Payment overview · 2025
General Payments
$74.84
4 reported records · 2 companies
Healthcare provider profile · identity verified
Daniel Tibbits
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · GRANTS PASS, OR · NPI 1922356658
Verified facts
What the public records show
CMS Open Payments records show Daniel Tibbits received $74.84 in general payments during 2025 across 4 reported records.
Otsuka America Pharmaceutical, Inc. accounted for 57.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Rexulti.
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 20 claims for Farxiga by this doctor in 2024.
Otsuka America Pharmaceutical, 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 REXULTI as an associated drug or biological on 160756 records involving 46288 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Rexulti 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 |
|---|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $42.86 | 57.3% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $31.98 | 42.7% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $42.86 | 2 |
| Education | $31.98 | 2 |
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 |
|---|---|---|---|---|---|
| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $42.86 | 2 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $31.98 | 2 | 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 |
|---|---|---|---|---|---|---|
| REXULTI rexulti |
2025 | Rexulti | 2024 | 23 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 |
|---|---|---|---|---|---|---|
| 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 |
20 | suppressed by CMS |
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 160756 supporting records · 46288 recipient NPIs · example record 1227267708 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
23 | 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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 284 | 39 |
| Omeprazole | Omeprazole | 205 | 28 |
| Atorvastatin Calcium | Atorvastatin Calcium | 193 | 43 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 160 | 45 |
| Amlodipine Besylate | Amlodipine Besylate | 110 | 27 |
| Lisinopril | Lisinopril | 96 | 27 |
| Losartan Potassium | Losartan Potassium | 93 | 28 |
| Ibuprofen | Ibuprofen | 92 | 23 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 90 | 17 |
| Escitalopram Oxalate | Escitalopram Oxalate | 89 | 16 |
| Trazodone Hcl | Trazodone Hcl | 86 | 17 |
| Gabapentin | Gabapentin | 80 | 24 |
| Montelukast Sodium | Montelukast Sodium | 78 | suppressed |
| Risperidone | Risperidone | 78 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 77 | 17 |
| Metoprolol Succinate | Metoprolol Succinate | 67 | 19 |
| Potassium Chloride | Potassium Chloride | 67 | 15 |
| Quetiapine Fumarate | Quetiapine Fumarate | 64 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 62 | suppressed |
| Furosemide | Furosemide | 59 | 11 |
| Fluticasone Propionate | Fluticasone Propionate | 56 | 12 |
| Metformin Hcl | Metformin Hcl | 56 | suppressed |
| Simvastatin | Simvastatin | 53 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 52 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 52 | suppressed |
| Bupropion Xl | Bupropion Hcl | 51 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 50 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 45 | 18 |
| Amitriptyline Hcl | Amitriptyline Hcl | 43 | 11 |
| Famotidine | Famotidine | 43 | suppressed |
| Baclofen | Baclofen | 42 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 42 | 12 |
| Levetiracetam | Levetiracetam | 40 | suppressed |
| Alprazolam | Alprazolam | 37 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 37 | suppressed |
| Ozempic | Semaglutide | 37 | suppressed |
| Carvedilol | Carvedilol | 35 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 35 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 35 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 34 | suppressed |
| Spironolactone | Spironolactone | 33 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 32 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 32 | suppressed |
| Lorazepam | Lorazepam | 31 | suppressed |
| Fluconazole | Fluconazole | 30 | 18 |
| Pregabalin | Pregabalin | 30 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 29 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 28 | suppressed |
| Meloxicam | Meloxicam | 27 | suppressed |
| Atomoxetine Hcl | Atomoxetine Hcl | 26 | suppressed |
| Cimetidine | Cimetidine | 26 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 26 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 26 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 26 | suppressed |
| Celecoxib | Celecoxib | 25 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 25 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 24 | suppressed |
| Glipizide Er | Glipizide | 24 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 23 | suppressed |
| Rexulti | Brexpiprazole | 23 | suppressed |
| Clonazepam | Clonazepam | 22 | suppressed |
| Diazepam | Diazepam | 22 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 22 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 22 | suppressed |
| Belsomra | Suvorexant | 20 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 20 | suppressed |
| Lovastatin | Lovastatin | 20 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 20 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 20 | suppressed |
| Eliquis | Apixaban | 19 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 19 | suppressed |
| Naproxen | Naproxen | 19 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 19 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 19 | suppressed |
| Aripiprazole | Aripiprazole | 18 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 18 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 18 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 18 | suppressed |
| Ondansetron Odt | Ondansetron | 18 | suppressed |
| Topiramate | Topiramate | 18 | suppressed |
| Tradjenta | Linagliptin | 18 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 17 | suppressed |
| Klor-Con M15 | Potassium Chloride | 17 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 17 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 17 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 16 | suppressed |
| Azithromycin | Azithromycin | 15 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Ezetimibe | Ezetimibe | 15 | suppressed |
| Memantine Hcl | Memantine Hcl | 15 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 15 | suppressed |
| Xarelto | Rivaroxaban | 15 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 14 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 14 | suppressed |
| Chlorthalidone | Chlorthalidone | 14 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 14 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 14 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 14 | suppressed |
| Potassium Citrate Er | Potassium Citrate | 14 | suppressed |
| Rizatriptan | Rizatriptan Benzoate | 14 | suppressed |
| Tarina Fe 1-20 Eq | Norethindrone-E.Estradiol-Iron | 14 | suppressed |
| Allopurinol | Allopurinol | 13 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 13 | suppressed |
| Fenofibrate | Fenofibrate | 13 | suppressed |
| Linzess | Linaclotide | 13 | suppressed |
| Medroxyprogesterone Acetate | Medroxyprogesterone Acetate | 13 | suppressed |
| Myrbetriq | Mirabegron | 13 | suppressed |
| Olanzapine | Olanzapine | 13 | suppressed |
| Paliperidone Er | Paliperidone | 13 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 13 | suppressed |
| Prenatal Vitamin Plus Low Iron | Pnv,calcium 72/Iron/Folic Acid | 13 | suppressed |
| Scopolamine | Scopolamine | 13 | suppressed |
| Dupixent Syringe | Dupilumab | 12 | suppressed |
| Finasteride | Finasteride | 12 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 12 | suppressed |
| Phenobarbital | Phenobarbital | 12 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 12 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 12 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 11 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 11 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 11 | suppressed |
| Valsartan | Valsartan | 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 | $74.84 · 4 records | Otsuka America Pharmaceutical, Inc. | BREZTRI, REXULTI | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Rexulti 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