Payment overview · 2025
General Payments
$2,191.74
48 reported records · 11 companies
Healthcare provider profile · identity verified
Jonathan David Needler, PA-C
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Surgical · DESTIN, FL · NPI 1912155490
Verified facts
What the public records show
CMS Open Payments records show Jonathan David Needler, PA-C received $2,191.74 in general payments during 2025 across 48 reported records.
Inspire Medical Systems, Inc. accounted for 37.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 16 associated products.
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 |
|---|---|---|---|---|---|
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $818.19 | 37.3% | 28 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $378.10 | 17.2% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $236.22 | 10.8% | 2 | 2025 |
| AERIN MEDICAL INC. | Unresolved — no canonical attribution shown | $171.60 | 7.8% | 3 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $169.43 | 7.7% | 4 | 2025 |
| Avadel CNS Pharmaceuticals, LLC | Unresolved — no canonical attribution shown | $146.44 | 6.7% | 1 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $122.41 | 5.6% | 4 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $76.08 | 3.5% | 1 | 2025 |
| Cochlear Americas | Unresolved — no canonical attribution shown | $30.59 | 1.4% | 1 | 2025 |
| Smith+Nephew, Inc. | Unresolved — no canonical attribution shown | $21.39 | 1.0% | 1 | 2025 |
| ARS Pharmaceuticals Operations, Inc. | Unresolved — no canonical attribution shown | $21.29 | 1.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,191.74 | 48 |
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 |
|---|---|---|---|---|---|
| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $818.19 | 28 | 2025 |
Source payment records
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| KRYSTEXXA Normalized: krystexxa |
Biological | Amgen Inc. | $378.10 | 2 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc. | $291.84 | 8 | 2025 |
Source payment records
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| RHINAER STYLUS Normalized: rhinaer stylus |
Device | AERIN MEDICAL INC. | $171.60 | 3 | 2025 |
Source payment records
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| VIVAER STYLUS Normalized: vivaer stylus |
Device | AERIN MEDICAL INC. | $171.60 | 3 | 2025 |
Source payment records
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| LUMRYZ Normalized: lumryz |
Drug | Avadel CNS Pharmaceuticals, LLC | $146.44 | 1 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $124.99 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $111.23 | 1 | 2025 |
Source payment records
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| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $76.08 | 1 | 2025 |
Source payment records
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| BAHA Normalized: baha |
Device | Cochlear Americas | $30.59 | 1 | 2025 |
Source payment records
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| COCHLEAR NUCLEUS CI632 COCHLEAR IMPLANT WITH SLIM MODIOLAR ELECTRODE Normalized: cochlear nucleus ci632 cochlear implant with slim modiolar electrode |
Device | Cochlear Americas | $30.59 | 1 | 2025 |
Source payment records
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| OSIA OSI300 IMPLANT Normalized: osia osi300 implant |
Device | Cochlear Americas | $30.59 | 1 | 2025 |
Source payment records
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| Coblation Normalized: coblation |
Device | Smith+Nephew, Inc. | $21.39 | 1 | 2025 |
Source payment records
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| ENT Sinus Normalized: ent sinus |
Device | Smith+Nephew, Inc. | $21.39 | 1 | 2025 |
Source payment records
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| HALO Normalized: halo |
Device | Smith+Nephew, Inc. | $21.39 | 1 | 2025 |
Source payment records
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| NEFFY Normalized: neffy |
Drug | ARS Pharmaceuticals Operations, Inc. | $21.29 | 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 |
|---|---|---|---|
| Famotidine | Famotidine | 153 | 67 |
| Omeprazole | Omeprazole | 119 | 53 |
| Ipratropium Bromide | Ipratropium Bromide | 105 | 47 |
| Fluticasone Propionate | Fluticasone Propionate | 86 | 53 |
| Clindamycin Hcl | Clindamycin Hcl | 76 | 65 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 68 | 59 |
| Fluconazole | Fluconazole | 64 | 53 |
| Methylprednisolone | Methylprednisolone | 64 | 55 |
| Montelukast Sodium | Montelukast Sodium | 44 | 16 |
| Azelastine Hcl | Azelastine Hcl | 43 | 28 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 35 | 33 |
| Ondansetron Hcl | Ondansetron Hcl | 34 | 32 |
| Fluocinolone Acetonide Oil | Fluocinolone Acetonide Oil | 29 | 26 |
| Ciprofloxacin-Dexamethasone | Ciprofloxacin Hcl/Dexameth | 27 | 18 |
| Cephalexin | Cephalexin | 26 | 23 |
| Azithromycin | Azithromycin | 16 | suppressed |
| Prednisone | Prednisone | 16 | 16 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 16 | 13 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 13 |
| Mupirocin | Mupirocin | 13 | 13 |
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 | $2,191.74 · 48 records | Inspire Medical Systems, Inc. | AIRSUPRA, BAHA, BREZTRI, COCHLEAR NUCLEUS CI632 COCHLEAR IMPLANT WITH SLIM MODIOLAR ELECTRODE, Coblation, DUPIXENT, ENT Sinus, HALO, INSPIRE, KRYSTEXXA, LUMRYZ, LifeVest, NEFFY, OSIA OSI300 IMPLANT, RHINAER STYLUS, VIVAER STYLUS | — | — |
| 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