Payment overview · 2025
General Payments
$1,868.57
103 reported records · 3 companies
Healthcare provider profile · identity verified
John Robert Nienow, MD
Allopathic & Osteopathic Physicians|Internal Medicine · SAN FRANCISCO, CA · NPI 1861472649
Verified facts
What the public records show
CMS Open Payments records show John Robert Nienow, MD received $1,868.57 in general payments during 2025 across 103 reported records.
ViiV Healthcare Company accounted for 38.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Biktarvy, Cabenuva, Dovato.
EMD Serono, 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 Serostim as an associated drug or biological on 153 records involving 74 distinct recipient NPIs. Public Medicare Part D data also shows 29 claims for Serostim by this doctor in 2024.
Gilead Sciences, 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 Biktarvy as an associated drug or biological on 8065 records involving 2759 distinct recipient NPIs. Public Medicare Part D data also shows 680 claims for Biktarvy by this doctor in 2024.
Gilead Sciences, 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 Descovy as an associated drug or biological on 2032 records involving 589 distinct recipient NPIs. Public Medicare Part D data also shows 224 claims for Descovy by this doctor in 2024.
ViiV Healthcare Company reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported CABENUVA as an associated drug or biological on 13941 records involving 3305 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Cabenuva by this doctor in 2024.
ViiV Healthcare Company reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported DOVATO as an associated drug or biological on 18732 records involving 3540 distinct recipient NPIs. Public Medicare Part D data also shows 25 claims for Dovato by this doctor in 2024.
ViiV Healthcare Company reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported RUKOBIA as an associated drug or biological on 3367 records involving 1303 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Rukobia 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 |
|---|---|---|---|---|---|
| ViiV Healthcare Company | Unresolved — no canonical attribution shown | $722.71 | 38.7% | 42 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $629.19 | 33.7% | 31 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $516.67 | 27.6% | 30 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,868.57 | 103 |
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 |
|---|---|---|---|---|---|
| CABENUVA Normalized: cabenuva |
Drug | ViiV Healthcare Company | $647.12 | 34 | 2025 |
Source payment records
|
|||||
| Biktarvy Normalized: biktarvy |
Drug | Gilead Sciences, Inc. | $93.24 | 8 | 2025 |
Source payment records
|
|||||
| DOVATO Normalized: dovato |
Drug | ViiV Healthcare Company | $75.59 | 8 | 2025 |
Source payment records
|
|||||
* 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 |
|---|---|---|---|---|---|---|
| Biktarvy biktarvy |
2025 | Biktarvy | 2024 | 680 | exact normalized | Medicare Part D |
| CABENUVA cabenuva |
2025 | Cabenuva | 2024 | 11 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| DOVATO dovato |
2025 | Dovato | 2024 | 25 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 |
|---|---|---|---|---|---|---|
| EMD Serono, Inc. Exact reporting entity; no affiliate inference |
2025 | Serostim open payments reported associated product |
CMS Open Payments — General Payments 153 supporting records · 74 recipient NPIs · example record 1236871463 |
Serostim · 2024 Exact normalized brand match · 1 Part D row |
29 | suppressed by CMS |
| Gilead Sciences, Inc. Exact reporting entity; no affiliate inference |
2025 | Biktarvy open payments reported associated product |
CMS Open Payments — General Payments 8065 supporting records · 2759 recipient NPIs · example record 1234350766 |
Biktarvy · 2024 Exact normalized brand match · 1 Part D row |
680 | 79 |
| Gilead Sciences, Inc. Exact reporting entity; no affiliate inference |
2025 | Descovy open payments reported associated product |
CMS Open Payments — General Payments 2032 supporting records · 589 recipient NPIs · example record 1234351196 |
Descovy · 2024 Exact normalized brand match · 1 Part D row |
224 | 23 |
| ViiV Healthcare Company Exact reporting entity; no affiliate inference |
2025 | CABENUVA open payments reported associated product |
CMS Open Payments — General Payments 13941 supporting records · 3305 recipient NPIs · example record 1189508908 |
Cabenuva · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| ViiV Healthcare Company Exact reporting entity; no affiliate inference |
2025 | DOVATO open payments reported associated product |
CMS Open Payments — General Payments 18732 supporting records · 3540 recipient NPIs · example record 1189508902 |
Dovato · 2024 Exact normalized brand match · 1 Part D row |
25 | suppressed by CMS |
| ViiV Healthcare Company Exact reporting entity; no affiliate inference |
2025 | RUKOBIA open payments reported associated product |
CMS Open Payments — General Payments 3367 supporting records · 1303 recipient NPIs · example record 1189508926 |
Rukobia · 2024 Exact normalized brand match · 1 Part D row |
21 | 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 |
|---|---|---|---|
| Biktarvy | Bictegrav/Emtricit/Tenofov Ala | 680 | 79 |
| Atorvastatin Calcium | Atorvastatin Calcium | 603 | 140 |
| Bupropion Xl | Bupropion Hcl | 270 | 50 |
| Tamsulosin Hcl | Tamsulosin Hcl | 252 | 68 |
| Gabapentin | Gabapentin | 250 | 47 |
| Descovy | Emtricitabine/Tenofov Alafenam | 224 | 23 |
| Lisinopril | Lisinopril | 220 | 55 |
| Amlodipine Besylate | Amlodipine Besylate | 217 | 52 |
| Tivicay | Dolutegravir Sodium | 215 | 21 |
| Losartan Potassium | Losartan Potassium | 200 | 51 |
| Pantoprazole Sodium | Pantoprazole Sodium | 193 | 49 |
| Trazodone Hcl | Trazodone Hcl | 179 | 27 |
| Lorazepam | Lorazepam | 169 | 29 |
| Acyclovir | Acyclovir | 160 | 35 |
| Testosterone | Testosterone | 145 | 29 |
| Levothyroxine Sodium | Levothyroxine Sodium | 139 | 31 |
| Escitalopram Oxalate | Escitalopram Oxalate | 137 | 25 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 122 | 32 |
| Juluca | Dolutegravir/Rilpivirine | 121 | 13 |
| Metoprolol Succinate | Metoprolol Succinate | 120 | 23 |
| Testosterone Cypionate | Testosterone Cypionate | 116 | 22 |
| Duloxetine Hcl | Duloxetine Hcl | 115 | 22 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 112 | 35 |
| Omeprazole | Omeprazole | 108 | 28 |
| Metformin Hcl | Metformin Hcl | 107 | 28 |
| Zolpidem Tartrate | Zolpidem Tartrate | 103 | 24 |
| Triumeq | Abacavir/Dolutegravir/Lamivudi | 98 | 13 |
| Clonazepam | Clonazepam | 92 | 22 |
| Pravastatin Sodium | Pravastatin Sodium | 88 | 21 |
| Oxycodone Hcl | Oxycodone Hcl | 83 | 16 |
| Ezetimibe | Ezetimibe | 80 | 18 |
| Furosemide | Furosemide | 80 | 16 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 79 | 21 |
| Valacyclovir | Valacyclovir Hcl | 79 | 23 |
| Diazepam | Diazepam | 77 | 14 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 76 | 19 |
| Metformin Hcl Er | Metformin Hcl | 76 | 15 |
| Hydrochlorothiazide | Hydrochlorothiazide | 73 | 19 |
| Temazepam | Temazepam | 70 | suppressed |
| Eliquis | Apixaban | 68 | 13 |
| Armodafinil | Armodafinil | 67 | 12 |
| Jardiance | Empagliflozin | 67 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 65 | 19 |
| Azithromycin | Azithromycin | 64 | 43 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 63 | 15 |
| Isentress | Raltegravir Potassium | 61 | suppressed |
| Cabergoline | Cabergoline | 60 | suppressed |
| Myrbetriq | Mirabegron | 59 | 19 |
| Pifeltro | Doravirine | 59 | suppressed |
| Alprazolam | Alprazolam | 56 | 16 |
| Morphine Sulfate Er | Morphine Sulfate | 56 | suppressed |
| Ozempic | Semaglutide | 54 | 15 |
| Famotidine | Famotidine | 53 | 18 |
| Citalopram Hbr | Citalopram Hydrobromide | 52 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 52 | 25 |
| Metoprolol Tartrate | Metoprolol Tartrate | 52 | 11 |
| Nevirapine Er | Nevirapine | 51 | suppressed |
| Finasteride | Finasteride | 50 | 16 |
| Naproxen | Naproxen | 50 | 18 |
| Odefsey | Emtricitab/Rilpiviri/Tenof Ala | 50 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 48 | suppressed |
| Methocarbamol | Methocarbamol | 46 | 14 |
| Simvastatin | Simvastatin | 45 | 14 |
| Allopurinol | Allopurinol | 44 | 12 |
| Januvia | Sitagliptin Phosphate | 43 | suppressed |
| Abacavir-Lamivudine | Abacavir Sulfate/Lamivudine | 42 | suppressed |
| Mounjaro | Tirzepatide | 41 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 41 | 40 |
| Pregabalin | Pregabalin | 41 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 41 | suppressed |
| Spravato | Esketamine Hcl | 41 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 41 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 40 | suppressed |
| Mirtazapine | Mirtazapine | 39 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 37 | suppressed |
| Prezcobix | Darunavir/Cobicistat | 37 | suppressed |
| Atenolol | Atenolol | 36 | suppressed |
| Etravirine | Etravirine | 36 | suppressed |
| Rybelsus | Semaglutide | 36 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 35 | suppressed |
| Egrifta Sv | Tesamorelin Acetate | 34 | suppressed |
| Xarelto | Rivaroxaban | 32 | suppressed |
| Glimepiride | Glimepiride | 31 | suppressed |
| Methylprednisolone | Methylprednisolone | 31 | 21 |
| Oxycontin | Oxycodone Hcl | 31 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 29 | 16 |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 29 | 17 |
| Serostim | Somatropin | 29 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 28 | suppressed |
| Movantik | Naloxegol Oxalate | 28 | suppressed |
| Minoxidil | Minoxidil | 27 | suppressed |
| Mytesi | Crofelemer | 27 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 27 | suppressed |
| Aripiprazole | Aripiprazole | 26 | suppressed |
| Celecoxib | Celecoxib | 26 | suppressed |
| Spironolactone | Spironolactone | 26 | suppressed |
| Carvedilol | Carvedilol | 25 | suppressed |
| Dovato | Dolutegravir Sodium/Lamivudine | 25 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 25 | suppressed |
| Lamotrigine | Lamotrigine | 24 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 23 | suppressed |
| Clomid | Clomiphene Citrate | 22 | suppressed |
| Fluconazole | Fluconazole | 22 | suppressed |
| Genvoya | Elviteg/Cob/Emtri/Tenof Alafen | 22 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 22 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 21 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 21 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 21 | suppressed |
| Rukobia | Fostemsavir Tromethamine | 21 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 21 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 20 | suppressed |
| Modafinil | Modafinil | 20 | suppressed |
| Synthroid | Levothyroxine Sodium | 20 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 20 | suppressed |
| Maraviroc | Maraviroc | 19 | suppressed |
| Potassium Chloride | Potassium Chloride | 19 | suppressed |
| Repatha Sureclick | Evolocumab | 19 | suppressed |
| Ritonavir | Ritonavir | 19 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 19 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 19 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 19 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 14 |
| Bupropion Hcl Sr | Bupropion Hcl | 18 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 18 | suppressed |
| Repatha Pushtronex | Evolocumab | 18 | suppressed |
| Ropinirole Er | Ropinirole Hcl | 18 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 17 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 17 | suppressed |
| Baclofen | Baclofen | 17 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 17 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 17 | suppressed |
| Loperamide | Loperamide Hcl | 17 | suppressed |
| Pilocarpine Hcl | Pilocarpine Hcl | 17 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 16 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 16 | suppressed |
| Efavirenz | Efavirenz | 16 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 16 | suppressed |
| Febuxostat | Febuxostat | 16 | suppressed |
| Lovastatin | Lovastatin | 16 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 15 | suppressed |
| Gemtesa | Vibegron | 15 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 15 | suppressed |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 14 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 14 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 14 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 14 | suppressed |
| Atomoxetine Hcl | Atomoxetine Hcl | 13 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 13 | suppressed |
| Glipizide | Glipizide | 13 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 13 | suppressed |
| Intelence | Etravirine | 13 | suppressed |
| Methylphenidate Er | Methylphenidate Hcl | 13 | suppressed |
| Metronidazole | Metronidazole | 13 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 13 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 13 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 13 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 13 | suppressed |
| Advair Diskus | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 12 | suppressed |
| Emsam | Selegiline | 12 | suppressed |
| Felodipine Er | Felodipine | 12 | suppressed |
| Ketoconazole | Ketoconazole | 12 | suppressed |
| Meloxicam | Meloxicam | 12 | suppressed |
| Olanzapine | Olanzapine | 12 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 12 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 12 | suppressed |
| Triazolam | Triazolam | 12 | suppressed |
| Vilazodone Hcl | Vilazodone Hcl | 12 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Cabenuva | Cabotegravir/Rilpivirine | 11 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 11 | suppressed |
| Crestor | Rosuvastatin Calcium | 11 | suppressed |
| Hydromorphone Hcl | Hydromorphone Hcl | 11 | suppressed |
| Ibuprofen | Ibuprofen | 11 | suppressed |
| Lidocaine | Lidocaine | 11 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 11 | suppressed |
| Potassium Citrate Er | Potassium Citrate | 11 | suppressed |
| Remeron | Mirtazapine | 11 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 11 | suppressed |
| Trihexyphenidyl Hcl | Trihexyphenidyl 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 | $1,868.57 · 103 records | ViiV Healthcare Company | Biktarvy, CABENUVA, DOVATO | 6 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Biktarvy play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with EMD Serono, 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