Payment overview · 2025
General Payments
$6,456.73
233 reported records · 36 companies
Healthcare provider profile · identity verified
Igor Matthew Cherches, M.D.
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology · HOUSTON, TX · NPI 1942295522
Verified facts
What the public records show
CMS Open Payments records show Igor Matthew Cherches, M.D. received $6,456.73 in general payments during 2025 across 233 reported records.
Alexion Pharmaceuticals, Inc. accounted for 9.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 38 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Gamunex-C, Vumerity.
Biogen, 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 VUMERITY as an associated drug or biological on 16193 records involving 4044 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Vumerity by this doctor in 2024.
Grifols 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 Gamunex-C as an associated drug or biological on 3977 records involving 2134 distinct recipient NPIs. Public Medicare Part D data also shows 41 claims for Gamunex-C 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 |
|---|---|---|---|---|---|
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $615.33 | 9.5% | 19 | 2025 |
| UCB, Inc. | Unresolved — no canonical attribution shown | $575.41 | 8.9% | 17 | 2025 |
| Octapharma USA, Inc. | Unresolved — no canonical attribution shown | $482.03 | 7.5% | 8 | 2025 |
| TG Therapeutics, Inc. | Unresolved — no canonical attribution shown | $450.29 | 7.0% | 12 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $428.43 | 6.6% | 12 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $422.23 | 6.5% | 17 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $405.56 | 6.3% | 22 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $304.28 | 4.7% | 10 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $253.06 | 3.9% | 9 | 2025 |
| Biogen, Inc. | Unresolved — no canonical attribution shown | $251.73 | 3.9% | 13 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $230.61 | 3.6% | 9 | 2025 |
| SK Life Science, Inc. |
SK Life Science, Inc. exact · evidence 2025-04-03 |
$215.55 | 3.3% | 10 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $212.04 | 3.3% | 8 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $209.23 | 3.2% | 10 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $146.33 | 2.3% | 7 | 2025 |
| CSL Behring | Unresolved — no canonical attribution shown | $144.26 | 2.2% | 6 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $135.42 | 2.1% | 8 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $124.26 | 1.9% | 1 | 2025 |
| Grifols USA, LLC | Unresolved — no canonical attribution shown | $114.08 | 1.8% | 5 | 2025 |
| ACADIA Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $94.33 | 1.5% | 3 | 2025 |
| HOSPIRA, INC. | Unresolved — no canonical attribution shown | $72.15 | 1.1% | 3 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $67.37 | 1.0% | 2 | 2025 |
| MDD US Operations, LLC | Unresolved — no canonical attribution shown | $66.51 | 1.0% | 2 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $62.20 | 1.0% | 3 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $53.80 | 0.8% | 2 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $47.98 | 0.7% | 2 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $46.35 | 0.7% | 2 | 2025 |
| GE HEALTHCARE | Unresolved — no canonical attribution shown | $41.06 | 0.6% | 2 | 2025 |
| ARGENX US, INC. | Unresolved — no canonical attribution shown | $31.84 | 0.5% | 1 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $31.54 | 0.5% | 2 | 2025 |
| Cycle Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $24.45 | 0.4% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $24.33 | 0.4% | 1 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $23.50 | 0.4% | 1 | 2025 |
| Supernus Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $18.95 | 0.3% | 1 | 2025 |
| Life Molecular Imaging Ltd | Unresolved — no canonical attribution shown | $15.41 | 0.2% | 1 | 2025 |
| SpringWorks Therapeutics, Inc. | Unresolved — no canonical attribution shown | $14.83 | 0.2% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $6,433.31 | 231 |
| Education | $23.42 | 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 |
|---|---|---|---|---|---|
| PANZYGA Normalized: panzyga |
Biological | HOSPIRA, INC., Octapharma USA, Inc., PFIZER INC. | $732.67 | 18 | 2025 |
Source payment records
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| ULTOMIRIS Normalized: ultomiris |
Biological | Alexion Pharmaceuticals, Inc. | $502.54 | 18 | 2025 |
Source payment records
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| BRIUMVI Normalized: briumvi |
Drug | TG Therapeutics, Inc. | $450.29 | 12 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $326.92 | 15 | 2025 |
Source payment records
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| Leqembi Normalized: leqembi |
Drug | Eisai Inc. | $304.28 | 10 | 2025 |
Source payment records
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| UPLIZNA Normalized: uplizna |
Biological | Amgen Inc. | $286.95 | 10 | 2025 |
Source payment records
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| VUMERITY Normalized: vumerity |
Drug | Biogen, Inc. | $251.73 | 13 | 2025 |
Source payment records
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| OCTAGAM IMMUNE GLOBULIN (HUMAN) Normalized: octagam immune globulin human |
Drug | HOSPIRA, INC., PFIZER INC. | $250.64 | 10 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $243.74 | 10 | 2025 |
Source payment records
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| KESIMPTA Normalized: kesimpta |
Drug | Novartis Pharmaceuticals Corporation | $230.61 | 9 | 2025 |
Source payment records
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| Nayzilam Normalized: nayzilam |
Drug | UCB, Inc. | $212.19 | 5 | 2025 |
Source payment records
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| HYQVIA Normalized: hyqvia |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $212.04 | 8 | 2025 |
Source payment records
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| Ocrevus Zunovo Normalized: ocrevus zunovo |
Biological | Genentech USA, Inc. | $209.23 | 10 | 2025 |
Source payment records
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| TYSABRI Normalized: tysabri |
Biological | Biogen, Inc. | $191.49 | 9 | 2025 |
Source payment records
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| Rystiggo Normalized: rystiggo |
Drug | UCB, Inc. | $181.78 | 7 | 2025 |
Source payment records
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| Briviact Normalized: briviact |
Drug | UCB, Inc. | $181.44 | 5 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $157.81 | 11 | 2025 |
Source payment records
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| INFINITY Normalized: infinity |
Device | Abbott Laboratories | $146.33 | 7 | 2025 |
Source payment records
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| Hizentra Normalized: hizentra |
Biological | CSL Behring | $144.26 | 6 | 2025 |
Source payment records
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| VYEPTI Normalized: vyepti |
Biological | Lundbeck LLC | $135.42 | 8 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $124.26 | 1 | 2025 |
Source payment records
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| Gamunex-C Normalized: gamunex c |
Biological | Grifols USA, LLC | $114.08 | 5 | 2025 |
Source payment records
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| NUPLAZID Normalized: nuplazid |
Drug | ACADIA Pharmaceuticals Inc | $94.33 | 3 | 2025 |
Source payment records
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| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $67.37 | 2 | 2025 |
Source payment records
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| Gocovri Normalized: gocovri |
Drug | MDD US Operations, LLC | $66.51 | 2 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $62.20 | 3 | 2025 |
Source payment records
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| PONVORY Normalized: ponvory |
Drug | Vanda Pharmaceuticals Inc. | $53.80 | 2 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $46.92 | 3 | 2025 |
Source payment records
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| Symbravo Normalized: symbravo |
Drug | Axsome Therapeutics, Inc. | $46.35 | 2 | 2025 |
Source payment records
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| VYVGART HYTRULO Normalized: vyvgart hytrulo |
Drug | ARGENX US, INC. | $31.84 | 1 | 2025 |
Source payment records
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| AJOVY Normalized: ajovy |
Biological | Teva Pharmaceuticals USA, Inc. | $31.54 | 2 | 2025 |
Source payment records
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| Bafiertam Normalized: bafiertam |
Drug | Cycle Pharmaceuticals Inc | $24.45 | 1 | 2025 |
Source payment records
|
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| Tascenso ODT Normalized: tascenso odt |
Drug | Cycle Pharmaceuticals Inc | $24.45 | 1 | 2025 |
Source payment records
|
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| AMYVID Normalized: amyvid |
Drug | Lilly USA, LLC | $24.33 | 1 | 2025 |
Source payment records
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| KISUNLA Normalized: kisunla |
Drug | Lilly USA, LLC | $24.33 | 1 | 2025 |
Source payment records
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| Qelbree Normalized: qelbree |
Drug | Supernus Pharmaceuticals, Inc. | $18.95 | 1 | 2025 |
Source payment records
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| NEURACEQ Normalized: neuraceq |
Drug | Life Molecular Imaging Ltd | $15.41 | 1 | 2025 |
Source payment records
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| GOMEKLI Normalized: gomekli |
Drug | SpringWorks Therapeutics, Inc. | $14.83 | 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 |
|---|---|---|---|---|---|---|
| Gamunex-C gamunex c |
2025 | Gamunex-C | 2024 | 41 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| VUMERITY vumerity |
2025 | Vumerity | 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 |
|---|---|---|---|---|---|---|
| Biogen, Inc. Exact reporting entity; no affiliate inference |
2025 | VUMERITY open payments reported associated product |
CMS Open Payments — General Payments 16193 supporting records · 4044 recipient NPIs · example record 1208299697 |
Vumerity · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| Grifols USA, LLC Exact reporting entity; no affiliate inference |
2025 | Gamunex-C open payments reported associated product |
CMS Open Payments — General Payments 3977 supporting records · 2134 recipient NPIs · example record 1249529381 |
Gamunex-C · 2024 Exact normalized brand match · 1 Part D row |
41 | 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 |
|---|---|---|---|
| Gabapentin | Gabapentin | 659 | 151 |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 420 | 92 |
| Rasagiline Mesylate | Rasagiline Mesylate | 326 | 59 |
| Pregabalin | Pregabalin | 247 | 58 |
| Tramadol Hcl | Tramadol Hcl | 132 | 27 |
| Galantamine Er | Galantamine Hbr | 127 | 30 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 124 | 22 |
| Memantine Hcl | Memantine Hcl | 108 | 21 |
| Donepezil Hcl | Donepezil Hcl | 102 | 33 |
| Primidone | Primidone | 101 | 27 |
| Duloxetine Hcl | Duloxetine Hcl | 91 | 27 |
| Prednisone | Prednisone | 89 | 17 |
| Propranolol Hcl Er | Propranolol Hcl | 77 | 21 |
| Pyridostigmine Bromide | Pyridostigmine Bromide | 63 | 14 |
| Tizanidine Hcl | Tizanidine Hcl | 56 | 24 |
| Nortriptyline Hcl | Nortriptyline Hcl | 48 | 12 |
| Gamunex-C | Immune Globul G/Gly/Iga Avg 46 | 41 | suppressed |
| Trihexyphenidyl Hcl | Trihexyphenidyl Hcl | 41 | suppressed |
| Topiramate | Topiramate | 40 | 13 |
| Amantadine | Amantadine Hcl | 37 | suppressed |
| Rivastigmine | Rivastigmine Tartrate | 37 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 35 | suppressed |
| Baclofen | Baclofen | 32 | 12 |
| Lorazepam | Lorazepam | 30 | 26 |
| Trazodone Hcl | Trazodone Hcl | 26 | suppressed |
| Entacapone | Entacapone | 25 | suppressed |
| Levetiracetam | Levetiracetam | 24 | 12 |
| Lamotrigine | Lamotrigine | 23 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 23 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 22 | suppressed |
| Methylprednisolone | Methylprednisolone | 21 | 21 |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 21 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 20 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 20 | suppressed |
| Sodium Chloride | 0.9 % Sodium Chloride | 20 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 19 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 18 | suppressed |
| Zonisamide | Zonisamide | 18 | suppressed |
| Clonazepam | Clonazepam | 17 | suppressed |
| Rivastigmine | Rivastigmine | 17 | suppressed |
| Gammaked | Immune Globul G/Gly/Iga Avg 46 | 14 | suppressed |
| Glatiramer Acetate | Glatiramer Acetate | 14 | suppressed |
| Dimethyl Fumarate | Dimethyl Fumarate | 13 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 13 | suppressed |
| Azathioprine | Azathioprine | 12 | suppressed |
| Dexamethasone | Dexamethasone | 12 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 12 | suppressed |
| Vumerity | Diroximel Fumarate | 12 | suppressed |
| Ongentys | Opicapone | 11 | suppressed |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 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 | $6,456.73 · 233 records | Alexion Pharmaceuticals, Inc. | AJOVY, AMYVID, BOTOX, BRIUMVI, Bafiertam, Briviact, GOMEKLI, Gamunex-C, Gocovri, HYQVIA, Hizentra, INFINITY, INGREZZA, INSPIRE, KESIMPTA, KISUNLA, Leqembi, NEURACEQ, NUPLAZID, NURTEC ODT, Nayzilam, OCTAGAM IMMUNE GLOBULIN (HUMAN), Ocrevus Zunovo, PANZYGA, PONVORY, QULIPTA, Qelbree, REXULTI, Rystiggo, Symbravo, TYSABRI, Tascenso ODT, UBRELVY, ULTOMIRIS, UPLIZNA, VUMERITY, VYEPTI, VYVGART HYTRULO | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Gamunex-C play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Biogen, 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