Payment overview · 2025
General Payments
$203.98
4 reported records · 3 companies
Healthcare provider profile · identity verified
John Conrad Alfes, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · AVON, OH · NPI 1952414435
Verified facts
What the public records show
CMS Open Payments records show John Conrad Alfes, M.D. received $203.98 in general payments during 2025 across 4 reported records.
Axsome Therapeutics, Inc. accounted for 60.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
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 |
|---|---|---|---|---|---|
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $122.93 | 60.3% | 1 | 2025 |
| Kerecis Limited | Unresolved — no canonical attribution shown | $59.45 | 29.1% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $21.60 | 10.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $203.98 | 4 |
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 |
|---|---|---|---|---|---|
| Auvelity Normalized: auvelity |
Drug | Axsome Therapeutics, Inc. | $122.93 | 1 | 2025 |
Source payment records
|
|||||
| Kerecis GraftGuide Normalized: kerecis graftguide |
Device | Kerecis Limited | $59.45 | 2 | 2025 |
Source payment records
|
|||||
| Kerecis SurgiClose Normalized: kerecis surgiclose |
Device | Kerecis Limited | $59.45 | 2 | 2025 |
Source payment records
|
|||||
| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $21.60 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 | 617 | 178 |
| Losartan Potassium | Losartan Potassium | 379 | 122 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 362 | 116 |
| Amlodipine Besylate | Amlodipine Besylate | 321 | 101 |
| Lisinopril | Lisinopril | 312 | 98 |
| Levothyroxine Sodium | Levothyroxine Sodium | 276 | 76 |
| Metoprolol Succinate | Metoprolol Succinate | 235 | 74 |
| Tamsulosin Hcl | Tamsulosin Hcl | 235 | 82 |
| Omeprazole | Omeprazole | 212 | 62 |
| Gabapentin | Gabapentin | 176 | 51 |
| Metformin Hcl | Metformin Hcl | 137 | 41 |
| Allopurinol | Allopurinol | 133 | 42 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 133 | 42 |
| Metformin Hcl Er | Metformin Hcl | 124 | 45 |
| Hydrochlorothiazide | Hydrochlorothiazide | 119 | 40 |
| Mounjaro | Tirzepatide | 117 | 23 |
| Simvastatin | Simvastatin | 117 | 40 |
| Chlorthalidone | Chlorthalidone | 115 | 34 |
| Pantoprazole Sodium | Pantoprazole Sodium | 106 | 41 |
| Trazodone Hcl | Trazodone Hcl | 106 | 37 |
| Azelastine Hcl | Azelastine Hcl | 100 | 56 |
| Zolpidem Tartrate | Zolpidem Tartrate | 90 | 19 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 89 | 29 |
| Fluoxetine Hcl | Fluoxetine Hcl | 88 | 31 |
| Ozempic | Semaglutide | 83 | 14 |
| Furosemide | Furosemide | 82 | 30 |
| Sertraline Hcl | Sertraline Hcl | 82 | 25 |
| Alendronate Sodium | Alendronate Sodium | 79 | 27 |
| Pravastatin Sodium | Pravastatin Sodium | 79 | 29 |
| Metoprolol Tartrate | Metoprolol Tartrate | 74 | 24 |
| Eliquis | Apixaban | 72 | 25 |
| Escitalopram Oxalate | Escitalopram Oxalate | 70 | 25 |
| Tramadol Hcl | Tramadol Hcl | 69 | 20 |
| Finasteride | Finasteride | 66 | 26 |
| Potassium Chloride | Potassium Chloride | 64 | 19 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 63 | 23 |
| Carvedilol | Carvedilol | 58 | 21 |
| Trulicity | Dulaglutide | 58 | 13 |
| Lorazepam | Lorazepam | 54 | 15 |
| Naproxen | Naproxen | 54 | 18 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 52 | suppressed |
| Prednisone | Prednisone | 52 | 45 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 51 | 15 |
| Paroxetine Hcl | Paroxetine Hcl | 48 | 14 |
| Warfarin Sodium | Warfarin Sodium | 48 | 16 |
| Bupropion Xl | Bupropion Hcl | 46 | 14 |
| Fluticasone Propionate | Fluticasone Propionate | 45 | 19 |
| Alprazolam | Alprazolam | 44 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 43 | 16 |
| Pregabalin | Pregabalin | 43 | 11 |
| Spironolactone | Spironolactone | 42 | 13 |
| Clopidogrel | Clopidogrel Bisulfate | 39 | 14 |
| Xarelto | Rivaroxaban | 39 | suppressed |
| Nifedipine Er | Nifedipine | 38 | 12 |
| Glipizide | Glipizide | 37 | 12 |
| Testosterone Cypionate | Testosterone Cypionate | 37 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 36 | 11 |
| Atenolol | Atenolol | 35 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 34 | 14 |
| Baclofen | Baclofen | 33 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 32 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 31 | 14 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 30 | suppressed |
| Meloxicam | Meloxicam | 30 | 18 |
| Montelukast Sodium | Montelukast Sodium | 30 | 12 |
| Buspirone Hcl | Buspirone Hcl | 29 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 29 | suppressed |
| Glimepiride | Glimepiride | 29 | 14 |
| Hydralazine Hcl | Hydralazine Hcl | 29 | suppressed |
| Jardiance | Empagliflozin | 29 | 12 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 29 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 28 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 27 | suppressed |
| Ezetimibe | Ezetimibe | 27 | 11 |
| Mirtazapine | Mirtazapine | 27 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 27 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 27 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 25 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 25 | 16 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 24 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 23 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 23 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 23 | 19 |
| Valsartan | Valsartan | 23 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 22 | 11 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 21 | suppressed |
| Nitroglycerin | Nitroglycerin | 21 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | suppressed |
| Colchicine | Colchicine | 19 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 19 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 19 | suppressed |
| Ibuprofen | Ibuprofen | 18 | suppressed |
| Synthroid | Levothyroxine Sodium | 18 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 18 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 17 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 17 | suppressed |
| Irbesartan | Irbesartan | 16 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 16 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 15 | suppressed |
| Amoxicillin | Amoxicillin | 15 | 12 |
| Doxepin Hcl | Doxepin Hcl | 15 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 15 | suppressed |
| Myrbetriq | Mirabegron | 15 | suppressed |
| Ramipril | Ramipril | 15 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 14 | suppressed |
| Lovastatin | Lovastatin | 14 | suppressed |
| Torsemide | Torsemide | 14 | suppressed |
| Azithromycin | Azithromycin | 13 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 13 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 13 | suppressed |
| Dutasteride | Dutasteride | 13 | suppressed |
| Fenofibrate | Fenofibrate | 13 | suppressed |
| Januvia | Sitagliptin Phosphate | 13 | suppressed |
| Trospium Chloride | Trospium Chloride | 13 | suppressed |
| Cephalexin | Cephalexin | 12 | suppressed |
| Clonazepam | Clonazepam | 12 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 12 | suppressed |
| Ketoconazole | Ketoconazole | 12 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 11 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 11 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 11 | suppressed |
| Memantine Hcl | Memantine Hcl | 11 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 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 | $203.98 · 4 records | Axsome Therapeutics, Inc. | Auvelity, Cologuard Collection Kit, Kerecis GraftGuide, Kerecis SurgiClose | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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