Payment overview · 2025
General Payments
$31.60
1 reported records · 1 companies
Healthcare provider profile · identity verified
Stephen Nester, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · SAINT LOUIS, MO · NPI 1871574582
Verified facts
What the public records show
CMS Open Payments records show Stephen Nester, M.D. received $31.60 in general payments during 2025 across 1 reported records.
ABBVIE INC. accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $31.60 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $31.60 | 1 |
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 |
|---|---|---|---|---|---|
| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $31.60 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 | 812 | 217 |
| Lisinopril | Lisinopril | 530 | 149 |
| Amlodipine Besylate | Amlodipine Besylate | 491 | 144 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 411 | 115 |
| Levothyroxine Sodium | Levothyroxine Sodium | 386 | 101 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 381 | 84 |
| Metoprolol Succinate | Metoprolol Succinate | 352 | 92 |
| Metformin Hcl | Metformin Hcl | 341 | 103 |
| Alprazolam | Alprazolam | 332 | 66 |
| Tramadol Hcl | Tramadol Hcl | 256 | 76 |
| Omeprazole | Omeprazole | 246 | 65 |
| Tamsulosin Hcl | Tamsulosin Hcl | 241 | 64 |
| Furosemide | Furosemide | 228 | 70 |
| Losartan Potassium | Losartan Potassium | 226 | 65 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 212 | 54 |
| Sertraline Hcl | Sertraline Hcl | 202 | 53 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 198 | 61 |
| Carvedilol | Carvedilol | 197 | 58 |
| Gabapentin | Gabapentin | 197 | 58 |
| Alendronate Sodium | Alendronate Sodium | 195 | 53 |
| Pantoprazole Sodium | Pantoprazole Sodium | 193 | 53 |
| Simvastatin | Simvastatin | 189 | 56 |
| Pravastatin Sodium | Pravastatin Sodium | 187 | 46 |
| Allopurinol | Allopurinol | 180 | 48 |
| Eliquis | Apixaban | 180 | 35 |
| Metoprolol Tartrate | Metoprolol Tartrate | 178 | 50 |
| Hydrochlorothiazide | Hydrochlorothiazide | 171 | 48 |
| Atenolol | Atenolol | 170 | 48 |
| Lorazepam | Lorazepam | 169 | 38 |
| Prednisone | Prednisone | 161 | 93 |
| Clopidogrel | Clopidogrel Bisulfate | 149 | 41 |
| Quetiapine Fumarate | Quetiapine Fumarate | 140 | 43 |
| Zolpidem Tartrate | Zolpidem Tartrate | 140 | 19 |
| Ozempic | Semaglutide | 138 | 24 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 137 | 47 |
| Meloxicam | Meloxicam | 134 | 32 |
| Baclofen | Baclofen | 127 | 45 |
| Oxycodone Hcl | Oxycodone Hcl | 127 | 22 |
| Lovastatin | Lovastatin | 124 | 32 |
| Montelukast Sodium | Montelukast Sodium | 120 | 40 |
| Finasteride | Finasteride | 116 | 34 |
| Famotidine | Famotidine | 113 | 39 |
| Trazodone Hcl | Trazodone Hcl | 109 | 28 |
| Glimepiride | Glimepiride | 106 | 31 |
| Potassium Chloride | Potassium Chloride | 106 | 31 |
| Amoxicillin | Amoxicillin | 104 | 73 |
| Fluoxetine Hcl | Fluoxetine Hcl | 98 | 26 |
| Metformin Hcl Er | Metformin Hcl | 93 | 25 |
| Fluticasone Propionate | Fluticasone Propionate | 89 | 34 |
| Warfarin Sodium | Warfarin Sodium | 88 | 16 |
| Duloxetine Hcl | Duloxetine Hcl | 86 | 24 |
| Benzonatate | Benzonatate | 84 | 45 |
| Citalopram Hbr | Citalopram Hydrobromide | 79 | 25 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 77 | 16 |
| Ibuprofen | Ibuprofen | 77 | 18 |
| Spironolactone | Spironolactone | 77 | 24 |
| Buspirone Hcl | Buspirone Hcl | 76 | 22 |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 75 | 22 |
| Ropinirole Hcl | Ropinirole Hcl | 74 | 22 |
| Diazepam | Diazepam | 67 | 15 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 67 | 29 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 63 | 19 |
| Azithromycin | Azithromycin | 59 | 49 |
| Clonazepam | Clonazepam | 59 | 16 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 58 | 23 |
| Nifedipine Er | Nifedipine | 58 | 16 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 58 | 19 |
| Sildenafil Citrate | Sildenafil Citrate | 58 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 54 | 12 |
| Escitalopram Oxalate | Escitalopram Oxalate | 54 | 15 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 53 | 16 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 52 | 42 |
| Paroxetine Hcl | Paroxetine Hcl | 52 | 13 |
| Donepezil Hcl | Donepezil Hcl | 50 | 14 |
| Bupropion Hcl Sr | Bupropion Hcl | 49 | 16 |
| Xarelto | Rivaroxaban | 48 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 46 | 15 |
| Hydralazine Hcl | Hydralazine Hcl | 45 | suppressed |
| Arexvy | Rsvpref3 Antigen/As01e/Pf | 43 | 43 |
| Azelastine Hcl | Azelastine Hcl | 43 | suppressed |
| Cephalexin | Cephalexin | 43 | 26 |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 41 | 11 |
| Tizanidine Hcl | Tizanidine Hcl | 41 | 13 |
| Nortriptyline Hcl | Nortriptyline Hcl | 40 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 40 | suppressed |
| Temazepam | Temazepam | 40 | suppressed |
| Insulin Aspart Flexpen | Insulin Aspart | 39 | suppressed |
| Mometasone Furoate | Mometasone Furoate | 39 | 12 |
| Mounjaro | Tirzepatide | 39 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 39 | 19 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 38 | 11 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 37 | suppressed |
| Mirtazapine | Mirtazapine | 37 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 36 | suppressed |
| Semglee (Yfgn) Pen | Insulin Glargine-Yfgn | 36 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 34 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 33 | 25 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 33 | suppressed |
| Acyclovir | Acyclovir | 32 | 12 |
| Dicyclomine Hcl | Dicyclomine Hcl | 32 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 32 | 11 |
| Folic Acid | Folic Acid | 31 | suppressed |
| Rybelsus | Semaglutide | 31 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 31 | suppressed |
| Bumetanide | Bumetanide | 30 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 29 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 29 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 29 | suppressed |
| Jardiance | Empagliflozin | 29 | suppressed |
| Levetiracetam | Levetiracetam | 29 | suppressed |
| Levofloxacin | Levofloxacin | 29 | 22 |
| Methimazole | Methimazole | 29 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 29 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 29 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 28 | suppressed |
| Entresto | Sacubitril/Valsartan | 28 | suppressed |
| Ketoconazole | Ketoconazole | 28 | suppressed |
| Valsartan | Valsartan | 28 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 27 | suppressed |
| Celecoxib | Celecoxib | 26 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 26 | suppressed |
| Topiramate | Topiramate | 26 | suppressed |
| Metronidazole | Metronidazole | 25 | 17 |
| Naproxen | Naproxen | 24 | suppressed |
| Dabigatran Etexilate | Dabigatran Etexilate Mesylate | 23 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 23 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 23 | suppressed |
| Memantine Hcl | Memantine Hcl | 22 | suppressed |
| Methocarbamol | Methocarbamol | 22 | suppressed |
| Novolin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 22 | suppressed |
| Novolin 70-30 Flexpen | Insulin Nph Hum/Reg Insulin Hm | 22 | suppressed |
| Torsemide | Torsemide | 22 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 22 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 21 | suppressed |
| Tiadylt Er | Diltiazem Hcl | 21 | suppressed |
| Bupropion Xl | Bupropion Hcl | 20 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 20 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 20 | suppressed |
| Insulin Aspart | Insulin Aspart | 20 | suppressed |
| Insulin Aspart Prot Mix 70-30 | Insulin Aspart Prot/Insuln Asp | 20 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 20 | suppressed |
| Sucralfate | Sucralfate | 20 | suppressed |
| Trulicity | Dulaglutide | 20 | suppressed |
| Fluconazole | Fluconazole | 19 | suppressed |
| Myrbetriq | Mirabegron | 19 | suppressed |
| Abrysvo | Rsv Vacc, Pref A And Pref B/Pf | 18 | 18 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 18 | suppressed |
| Clindamycin Hcl | Clindamycin Hcl | 18 | 16 |
| Amitriptyline Hcl | Amitriptyline Hcl | 17 | suppressed |
| Humalog | Insulin Lispro | 17 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Ultra-Fine Micro Pen Needle | Pen Needle, Diabetic | 17 | suppressed |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 17 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 17 | suppressed |
| Aripiprazole | Aripiprazole | 16 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 16 | suppressed |
| Fenofibrate | Fenofibrate | 16 | suppressed |
| Glipizide Er | Glipizide | 16 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 16 | suppressed |
| Pregabalin | Pregabalin | 16 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 15 | suppressed |
| Diclofenac Potassium | Diclofenac Potassium | 15 | suppressed |
| Fluticasone Propionate Hfa | Fluticasone Propionate | 15 | suppressed |
| Glipizide | Glipizide | 15 | suppressed |
| Indapamide | Indapamide | 15 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 15 | 14 |
| Divalproex Sodium Er | Divalproex Sodium | 14 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 14 | suppressed |
| Novolog Flexpen | Insulin Aspart | 14 | suppressed |
| Rasagiline Mesylate | Rasagiline Mesylate | 14 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 13 | suppressed |
| Cilostazol | Cilostazol | 13 | suppressed |
| Clindamycin Phosphate | Clindamycin Phosphate | 13 | suppressed |
| Methotrexate | Methotrexate Sodium | 13 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 12 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | 12 |
| Dilantin | Phenytoin Sodium Extended | 12 | suppressed |
| Klor-Con M20 | Potassium Chloride | 12 | suppressed |
| Lurasidone Hcl | Lurasidone Hcl | 12 | suppressed |
| Pitavastatin Calcium | Pitavastatin Calcium | 12 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 12 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 12 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 11 | suppressed |
| Calcium Acetate | Calcium Acetate | 11 | suppressed |
| Cholestyramine Light | Cholestyramine | 11 | suppressed |
| Clotrimazole | Clotrimazole | 11 | suppressed |
| Colestipol Hcl | Colestipol Hcl | 11 | suppressed |
| Diltiazem 24hr Er (Xr) | Diltiazem Hcl | 11 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 11 | suppressed |
| Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 11 | suppressed |
| Nitroglycerin | Nitroglycerin | 11 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 11 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 11 | suppressed |
| Valacyclovir | Valacyclovir 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 | $31.60 · 1 records | ABBVIE INC. | VRAYLAR | — | — |
| 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 |
Full methodology · Questions & answers · Report a possible error