Payment overview · 2025
General Payments
$1,293.02
61 reported records · 16 companies
Healthcare provider profile · identity verified
Nathaniel Wachter, MD
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology · SAINT LOUIS, MO · NPI 1922492123
Verified facts
What the public records show
CMS Open Payments records show Nathaniel Wachter, MD received $1,293.02 in general payments during 2025 across 61 reported records.
ABBVIE INC. accounted for 48.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 21 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ubrelvy.
ABBVIE 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 UBRELVY as an associated drug or biological on 299803 records involving 61203 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Ubrelvy by this doctor in 2024.
Amneal Pharmaceuticals LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported RYTARY as an associated drug or biological on 200 records involving 121 distinct recipient NPIs. Public Medicare Part D data also shows 37 claims for Rytary by this doctor in 2024.
Teva Pharmaceuticals USA, 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 AUSTEDO as an associated drug or biological on 28 records involving 15 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Austedo 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $624.90 | 48.3% | 32 | 2025 |
| UCB, Inc. | Unresolved — no canonical attribution shown | $130.13 | 10.1% | 4 | 2025 |
| Biogen, Inc. | Unresolved — no canonical attribution shown | $83.53 | 6.5% | 3 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $56.22 | 4.3% | 2 | 2025 |
| Amneal Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $50.00 | 3.9% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $47.72 | 3.7% | 3 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$47.45 | 3.7% | 3 | 2025 |
| Grifols USA, LLC | Unresolved — no canonical attribution shown | $46.53 | 3.6% | 2 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $37.73 | 2.9% | 2 | 2025 |
| Neurelis, Inc. |
Neurelis, Inc. exact · evidence 2025-02-20 |
$33.19 | 2.6% | 2 | 2025 |
| SK Life Science, Inc. |
SK Life Science, Inc. exact · evidence 2025-04-03 |
$26.40 | 2.0% | 1 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $25.23 | 1.9% | 1 | 2025 |
| ARGENX US, INC. | Unresolved — no canonical attribution shown | $23.64 | 1.8% | 1 | 2025 |
| Xeris Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $22.88 | 1.8% | 1 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $19.94 | 1.5% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $17.53 | 1.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,293.02 | 61 |
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 |
|---|---|---|---|---|---|
| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $392.32 | 22 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $291.60 | 16 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $136.66 | 6 | 2025 |
Source payment records
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| VYALEV Normalized: vyalev |
Drug | ABBVIE INC. | $95.92 | 4 | 2025 |
Source payment records
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| VUMERITY Normalized: vumerity |
Drug | Biogen, Inc. | $83.53 | 3 | 2025 |
Source payment records
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| Rystiggo Normalized: rystiggo |
Drug | UCB, Inc. | $74.43 | 2 | 2025 |
Source payment records
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| TYSABRI Normalized: tysabri |
Biological | Biogen, Inc. | $59.67 | 2 | 2025 |
Source payment records
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| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $56.22 | 2 | 2025 |
Source payment records
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| Nayzilam Normalized: nayzilam |
Drug | UCB, Inc. | $55.70 | 2 | 2025 |
Source payment records
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| CREXONT Normalized: crexont |
Drug | Amneal Pharmaceuticals LLC | $50.00 | 2 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $47.72 | 3 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $47.72 | 3 | 2025 |
Source payment records
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| PERCEPT PC BRAINSENSE Normalized: percept pc brainsense |
Device | Medtronic, Inc. | $47.45 | 3 | 2025 |
Source payment records
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| Gamunex-C Normalized: gamunex c |
Biological | Grifols USA, LLC | $46.53 | 2 | 2025 |
Source payment records
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| KISUNLA Normalized: kisunla |
Drug | Lilly USA, LLC | $37.73 | 2 | 2025 |
Source payment records
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| VALTOCO Normalized: valtoco |
Drug | Neurelis, Inc. | $33.19 | 2 | 2025 |
Source payment records
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| Symbravo Normalized: symbravo |
Drug | Axsome Therapeutics, Inc. | $25.23 | 1 | 2025 |
Source payment records
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| VYVGART HYTRULO Normalized: vyvgart hytrulo |
Drug | ARGENX US, INC. | $23.64 | 1 | 2025 |
Source payment records
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| KEVEYIS Normalized: keveyis |
Drug | Xeris Pharmaceuticals, Inc. | $22.88 | 1 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $19.94 | 1 | 2025 |
Source payment records
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| KESIMPTA Normalized: kesimpta |
Drug | Novartis Pharmaceuticals Corporation | $17.53 | 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 |
|---|---|---|---|---|---|---|
| UBRELVY ubrelvy |
2025 | Ubrelvy | 2024 | 12 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | UBRELVY open payments reported associated product |
CMS Open Payments — General Payments 299803 supporting records · 61203 recipient NPIs · example record 1201352530 |
Ubrelvy · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| Amneal Pharmaceuticals LLC Exact reporting entity; no affiliate inference |
2025 | RYTARY open payments reported associated product |
CMS Open Payments — General Payments 200 supporting records · 121 recipient NPIs · example record 1220526035 |
Rytary · 2024 Exact normalized brand match · 1 Part D row |
37 | suppressed by CMS |
| Teva Pharmaceuticals USA, Inc. Exact reporting entity; no affiliate inference |
2025 | AUSTEDO open payments reported associated product |
CMS Open Payments — General Payments 28 supporting records · 15 recipient NPIs · example record 1247249192 |
Austedo · 2024 Exact normalized brand match · 1 Part D row |
18 | 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 |
|---|---|---|---|
| Carbidopa-Levodopa | Carbidopa/Levodopa | 1078 | 317 |
| Donepezil Hcl | Donepezil Hcl | 195 | 72 |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 152 | 44 |
| Propranolol Hcl Er | Propranolol Hcl | 144 | 39 |
| Clonazepam | Clonazepam | 139 | 27 |
| Topiramate | Topiramate | 128 | 35 |
| Rivastigmine | Rivastigmine Tartrate | 116 | 38 |
| Quetiapine Fumarate | Quetiapine Fumarate | 105 | 34 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 100 | 30 |
| Amantadine | Amantadine Hcl | 85 | 26 |
| Ropinirole Hcl | Ropinirole Hcl | 83 | 21 |
| Gabapentin | Gabapentin | 73 | 25 |
| Escitalopram Oxalate | Escitalopram Oxalate | 72 | 24 |
| Duloxetine Hcl | Duloxetine Hcl | 65 | 17 |
| Mirtazapine | Mirtazapine | 64 | 18 |
| Rivastigmine | Rivastigmine | 63 | 17 |
| Primidone | Primidone | 62 | 21 |
| Memantine Hcl | Memantine Hcl | 60 | 23 |
| Baclofen | Baclofen | 56 | 15 |
| Selegiline Hcl | Selegiline Hcl | 44 | suppressed |
| Rytary | Carbidopa/Levodopa | 37 | suppressed |
| Rasagiline Mesylate | Rasagiline Mesylate | 35 | suppressed |
| Levetiracetam | Levetiracetam | 34 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 31 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 30 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 30 | suppressed |
| Entacapone | Entacapone | 28 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 27 | 11 |
| Pregabalin | Pregabalin | 25 | suppressed |
| Ondansetron Odt | Ondansetron | 21 | 14 |
| Emgality Pen | Galcanezumab-Gnlm | 19 | suppressed |
| Austedo | Deutetrabenazine | 18 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 18 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 18 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 18 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 18 | suppressed |
| Lorazepam | Lorazepam | 17 | suppressed |
| Nuplazid | Pimavanserin Tartrate | 17 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 17 | suppressed |
| Ropinirole Er | Ropinirole Hcl | 16 | suppressed |
| Trihexyphenidyl Hcl | Trihexyphenidyl Hcl | 16 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 14 | suppressed |
| Olanzapine | Olanzapine | 14 | suppressed |
| Ubrelvy | Ubrogepant | 12 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 11 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 11 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 11 | suppressed |
| Pyridostigmine Bromide | Pyridostigmine Bromide | 11 | suppressed |
| Risperidone | Risperidone | 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 | $1,293.02 · 61 records | ABBVIE INC. | AUSTEDO XR, BOTOX, CREXONT, Gamunex-C, INGREZZA, KESIMPTA, KEVEYIS, KISUNLA, NURTEC ODT, Nayzilam, PERCEPT PC BRAINSENSE, QULIPTA, Rystiggo, Symbravo, TYSABRI, UBRELVY, VALTOCO, VUMERITY, VYALEV, VYVGART HYTRULO, ZAVZPRET | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ubrelvy play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE 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