Payment overview · 2025
General Payments
$67.29
4 reported records · 4 companies
Healthcare provider profile · identity verified
Crystal Ann Piras, DO
Allopathic & Osteopathic Physicians|Family Medicine · OAKLAND, MD · NPI 1841782901
Verified facts
What the public records show
CMS Open Payments records show Crystal Ann Piras, DO received $67.29 in general payments during 2025 across 4 reported records.
Novo Nordisk Inc accounted for 26.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 5 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
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 BEVESPI AEROSPHERE as an associated drug or biological on 763 records involving 473 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Bevespi Aerosphere 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 26 claims for Farxiga 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 109 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $17.92 | 26.6% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $17.56 | 26.1% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $17.50 | 26.0% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $14.31 | 21.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $67.29 | 4 |
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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $17.92 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $17.92 | 1 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $17.56 | 1 | 2025 |
Source payment records
|
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| WATCHMAN FLX Normalized: watchman flx |
Device | Boston Scientific Corporation | $17.50 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $14.31 | 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 |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 109 | 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 | BEVESPI AEROSPHERE open payments reported associated product |
CMS Open Payments — General Payments 763 supporting records · 473 recipient NPIs · example record 1206131384 |
Bevespi Aerosphere · 2024 Exact normalized brand match · 1 Part D row |
11 | 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 |
26 | 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 |
109 | 19 |
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 | 299 | 101 |
| Gabapentin | Gabapentin | 285 | 34 |
| Levothyroxine Sodium | Levothyroxine Sodium | 219 | 62 |
| Amlodipine Besylate | Amlodipine Besylate | 211 | 67 |
| Lisinopril | Lisinopril | 196 | 59 |
| Losartan Potassium | Losartan Potassium | 151 | 50 |
| Metoprolol Succinate | Metoprolol Succinate | 142 | 45 |
| Pantoprazole Sodium | Pantoprazole Sodium | 125 | 44 |
| Ozempic | Semaglutide | 109 | 19 |
| Furosemide | Furosemide | 108 | 34 |
| Hydrochlorothiazide | Hydrochlorothiazide | 102 | 38 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 97 | 36 |
| Buspirone Hcl | Buspirone Hcl | 93 | 25 |
| Omeprazole | Omeprazole | 88 | 35 |
| Tramadol Hcl | Tramadol Hcl | 84 | 12 |
| Metoprolol Tartrate | Metoprolol Tartrate | 77 | 23 |
| Famotidine | Famotidine | 72 | 28 |
| Duloxetine Hcl | Duloxetine Hcl | 68 | 18 |
| Simvastatin | Simvastatin | 66 | 21 |
| Sertraline Hcl | Sertraline Hcl | 64 | 23 |
| Shingrix | Varicella-Zoster Ge/As01b/Pf | 58 | 43 |
| Trazodone Hcl | Trazodone Hcl | 57 | 18 |
| Metformin Hcl | Metformin Hcl | 56 | 22 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 55 | 25 |
| Jardiance | Empagliflozin | 54 | 14 |
| Pregabalin | Pregabalin | 47 | suppressed |
| Eliquis | Apixaban | 45 | 12 |
| Spironolactone | Spironolactone | 45 | 12 |
| Fluticasone Propionate | Fluticasone Propionate | 44 | 23 |
| Oxycodone Hcl | Oxycodone Hcl | 44 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 42 | 17 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 42 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 42 | 16 |
| Pravastatin Sodium | Pravastatin Sodium | 42 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 41 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 41 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 39 | suppressed |
| Ezetimibe | Ezetimibe | 37 | 14 |
| Prednisone | Prednisone | 37 | 25 |
| Bupropion Xl | Bupropion Hcl | 34 | 11 |
| Clopidogrel | Clopidogrel Bisulfate | 34 | 14 |
| Montelukast Sodium | Montelukast Sodium | 34 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 34 | 13 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 33 | 27 |
| Lorazepam | Lorazepam | 33 | suppressed |
| Meloxicam | Meloxicam | 33 | 14 |
| Mounjaro | Tirzepatide | 30 | suppressed |
| Allopurinol | Allopurinol | 29 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 29 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 29 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 28 | 12 |
| Potassium Chloride | Potassium Chloride | 27 | 11 |
| Sucralfate | Sucralfate | 27 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 26 | suppressed |
| Alprazolam | Alprazolam | 25 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 25 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 25 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 25 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 25 | 18 |
| Trulicity | Dulaglutide | 25 | suppressed |
| Carvedilol | Carvedilol | 24 | suppressed |
| Chlorthalidone | Chlorthalidone | 23 | suppressed |
| Glimepiride | Glimepiride | 23 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 23 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 23 | suppressed |
| Atenolol | Atenolol | 22 | suppressed |
| Baclofen | Baclofen | 22 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 22 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 22 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 21 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 20 | suppressed |
| Glipizide Er | Glipizide | 20 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 20 | suppressed |
| Primidone | Primidone | 20 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 19 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 19 | suppressed |
| Fenofibrate | Fenofibrate | 18 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 18 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 17 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 16 | 13 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 16 | 15 |
| Fenofibrate | Fenofibrate Nanocrystallized | 16 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 16 | suppressed |
| Mirtazapine | Mirtazapine | 16 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 15 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 15 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 15 | suppressed |
| Lovastatin | Lovastatin | 15 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 15 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 15 | suppressed |
| Bumetanide | Bumetanide | 14 | suppressed |
| Cefpodoxime Proxetil | Cefpodoxime Proxetil | 14 | 12 |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 14 | suppressed |
| Nifedipine Er | Nifedipine | 14 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 13 | suppressed |
| Celecoxib | Celecoxib | 13 | suppressed |
| Fluconazole | Fluconazole | 13 | suppressed |
| Synthroid | Levothyroxine Sodium | 13 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 13 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 13 | suppressed |
| Clonazepam | Clonazepam | 12 | suppressed |
| Dilantin | Phenytoin Sodium Extended | 12 | suppressed |
| Eszopiclone | Eszopiclone | 12 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Ibuprofen | Ibuprofen | 12 | suppressed |
| Januvia | Sitagliptin Phosphate | 12 | suppressed |
| Ketoconazole | Ketoconazole | 12 | suppressed |
| Linzess | Linaclotide | 12 | suppressed |
| Torsemide | Torsemide | 12 | suppressed |
| Ultra-Fine Micro Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Bevespi Aerosphere | Glycopyrrolate/Formoterol Fum | 11 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 11 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 11 | suppressed |
| Novolog Flexpen | Insulin Aspart | 11 | suppressed |
| Repatha Sureclick | Evolocumab | 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 | $67.29 · 4 records | Novo Nordisk Inc | AIRSUPRA, FREESTYLE LIBRE 3, Ozempic, Rybelsus, WATCHMAN FLX | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic 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