Healthcare provider profile · identity verified

Paul Heermans Smith, M.D.

Internal Medicine · SAN ANTONIO, TX · NPI 1770585176

Profile state: partd only Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

We did not find matching Open Payments records for this doctor in 2025.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

We did not find matching Open Payments records for this doctor in the selected program year.

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.

Analysis 1 · Payment-linked products

Products named in Open Payments records

No payment-linked product analysis is available because no matching General Payment records were found for the selected year.

Public prescribing for products named in payments

There is no explicit payment-product set available for a Part D comparison.

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.

There is no payer-company set available for this comparison.

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
Levothyroxine Sodium	Levothyroxine Sodium	751	173
Atorvastatin Calcium	Atorvastatin Calcium	495	143
Losartan Potassium	Losartan Potassium	461	134
Amlodipine Besylate	Amlodipine Besylate	412	120
Pantoprazole Sodium	Pantoprazole Sodium	333	99
Alprazolam	Alprazolam	329	67
Rosuvastatin Calcium	Rosuvastatin Calcium	304	86
Gabapentin	Gabapentin	270	60
Lisinopril	Lisinopril	270	75
Tamsulosin Hcl	Tamsulosin Hcl	254	73
Trazodone Hcl	Trazodone Hcl	247	69
Furosemide	Furosemide	241	64
Metformin Hcl	Metformin Hcl	211	68
Meloxicam	Meloxicam	187	61
Simvastatin	Simvastatin	177	50
Escitalopram Oxalate	Escitalopram Oxalate	173	39
Zolpidem Tartrate	Zolpidem Tartrate	172	37
Montelukast Sodium	Montelukast Sodium	168	50
Potassium Chloride	Potassium Chloride	167	48
Tramadol Hcl	Tramadol Hcl	165	41
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	163	28
Metoprolol Tartrate	Metoprolol Tartrate	152	41
Hydrochlorothiazide	Hydrochlorothiazide	149	39
Metoprolol Succinate	Metoprolol Succinate	142	46
Mirtazapine	Mirtazapine	142	26
Donepezil Hcl	Donepezil Hcl	140	35
Carvedilol	Carvedilol	138	34
Lorazepam	Lorazepam	133	34
Eliquis	Apixaban	122	27
Famotidine	Famotidine	122	43
Omeprazole	Omeprazole	121	40
Quetiapine Fumarate	Quetiapine Fumarate	118	17
Memantine Hcl	Memantine Hcl	117	19
Sertraline Hcl	Sertraline Hcl	117	32
Finasteride	Finasteride	116	36
Albuterol Sulfate Hfa	Albuterol Sulfate	102	42
Ciprofloxacin Hcl	Ciprofloxacin Hcl	101	78
Azithromycin	Azithromycin	97	83
Allopurinol	Allopurinol	96	30
Duloxetine Hcl	Duloxetine Hcl	95	30
Glimepiride	Glimepiride	87	20
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	82	30
Mounjaro	Tirzepatide	78	12
Clonazepam	Clonazepam	77	16
Clopidogrel	Clopidogrel Bisulfate	77	24
Pravastatin Sodium	Pravastatin Sodium	74	23
Fluticasone Propionate	Fluticasone Propionate	73	31
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	73	17
Alendronate Sodium	Alendronate Sodium	71	25
Citalopram Hbr	Citalopram Hydrobromide	71	21
Fluoxetine Hcl	Fluoxetine Hcl	70	14
Ozempic	Semaglutide	67	14
Acetaminophen-Codeine	Acetaminophen With Codeine	66	17
Oxybutynin Chloride Er	Oxybutynin Chloride	66	19
Atenolol	Atenolol	65	16
Buspirone Hcl	Buspirone Hcl	63	suppressed
Methylprednisolone	Methylprednisolone	63	49
Xarelto	Rivaroxaban	62	15
Eszopiclone	Eszopiclone	60	suppressed
Ondansetron Hcl	Ondansetron Hcl	58	26
Prednisone	Prednisone	54	12
Spironolactone	Spironolactone	50	15
Doxycycline Hyclate	Doxycycline Hyclate	49	30
Synthroid	Levothyroxine Sodium	45	13
Hydralazine Hcl	Hydralazine Hcl	44	13
Levetiracetam	Levetiracetam	44	suppressed
Myrbetriq	Mirabegron	44	suppressed
Paroxetine Hcl	Paroxetine Hcl	44	13
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	42	29
Ibuprofen	Ibuprofen	41	16
Azelastine Hcl	Azelastine Hcl	40	13
Meclizine Hcl	Meclizine Hcl	39	15
Cephalexin	Cephalexin	37	26
Estradiol	Estradiol	37	15
Temazepam	Temazepam	36	suppressed
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	36	11
Nifedipine Er	Nifedipine	35	suppressed
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	33	23
Doxazosin Mesylate	Doxazosin Mesylate	33	suppressed
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	33	suppressed
Triamcinolone Acetonide	Triamcinolone Acetonide	33	14
Bupropion Xl	Bupropion Hcl	32	suppressed
Esomeprazole Magnesium	Esomeprazole Magnesium	32	suppressed
Memantine Hcl Er	Memantine Hcl	32	suppressed
Ondansetron Odt	Ondansetron	32	15
Anastrozole	Anastrozole	31	suppressed
Dextroamphetamine-Amphetamine	Dextroamphetamine/Amphetamine	31	suppressed
Nitrofurantoin	Nitrofurantoin Macrocrystal	31	suppressed
Pregabalin	Pregabalin	30	13
Venlafaxine Hcl Er	Venlafaxine Hcl	30	suppressed
Colchicine	Colchicine	29	suppressed
Ropinirole Hcl	Ropinirole Hcl	29	suppressed
Valsartan	Valsartan	29	suppressed
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	29	suppressed
Clonidine Hcl	Clonidine Hcl	28	11
Hydroxyzine Hcl	Hydroxyzine Hcl	28	suppressed
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	28	suppressed
Valacyclovir	Valacyclovir Hcl	28	suppressed
Bupropion Hcl Sr	Bupropion Hcl	26	suppressed
Divalproex Sodium	Divalproex Sodium	26	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	26	suppressed
Ezetimibe	Ezetimibe	25	suppressed
Januvia	Sitagliptin Phosphate	25	suppressed
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	25	suppressed
Farxiga	Dapagliflozin Propanediol	24	suppressed
Telmisartan	Telmisartan	24	suppressed
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	23	suppressed
Metformin Hcl Er	Metformin Hcl	23	suppressed
Paxlovid	Nirmatrelvir/Ritonavir	23	23
Verapamil Er	Verapamil Hcl	23	suppressed
Insulin Lispro Kwikpen U-100	Insulin Lispro	22	suppressed
Jardiance	Empagliflozin	22	suppressed
Nystatin	Nystatin	22	16
Propranolol Hcl	Propranolol Hcl	22	suppressed
Topiramate	Topiramate	22	suppressed
Bumetanide	Bumetanide	21	suppressed
Celecoxib	Celecoxib	21	suppressed
Carbidopa-Levodopa	Carbidopa/Levodopa	20	suppressed
Diazepam	Diazepam	20	suppressed
Doxepin Hcl	Doxepin Hcl	20	suppressed
Olmesartan Medoxomil	Olmesartan Medoxomil	20	suppressed
Warfarin Sodium	Warfarin Sodium	20	suppressed
Autoshield Duo Pen Needle	Pen Needle,dual Safety,diabetc	19	suppressed
Fenofibrate	Fenofibrate Nanocrystallized	19	suppressed
Sucralfate	Sucralfate	19	suppressed
Amiodarone Hcl	Amiodarone Hcl	18	suppressed
Enalapril Maleate	Enalapril Maleate	18	suppressed
Hydrocortisone	Hydrocortisone	18	11
Irbesartan	Irbesartan	18	suppressed
Latanoprost	Latanoprost	18	suppressed
Oxybutynin Chloride	Oxybutynin Chloride	18	suppressed
Primidone	Primidone	18	suppressed
Bupropion Hcl	Bupropion Hcl	17	suppressed
Cefdinir	Cefdinir	17	16
Klor-Con 10	Potassium Chloride	17	suppressed
Symbicort	Budesonide/Formoterol Fumarate	17	suppressed
Amoxicillin	Amoxicillin	16	13
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	16	15
Lidocaine	Lidocaine	16	suppressed
Nebivolol Hcl	Nebivolol Hcl	16	suppressed
Solifenacin Succinate	Solifenacin Succinate	16	suppressed
Dicyclomine Hcl	Dicyclomine Hcl	15	suppressed
Digoxin	Digoxin	15	suppressed
Folic Acid	Folic Acid	15	suppressed
Glipizide	Glipizide	15	suppressed
Lumigan	Bimatoprost	15	suppressed
Pioglitazone Hcl	Pioglitazone Hcl	15	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	15	15
Testosterone Cypionate	Testosterone Cypionate	15	suppressed
Tizanidine Hcl	Tizanidine Hcl	15	suppressed
Tresiba Flextouch U-100	Insulin Degludec	15	suppressed
Bisoprolol Fumarate	Bisoprolol Fumarate	14	suppressed
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	14	suppressed
Fluconazole	Fluconazole	14	11
Novolog Flexpen	Insulin Aspart	14	suppressed
Raloxifene Hcl	Raloxifene Hcl	14	suppressed
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	14	suppressed
Ultra-Fine Mini Pen Needle	Pen Needle, Diabetic	14	suppressed
Zolpidem Tartrate Er	Zolpidem Tartrate	14	suppressed
Amiloride Hcl	Amiloride Hcl	13	suppressed
Budesonide-Formoterol Fumarate	Budesonide/Formoterol Fumarate	13	suppressed
Carisoprodol	Carisoprodol	13	suppressed
Ciclopirox	Ciclopirox	13	suppressed
Insulin Glargine-Yfgn	Insulin Glargine-Yfgn	13	suppressed
Midodrine Hcl	Midodrine Hcl	13	suppressed
Mupirocin	Mupirocin	13	12
Oxycodone Hcl	Oxycodone Hcl	13	suppressed
Trulicity	Dulaglutide	13	suppressed
Ultra-Fine Nano Pen Needle	Pen Needle, Diabetic	13	suppressed
Belsomra	Suvorexant	12	suppressed
Benztropine Mesylate	Benztropine Mesylate	12	suppressed
Bicalutamide	Bicalutamide	12	suppressed
Estradiol-Norethindrone Acetat	Estradiol/Norethindrone Acet	12	suppressed
Nitroglycerin	Nitroglycerin	12	suppressed
Nortriptyline Hcl	Nortriptyline Hcl	12	suppressed
Olanzapine	Olanzapine	12	suppressed
Olmesartan-Hydrochlorothiazide	Olmesartan/Hydrochlorothiazide	12	suppressed
Amlodipine Besylate-Benazepril	Amlodipine Besylate/Benazepril	11	suppressed
Clobetasol Propionate	Clobetasol Propionate	11	suppressed
Darifenacin Er	Darifenacin Hydrobromide	11	suppressed
Diclofenac Sodium	Diclofenac Sodium	11	suppressed
Entresto	Sacubitril/Valsartan	11	suppressed
Fluvoxamine Maleate	Fluvoxamine Maleate	11	suppressed
Lovastatin	Lovastatin	11	suppressed
Methocarbamol	Methocarbamol	11	suppressed
Np Thyroid	Thyroid,pork	11	suppressed
Oseltamivir Phosphate	Oseltamivir Phosphate	11	11
Rybelsus	Semaglutide	11	suppressed
Sotalol	Sotalol Hcl	11	suppressed
Vilazodone Hcl	Vilazodone 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	—	—	—	—	—
2024	—	—	—	—	Complete

Questions to ask

Questions you could discuss with your doctor

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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error