Healthcare provider profile · identity verified

Emma Middleton

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · DOTHAN, AL · NPI 1932679875

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Emma Middleton received $2,246.33 in general payments during 2025 across 115 reported records.

Novo Nordisk Inc accounted for 28.1% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 36 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Jardiance, Mounjaro, Ozempic, Trelegy Ellipta.

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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Synthroid by this doctor in 2024.

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 28 claims for Farxiga by this doctor in 2024.

Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Jardiance by this doctor in 2024.

GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Trelegy Ellipta by this doctor in 2024.

Janssen Pharmaceuticals, 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 XARELTO as an associated drug or biological on 28 records involving 28 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Xarelto by this doctor in 2024.

Lilly USA, 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Jardiance by this doctor in 2024.

Lilly USA, 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 87 claims for Mounjaro by this doctor in 2024.

Lilly USA, 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Trulicity by this doctor in 2024.

Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 144 claims for Ozempic by this doctor in 2024.

PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 63 claims for Eliquis by this doctor in 2024.

PFIZER 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 PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Paxlovid by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$2,246.33

115 reported records · 20 companies

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 companyCanonical companyAmountShareRecordsYear
Novo Nordisk Inc Unresolved — no canonical attribution shown $631.5128.1%222025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $221.699.9%122025
ABBVIE INC. Unresolved — no canonical attribution shown $210.839.4%142025
Lilly USA, LLC Unresolved — no canonical attribution shown $201.229.0%152025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $191.968.6%132025
Janssen Pharmaceuticals, Inc Unresolved — no canonical attribution shown $124.755.5%12025
Bayer Healthcare Pharmaceuticals Inc. Unresolved — no canonical attribution shown $114.725.1%52025
Merck Sharp & Dohme LLC Unresolved — no canonical attribution shown $101.194.5%72025
Amgen Inc. Unresolved — no canonical attribution shown $61.452.7%42025
Exact Sciences Corporation Unresolved — no canonical attribution shown $53.592.4%32025
Vanda Pharmaceuticals Inc. Unresolved — no canonical attribution shown $50.682.3%22025
Otsuka America Pharmaceutical, Inc. Unresolved — no canonical attribution shown $49.672.2%32025
PFIZER INC. Unresolved — no canonical attribution shown $46.792.1%32025
Xeris Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $38.721.7%22025
SHIELD THERAPEUTICS INC Unresolved — no canonical attribution shown $36.361.6%22025
Phathom Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $29.691.3%22025
Novartis Pharmaceuticals Corporation Unresolved — no canonical attribution shown $26.951.2%22025
Averitas Pharma Inc. Unresolved — no canonical attribution shown $19.630.9%12025
Boehringer Ingelheim Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $18.850.8%12025
Astellas Pharma US Inc Unresolved — no canonical attribution shown $16.080.7%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$2,227.48114
Education$18.851

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 productTypeReported companyRelated amount*RecordsYear
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $456.65 11 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $137.19 10 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $136.49 8 2025
Source payment records
SPRAVATO
Normalized: spravato
Drug Janssen Pharmaceuticals, Inc $124.75 1 2025
Source payment records
Kerendia
Normalized: kerendia
Drug Bayer Healthcare Pharmaceuticals Inc. $114.72 5 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $113.32 8 2025
Source payment records
AREXVY
Normalized: arexvy
Biological GlaxoSmithKline, LLC. $101.84 7 2025
Source payment records
VERQUVO
Normalized: verquvo
Drug Merck Sharp & Dohme LLC $101.19 7 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $93.75 6 2025
Source payment records
TRELEGY ELLIPTA
Normalized: trelegy ellipta
Drug GlaxoSmithKline, LLC. $90.12 6 2025
Source payment records
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $86.00 5 2025
Source payment records
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $83.03 4 2025
Source payment records
SHINGRIX
Normalized: shingrix
Biological GlaxoSmithKline, LLC. $79.34 6 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC $68.83 5 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $63.34 5 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $61.45 4 2025
Source payment records
The Cologuard Plus Collection Kit
Normalized: the cologuard plus collection kit
Device Exact Sciences Corporation $53.59 3 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $52.66 3 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $52.43 5 2025
Source payment records
FANAPT
Normalized: fanapt
Drug Vanda Pharmaceuticals Inc. $50.68 2 2025
Source payment records
REXULTI
Normalized: rexulti
Drug Otsuka America Pharmaceutical, Inc. $49.67 3 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $46.79 3 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $46.79 3 2025
Source payment records
LAGEVRIO
Normalized: lagevrio
Drug Merck Sharp & Dohme LLC $43.45 3 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $43.33 3 2025
Source payment records
GVOKE HYPOPEN
Normalized: gvoke hypopen
Drug Xeris Pharmaceuticals, Inc. $38.72 2 2025
Source payment records
ACCRUFER
Normalized: accrufer
Drug SHIELD THERAPEUTICS INC $36.36 2 2025
Source payment records
VOQUEZNA
Normalized: voquezna
Drug Phathom Pharmaceuticals, Inc. $29.69 2 2025
Source payment records
LINZESS
Normalized: linzess
Drug ABBVIE INC. $28.97 1 2025
Source payment records
LEQVIO
Normalized: leqvio
Drug Novartis Pharmaceuticals Corporation $26.95 2 2025
Source payment records
QUTENZA
Normalized: qutenza
Drug Averitas Pharma Inc. $19.63 1 2025
Source payment records
Veozah
Normalized: veozah
Drug Astellas Pharma US Inc $16.08 1 2025
Source payment records
BEXSERO
Normalized: bexsero
Biological GlaxoSmithKline, LLC. $15.17 1 2025
Source payment records
OTEZLA
Normalized: otezla
Drug Amgen Inc. $15.02 1 2025
Source payment records
CAPVAXIVE
Normalized: capvaxive
Biological Merck Sharp & Dohme LLC $13.65 1 2025
Source payment records
ENTRESTO
Normalized: entresto
Drug Novartis Pharmaceuticals Corporation $13.49 1 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 productPayment yearPart D brandPart D yearClaimsMatch methodSource
FARXIGA
farxiga
2025 Farxiga 2024 28
Beneficiary count suppressed
exact normalized Medicare Part D
JARDIANCE
jardiance
2025 Jardiance 2024 18
Beneficiary count suppressed
exact normalized Medicare Part D
MOUNJARO
mounjaro
2025 Mounjaro 2024 87 exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 144 exact normalized Medicare Part D
TRELEGY ELLIPTA
trelegy ellipta
2025 Trelegy Ellipta 2024 19
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 companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 SYNTHROID
open payments reported associated product
CMS Open Payments — General Payments
10655 supporting records · 4881 recipient NPIs · example record 1201352636
Synthroid · 2024
Exact normalized brand match · 1 Part D row
14 suppressed by CMS
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
28 suppressed by CMS
Boehringer Ingelheim Pharmaceuticals, Inc.
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
123636 supporting records · 49438 recipient NPIs · example record 1221811583
Jardiance · 2024
Exact normalized brand match · 1 Part D row
18 suppressed by CMS
GlaxoSmithKline, LLC.
Exact reporting entity; no affiliate inference
2025 TRELEGY ELLIPTA
open payments reported associated product
CMS Open Payments — General Payments
131532 supporting records · 37148 recipient NPIs · example record 1190332369
Trelegy Ellipta · 2024
Exact normalized brand match · 1 Part D row
19 suppressed by CMS
Janssen Pharmaceuticals, Inc
Exact reporting entity; no affiliate inference
2025 XARELTO
open payments reported associated product
CMS Open Payments — General Payments
28 supporting records · 28 recipient NPIs · example record 1174296970
Xarelto · 2024
Exact normalized brand match · 1 Part D row
15 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
47708 supporting records · 23833 recipient NPIs · example record 1186464557
Jardiance · 2024
Exact normalized brand match · 1 Part D row
18 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 MOUNJARO
open payments reported associated product
CMS Open Payments — General Payments
186719 supporting records · 66436 recipient NPIs · example record 1186464455
Mounjaro · 2024
Exact normalized brand match · 1 Part D row
87 15
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 TRULICITY
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 57 recipient NPIs · example record 1186464601
Trulicity · 2024
Exact normalized brand match · 1 Part D row
14 suppressed by CMS
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Ozempic
open payments reported associated product
CMS Open Payments — General Payments
261625 supporting records · 77793 recipient NPIs · example record 1188130076
Ozempic · 2024
Exact normalized brand match · 1 Part D row
144 28
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 ELIQUIS
open payments reported associated product
CMS Open Payments — General Payments
87112 supporting records · 36032 recipient NPIs · example record 1228794063
Eliquis · 2024
Exact normalized brand match · 1 Part D row
63 14
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 PAXLOVID
open payments reported associated product
CMS Open Payments — General Payments
24465 supporting records · 15715 recipient NPIs · example record 1228794432
Paxlovid · 2024
Exact normalized brand match · 1 Part D row
16 16

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

BrandGenericClaimsBeneficiaries
Atorvastatin CalciumAtorvastatin Calcium331102
Amlodipine BesylateAmlodipine Besylate23583
Levothyroxine SodiumLevothyroxine Sodium21847
OmeprazoleOmeprazole15748
Albuterol Sulfate HfaAlbuterol Sulfate15657
Losartan PotassiumLosartan Potassium15046
OzempicSemaglutide14428
LisinoprilLisinopril12245
HydrochlorothiazideHydrochlorothiazide11140
MethocarbamolMethocarbamol10252
Montelukast SodiumMontelukast Sodium10135
Metformin HclMetformin Hcl9934
Pantoprazole SodiumPantoprazole Sodium9941
Metformin Hcl ErMetformin Hcl9527
MounjaroTirzepatide8715
Fluticasone PropionateFluticasone Propionate7330
Potassium ChloridePotassium Chloride7224
Meclizine HclMeclizine Hcl7026
SimvastatinSimvastatin6919
FurosemideFurosemide6728
Metoprolol SuccinateMetoprolol Succinate6522
Rosuvastatin CalciumRosuvastatin Calcium6425
EliquisApixaban6314
Trazodone HclTrazodone Hcl6227
MeloxicamMeloxicam5925
Ondansetron OdtOndansetron5333
AmoxicillinAmoxicillin5246
Doxycycline HyclateDoxycycline Hyclate5252
Tamsulosin HclTamsulosin Hcl5221
MethylprednisoloneMethylprednisolone5148
Escitalopram OxalateEscitalopram Oxalate4918
Pioglitazone HclPioglitazone Hcl4916
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide4612
Diclofenac SodiumDiclofenac Sodium4318
GabapentinGabapentin4217
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide4215
Tizanidine HclTizanidine Hcl3919
Sertraline HclSertraline Hcl3713
Hydralazine HclHydralazine Hcl35suppressed
JanuviaSitagliptin Phosphate34suppressed
FamotidineFamotidine3313
GlimepirideGlimepiride3313
Pravastatin SodiumPravastatin Sodium33suppressed
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst3230
AllopurinolAllopurinol31suppressed
Metoprolol TartrateMetoprolol Tartrate3111
Alendronate SodiumAlendronate Sodium30suppressed
CelecoxibCelecoxib2811
FarxigaDapagliflozin Propanediol28suppressed
GlipizideGlipizide28suppressed
Clonidine HclClonidine Hcl27suppressed
Clindamycin HclClindamycin Hcl2624
Olmesartan MedoxomilOlmesartan Medoxomil25suppressed
Olmesartan-Amlodipine-HctzOlmesartan/Amlodipin/Hcthiazid25suppressed
Triamcinolone AcetonideTriamcinolone Acetonide2517
Amitriptyline HclAmitriptyline Hcl24suppressed
Fluoxetine HclFluoxetine Hcl24suppressed
AtenololAtenolol23suppressed
FluconazoleFluconazole2318
Nifedipine ErNifedipine22suppressed
Esomeprazole MagnesiumEsomeprazole Magnesium21suppressed
PrednisonePrednisone2120
Terbinafine HclTerbinafine Hcl21suppressed
LevetiracetamLevetiracetam20suppressed
SpironolactoneSpironolactone20suppressed
Tramadol HclTramadol Hcl2013
AzithromycinAzithromycin1919
Trelegy ElliptaFluticasone/Umeclidin/Vilanter19suppressed
Cyclobenzaprine HclCyclobenzaprine Hcl1811
Donepezil HclDonepezil Hcl18suppressed
JardianceEmpagliflozin18suppressed
KetoconazoleKetoconazole18suppressed
MupirocinMupirocin1814
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim1818
Duloxetine HclDuloxetine Hcl17suppressed
FinasterideFinasteride17suppressed
Ventolin HfaAlbuterol Sulfate17suppressed
Citalopram HbrCitalopram Hydrobromide16suppressed
Doxazosin MesylateDoxazosin Mesylate16suppressed
PaxlovidNirmatrelvir/Ritonavir1616
ValacyclovirValacyclovir Hcl16suppressed
Buspirone HclBuspirone Hcl15suppressed
CarvedilolCarvedilol15suppressed
XareltoRivaroxaban15suppressed
CephalexinCephalexin14suppressed
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip1411
FenofibrateFenofibrate14suppressed
Humalog Mix 75-25 KwikpenInsulin Lispro Protamin/Lispro14suppressed
Nortriptyline HclNortriptyline Hcl14suppressed
Pramipexole DihydrochloridePramipexole Di-Hcl14suppressed
SynthroidLevothyroxine Sodium14suppressed
TrulicityDulaglutide14suppressed
Ulticare Pen NeedlePen Needle, Diabetic14suppressed
Doxepin HclDoxepin Hcl13suppressed
EzetimibeEzetimibe13suppressed
Isosorbide Mononitrate ErIsosorbide Mononitrate13suppressed
Verapamil ErVerapamil Hcl13suppressed
Bupropion XlBupropion Hcl12suppressed
Ciprofloxacin HclCiprofloxacin Hcl1212
Lantus SolostarInsulin Glargine,hum.Rec.Anlog12suppressed
Nebivolol HclNebivolol Hcl12suppressed
Breo ElliptaFluticasone/Vilanterol11suppressed

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.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $2,246.33 · 115 records Novo Nordisk Inc ACCRUFER, AIRSUPRA, AREXVY, BEXSERO, BREZTRI, CAPVAXIVE, ENTRESTO, FANAPT, FARXIGA, GVOKE HYPOPEN, JARDIANCE, Kerendia, LAGEVRIO, LEQVIO, LINZESS, MOUNJARO, NURTEC ODT, OTEZLA, Ozempic, QULIPTA, QUTENZA, REPATHA, REXULTI, Rybelsus, SHINGRIX, SPRAVATO, TRELEGY ELLIPTA, The Cologuard Plus Collection Kit, UBRELVY, VERQUVO, VOQUEZNA, VRAYLAR, Veozah, Wegovy, ZAVZPRET, ZEPBOUND 11
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error