cologuard Collection Kit, INSPIRE, MOUNJARO, Ozempic, PROCLAIM, Repatha, Rybelsus, TRELEGY ELLIPTA, VYEPTI, ZEPBOUND | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Mounjaro play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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