Payment overview · 2025
General Payments
$141.12
2 reported records · 1 companies
Healthcare provider profile · identity verified
Marc M. Keuler, MD
Allopathic & Osteopathic Physicians|Internal Medicine · TOBYHANNA, PA · NPI 1942247028
Verified facts
What the public records show
CMS Open Payments records show Marc M. Keuler, MD received $141.12 in general payments during 2025 across 2 reported records.
Novo Nordisk Inc accounted for 100.0% 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: Ozempic.
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 48 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $141.12 | 100.0% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $141.12 | 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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $141.12 | 2 | 2025 |
Source payment records
|
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $16.38 | 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 |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 48 | 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 |
|---|---|---|---|---|---|---|
| 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 |
48 | 12 |
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 | 832 | 246 |
| Amlodipine Besylate | Amlodipine Besylate | 585 | 174 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 355 | 102 |
| Levothyroxine Sodium | Levothyroxine Sodium | 350 | 100 |
| Metformin Hcl Er | Metformin Hcl | 299 | 83 |
| Lisinopril | Lisinopril | 290 | 85 |
| Gabapentin | Gabapentin | 267 | 76 |
| Omeprazole | Omeprazole | 251 | 73 |
| Furosemide | Furosemide | 247 | 75 |
| Hydrochlorothiazide | Hydrochlorothiazide | 237 | 66 |
| Losartan Potassium | Losartan Potassium | 216 | 68 |
| Metformin Hcl | Metformin Hcl | 211 | 62 |
| Metoprolol Succinate | Metoprolol Succinate | 209 | 66 |
| Pantoprazole Sodium | Pantoprazole Sodium | 191 | 76 |
| Simvastatin | Simvastatin | 183 | 55 |
| Eliquis | Apixaban | 165 | 39 |
| Alprazolam | Alprazolam | 159 | 43 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 144 | 56 |
| Fluticasone Propionate | Fluticasone Propionate | 143 | 58 |
| Valsartan | Valsartan | 143 | 39 |
| Tamsulosin Hcl | Tamsulosin Hcl | 139 | 48 |
| Meloxicam | Meloxicam | 135 | 46 |
| Allopurinol | Allopurinol | 134 | 41 |
| Clopidogrel | Clopidogrel Bisulfate | 133 | 41 |
| Alendronate Sodium | Alendronate Sodium | 130 | 41 |
| Metoprolol Tartrate | Metoprolol Tartrate | 130 | 37 |
| Ezetimibe | Ezetimibe | 105 | 34 |
| Ibuprofen | Ibuprofen | 104 | 33 |
| Mounjaro | Tirzepatide | 104 | 19 |
| Duloxetine Hcl | Duloxetine Hcl | 93 | 30 |
| Escitalopram Oxalate | Escitalopram Oxalate | 92 | 31 |
| Zolpidem Tartrate | Zolpidem Tartrate | 86 | 30 |
| Sertraline Hcl | Sertraline Hcl | 84 | 26 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 80 | 23 |
| Montelukast Sodium | Montelukast Sodium | 80 | 26 |
| Tramadol Hcl | Tramadol Hcl | 80 | 22 |
| Jardiance | Empagliflozin | 79 | 21 |
| Clonazepam | Clonazepam | 77 | 17 |
| Trulicity | Dulaglutide | 75 | 15 |
| Potassium Chloride | Potassium Chloride | 71 | 22 |
| Synthroid | Levothyroxine Sodium | 68 | 19 |
| Carvedilol | Carvedilol | 65 | 21 |
| Famotidine | Famotidine | 63 | 24 |
| Benazepril Hcl | Benazepril Hcl | 61 | 15 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 60 | 15 |
| Fluoxetine Hcl | Fluoxetine Hcl | 59 | 20 |
| Glimepiride | Glimepiride | 59 | 19 |
| Lorazepam | Lorazepam | 58 | 12 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 56 | 20 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 54 | 17 |
| Diclofenac Sodium | Diclofenac Sodium | 51 | 12 |
| Celecoxib | Celecoxib | 49 | 13 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 48 | 17 |
| Ozempic | Semaglutide | 48 | 12 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 48 | 25 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 47 | 12 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 47 | 14 |
| Prednisone | Prednisone | 46 | 36 |
| Meclizine Hcl | Meclizine Hcl | 44 | 16 |
| Atenolol | Atenolol | 43 | 17 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 43 | 22 |
| Enalapril Maleate | Enalapril Maleate | 41 | 12 |
| Pioglitazone Hcl | Pioglitazone Hcl | 40 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 38 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 38 | 13 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 37 | suppressed |
| Finasteride | Finasteride | 37 | 11 |
| Pregabalin | Pregabalin | 37 | 12 |
| Breo Ellipta | Fluticasone/Vilanterol | 36 | 16 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 36 | 11 |
| Spironolactone | Spironolactone | 36 | 12 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 36 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 35 | 11 |
| Novolog Flexpen | Insulin Aspart | 35 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 32 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 32 | 12 |
| Aripiprazole | Aripiprazole | 31 | suppressed |
| Naproxen | Naproxen | 31 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 30 | suppressed |
| Azithromycin | Azithromycin | 29 | 23 |
| Citalopram Hbr | Citalopram Hydrobromide | 28 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 28 | suppressed |
| Januvia | Sitagliptin Phosphate | 28 | suppressed |
| Torsemide | Torsemide | 28 | suppressed |
| Amoxicillin | Amoxicillin | 27 | 24 |
| Quetiapine Fumarate | Quetiapine Fumarate | 27 | suppressed |
| Topiramate | Topiramate | 27 | suppressed |
| Fenofibrate | Fenofibrate | 26 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 26 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 26 | suppressed |
| Ramipril | Ramipril | 26 | suppressed |
| Xarelto | Rivaroxaban | 26 | suppressed |
| Mirtazapine | Mirtazapine | 25 | 11 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 24 | suppressed |
| Diazepam | Diazepam | 24 | suppressed |
| Nifedipine Er | Nifedipine | 23 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 23 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 22 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 22 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 22 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 22 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 22 | suppressed |
| Baclofen | Baclofen | 21 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 21 | 16 |
| Glipizide | Glipizide | 21 | suppressed |
| Carbamazepine | Carbamazepine | 19 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 19 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 17 |
| Donepezil Hcl | Donepezil Hcl | 17 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 17 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 17 | suppressed |
| Memantine Hcl | Memantine Hcl | 16 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 16 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 16 | suppressed |
| Atenolol-Chlorthalidone | Atenolol/Chlorthalidone | 15 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 15 | suppressed |
| Glipizide Er | Glipizide | 15 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 15 | suppressed |
| Linzess | Linaclotide | 15 | suppressed |
| Lovastatin | Lovastatin | 15 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 15 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 15 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 15 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 14 | suppressed |
| Methylprednisolone | Methylprednisolone | 14 | 12 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 14 | suppressed |
| Spiriva Handihaler | Tiotropium Bromide | 14 | suppressed |
| Ammonium Lactate | Ammonium Lactate | 13 | suppressed |
| Cephalexin | Cephalexin | 13 | suppressed |
| Chlorthalidone | Chlorthalidone | 13 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 13 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 13 | suppressed |
| Entresto | Sacubitril/Valsartan | 13 | suppressed |
| Nitroglycerin | Nitroglycerin | 13 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 13 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 12 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 12 | suppressed |
| Bupropion Xl | Bupropion Hcl | 12 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 12 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 12 | suppressed |
| Myrbetriq | Mirabegron | 12 | suppressed |
| Creon | Lipase/Protease/Amylase | 11 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 11 | suppressed |
| Irbesartan | Irbesartan | 11 | suppressed |
| Levetiracetam | Levetiracetam | 11 | suppressed |
| Methocarbamol | Methocarbamol | 11 | suppressed |
| Nystatin | Nystatin | 11 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 11 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 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 | $141.12 · 2 records | Novo Nordisk Inc | Ozempic, Rybelsus | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk 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