Payment overview · 2025
General Payments
$1,433.77
57 reported records · 20 companies
Healthcare provider profile · identity verified
Steven Napierkowski, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease · TOMBALL, TX · NPI 1801143144
Verified facts
What the public records show
CMS Open Payments records show Steven Napierkowski, MD received $1,433.77 in general payments during 2025 across 57 reported records.
Endologix LLC accounted for 14.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 34 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis.
E.R. Squibb & Sons, L.L.C. 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 27956 records involving 14870 distinct recipient NPIs. Public Medicare Part D data also shows 154 claims for Eliquis by this doctor in 2024.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ENTRESTO as an associated drug or biological on 9346 records involving 6254 distinct recipient NPIs. Public Medicare Part D data also shows 66 claims for Entresto 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 154 claims for Eliquis 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 |
|---|---|---|---|---|---|
| Endologix LLC | Unresolved — no canonical attribution shown | $208.46 | 14.5% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $202.27 | 14.1% | 8 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$158.36 | 11.1% | 6 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $148.83 | 10.4% | 8 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $117.80 | 8.2% | 6 | 2025 |
| Edwards Lifesciences Corporation | Unresolved — no canonical attribution shown | $91.29 | 6.4% | 2 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $90.24 | 6.3% | 4 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $82.06 | 5.7% | 5 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $55.72 | 3.9% | 3 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $45.37 | 3.2% | 2 | 2025 |
| Actelion Pharmaceuticals US, Inc. | Unresolved — no canonical attribution shown | $43.87 | 3.1% | 2 | 2025 |
| Baxter Healthcare | Unresolved — no canonical attribution shown | $36.65 | 2.6% | 2 | 2025 |
| Bard Peripheral Vascular, Inc. | Unresolved — no canonical attribution shown | $28.17 | 2.0% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $24.86 | 1.7% | 1 | 2025 |
| Tactile Systems Technology Inc | Unresolved — no canonical attribution shown | $20.42 | 1.4% | 1 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $20.18 | 1.4% | 1 | 2025 |
| CashFlow Solutions, LLC | Unresolved — no canonical attribution shown | $15.52 | 1.1% | 1 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $14.92 | 1.0% | 1 | 2025 |
| Azurity Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $14.58 | 1.0% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $14.20 | 1.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,433.77 | 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
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| ENDOCROSS Device Normalized: endocross device |
Device | Endologix LLC | $208.46 | 1 | 2025 |
Source payment records
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| Torus Stent Graft System Normalized: torus stent graft system |
Device | Endologix LLC | $208.46 | 1 | 2025 |
Source payment records
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| VERQUVO Normalized: verquvo |
Drug | Merck Sharp & Dohme LLC | $148.83 | 8 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $117.80 | 6 | 2025 |
Source payment records
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| WATCHMAN FLX Normalized: watchman flx |
Device | Boston Scientific Corporation | $111.53 | 3 | 2025 |
Source payment records
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| SYMPLICITY G3 Normalized: symplicity g3 |
Device | Medtronic, Inc. | $101.39 | 3 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $82.06 | 5 | 2025 |
Source payment records
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| PASCAL Normalized: pascal |
Device | Edwards Lifesciences Corporation | $61.77 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $55.72 | 3 | 2025 |
Source payment records
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| VersaCross Access Solution Normalized: versacross access solution |
Device | Boston Scientific Corporation | $50.22 | 3 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $47.87 | 2 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $47.87 | 2 | 2025 |
Source payment records
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| OPSUMIT Normalized: opsumit |
Drug | Actelion Pharmaceuticals US, Inc. | $43.87 | 2 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $42.37 | 2 | 2025 |
Source payment records
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| Hillrom - Carnation Ambulatory Monitor Normalized: hillrom carnation ambulatory monitor |
Device | Baxter Healthcare | $36.65 | 2 | 2025 |
Source payment records
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| SAPIEN 3 Ultra RESILIA Normalized: sapien 3 ultra resilia |
Device | Edwards Lifesciences Corporation | $29.52 | 1 | 2025 |
Source payment records
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| Venclose Maven Catheter Normalized: venclose maven catheter |
Device | Bard Peripheral Vascular, Inc. | $28.17 | 1 | 2025 |
Source payment records
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| CARDIOMEMS Normalized: cardiomems |
Device | Abbott Laboratories | $24.86 | 1 | 2025 |
Source payment records
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| Varithena Administration Pack Normalized: varithena administration pack |
Device | Boston Scientific Corporation | $23.99 | 1 | 2025 |
Source payment records
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| UPTRAVI Normalized: uptravi |
Drug | Actelion Pharmaceuticals US, Inc. | $23.76 | 1 | 2025 |
Source payment records
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| LINQ II Normalized: linq ii |
Device | Medtronic, Inc. | $21.99 | 1 | 2025 |
Source payment records
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| MICRA Normalized: micra |
Device | Medtronic, Inc. | $21.04 | 1 | 2025 |
Source payment records
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| Flexitouch Plus Normalized: flexitouch plus |
Device | Tactile Systems Technology Inc | $20.42 | 1 | 2025 |
Source payment records
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| Nimbl Normalized: nimbl |
Device | Tactile Systems Technology Inc | $20.42 | 1 | 2025 |
Source payment records
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $20.39 | 1 | 2025 |
Source payment records
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| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $20.18 | 1 | 2025 |
Source payment records
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| General - Structural Heart Normalized: general structural heart |
Device | Boston Scientific Corporation | $16.53 | 1 | 2025 |
Source payment records
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| LYMPHA PRESS OPTIMAL PLUS(US) BT Normalized: lympha press optimal plus us bt |
Device | CashFlow Solutions, LLC | $15.52 | 1 | 2025 |
Source payment records
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| PCD-51 731A (US) - White Normalized: pcd 51 731a us white |
Device | CashFlow Solutions, LLC | $15.52 | 1 | 2025 |
Source payment records
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| PCD-52 737A (US) White Normalized: pcd 52 737a us white |
Device | CashFlow Solutions, LLC | $15.52 | 1 | 2025 |
Source payment records
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| CAMZYOS Normalized: camzyos |
Drug | E.R. Squibb & Sons, L.L.C. | $14.92 | 1 | 2025 |
Source payment records
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| EDARBI Normalized: edarbi |
Drug | Azurity Pharmaceuticals, Inc. | $14.58 | 1 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $14.20 | 1 | 2025 |
Source payment records
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| EVERFLEX Normalized: everflex |
Device | Medtronic, Inc. | $13.94 | 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 |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 154 | 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 |
|---|---|---|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 27956 supporting records · 14870 recipient NPIs · example record 1184377713 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
154 | 44 |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | ENTRESTO open payments reported associated product |
CMS Open Payments — General Payments 9346 supporting records · 6254 recipient NPIs · example record 1200004797 |
Entresto · 2024 Exact normalized brand match · 1 Part D row |
66 | 18 |
| 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 |
154 | 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 |
|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 287 | 94 |
| Metoprolol Succinate | Metoprolol Succinate | 273 | 98 |
| Clopidogrel | Clopidogrel Bisulfate | 222 | 77 |
| Losartan Potassium | Losartan Potassium | 168 | 57 |
| Eliquis | Apixaban | 154 | 44 |
| Furosemide | Furosemide | 118 | 45 |
| Atorvastatin Calcium | Atorvastatin Calcium | 99 | 39 |
| Carvedilol | Carvedilol | 96 | 32 |
| Amlodipine Besylate | Amlodipine Besylate | 94 | 31 |
| Lisinopril | Lisinopril | 75 | 24 |
| Entresto | Sacubitril/Valsartan | 66 | 18 |
| Warfarin Sodium | Warfarin Sodium | 59 | suppressed |
| Nifedipine Er | Nifedipine | 53 | 20 |
| Hydralazine Hcl | Hydralazine Hcl | 50 | 14 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 50 | 18 |
| Repatha Sureclick | Evolocumab | 49 | suppressed |
| Torsemide | Torsemide | 44 | 13 |
| Potassium Chloride | Potassium Chloride | 43 | 22 |
| Diazepam | Diazepam | 42 | 14 |
| Doxazosin Mesylate | Doxazosin Mesylate | 42 | 15 |
| Xarelto | Rivaroxaban | 41 | 14 |
| Nitroglycerin | Nitroglycerin | 39 | 32 |
| Ezetimibe | Ezetimibe | 37 | 13 |
| Metoprolol Tartrate | Metoprolol Tartrate | 33 | 12 |
| Amiodarone Hcl | Amiodarone Hcl | 32 | 16 |
| Valsartan | Valsartan | 29 | suppressed |
| Dabigatran Etexilate | Dabigatran Etexilate Mesylate | 27 | suppressed |
| Spironolactone | Spironolactone | 27 | 11 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 24 | suppressed |
| Prasugrel Hcl | Prasugrel Hcl | 22 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 18 | suppressed |
| Brilinta | Ticagrelor | 16 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 15 | suppressed |
| Atenolol | Atenolol | 12 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 12 | suppressed |
| Ranolazine Er | Ranolazine | 12 | suppressed |
| Digoxin | Digoxin | 11 | suppressed |
| Nebivolol Hcl | Nebivolol 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 | $1,433.77 · 57 records | Endologix LLC | CAMZYOS, CAPVAXIVE, CARDIOMEMS, EDARBI, ELIQUIS, ENDOCROSS Device, EVERFLEX, Flexitouch Plus, General - Structural Heart, Hillrom - Carnation Ambulatory Monitor, JARDIANCE, LEQVIO, LINQ II, LYMPHA PRESS OPTIMAL PLUS(US) BT, LifeVest, MICRA, Nimbl, OPSUMIT, Ozempic, PASCAL, PCD-51 731A (US) - White, PCD-52 737A (US) White, REPATHA, Rybelsus, SAPIEN 3 Ultra RESILIA, SYMPLICITY G3, Torus Stent Graft System, UPTRAVI, VERQUVO, Varithena Administration Pack, Venclose Maven Catheter, VersaCross Access Solution, WATCHMAN FLX, Wegovy | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Eliquis play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with E.R. Squibb & Sons, L.L.C.?
- 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