Healthcare provider profile · identity verified

Thomas Trevor German, MD

Allopathic & Osteopathic Physicians|Family Medicine · ASHEVILLE, NC · NPI 1952535452

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 Thomas Trevor German, MD received $618.92 in general payments during 2025 across 43 reported records.

ABBVIE INC. accounted for 25.6% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 28 associated products.

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

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 13 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 11 claims for Farxiga 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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 57 claims for Symbicort 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 20 claims for Trelegy Ellipta 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 52 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 63 claims for Mounjaro 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 84 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Rybelsus 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 131 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 NURTEC ODT as an associated drug or biological on 217574 records involving 54025 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Nurtec Odt by this doctor in 2024.

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

Payment overview · 2025

General Payments

$618.92

43 reported records · 15 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
ABBVIE INC. Unresolved — no canonical attribution shown $158.7225.6%202025
Lilly USA, LLC Unresolved — no canonical attribution shown $72.9011.8%42025
Novo Nordisk Inc Unresolved — no canonical attribution shown $57.479.3%32025
PFIZER INC. Unresolved — no canonical attribution shown $54.818.9%32025
Exact Sciences Corporation Unresolved — no canonical attribution shown $38.826.3%22025
Amgen Inc. Unresolved — no canonical attribution shown $32.075.2%22025
Axsome Therapeutics, Inc. Unresolved — no canonical attribution shown $31.185.0%12025
Corium, LLC Unresolved — no canonical attribution shown $27.334.4%12025
Teva Pharmaceuticals USA, Inc. Unresolved — no canonical attribution shown $25.234.1%12025
Merck Sharp & Dohme LLC Unresolved — no canonical attribution shown $25.094.0%12025
Otsuka America Pharmaceutical, Inc. Unresolved — no canonical attribution shown $23.583.8%12025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $22.233.6%12025
Xeris Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $19.713.2%12025
Insmed, Inc. Unresolved — no canonical attribution shown $16.242.6%12025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $13.542.2%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$602.6842
Education$16.241

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
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $158.72 20 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $150.89 19 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $39.19 2 2025
Source payment records
The Cologuard Plus Collection Kit
Normalized: the cologuard plus collection kit
Device Exact Sciences Corporation $38.82 2 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $37.57 2 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $37.57 2 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $37.26 2 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $37.26 2 2025
Source payment records
OTEZLA
Normalized: otezla
Drug Amgen Inc. $32.07 2 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $32.07 2 2025
Source payment records
Symbravo
Normalized: symbravo
Drug Axsome Therapeutics, Inc. $31.18 1 2025
Source payment records
Azstarys
Normalized: azstarys
Drug Corium, LLC $27.33 1 2025
Source payment records
AUSTEDO XR
Normalized: austedo xr
Drug Teva Pharmaceuticals USA, Inc. $25.23 1 2025
Source payment records
CAPVAXIVE
Normalized: capvaxive
Biological Merck Sharp & Dohme LLC $25.09 1 2025
Source payment records
VAXNEUVANCE
Normalized: vaxneuvance
Biological Merck Sharp & Dohme LLC $25.09 1 2025
Source payment records
REXULTI
Normalized: rexulti
Drug Otsuka America Pharmaceutical, Inc. $23.58 1 2025
Source payment records
AREXVY
Normalized: arexvy
Biological GlaxoSmithKline, LLC. $22.23 1 2025
Source payment records
SHINGRIX
Normalized: shingrix
Biological GlaxoSmithKline, LLC. $22.23 1 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Lilly USA, LLC $20.52 1 2025
Source payment records
GVOKE HYPOPEN
Normalized: gvoke hypopen
Drug Xeris Pharmaceuticals, Inc. $19.71 1 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $18.28 1 2025
Source payment records
ABRYSVO
Normalized: abrysvo
Biological PFIZER INC. $17.55 1 2025
Source payment records
COMIRNATY
Normalized: comirnaty
Biological PFIZER INC. $17.55 1 2025
Source payment records
PREVNAR 20
Normalized: prevnar 20
Biological PFIZER INC. $17.55 1 2025
Source payment records
Arikayce
Normalized: arikayce
Drug Insmed, Inc. $16.24 1 2025
Source payment records
EMGALITY
Normalized: emgality
Drug Lilly USA, LLC $14.81 1 2025
Source payment records
REYVOW
Normalized: reyvow
Drug Lilly USA, LLC $14.81 1 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $13.54 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
JARDIANCE
jardiance
2025 Jardiance 2024 52 exact normalized Medicare Part D
MOUNJARO
mounjaro
2025 Mounjaro 2024 63 exact normalized Medicare Part D
NURTEC ODT
nurtec odt
2025 Nurtec Odt 2024 12
Beneficiary count suppressed
exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 84 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
13 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
11 suppressed by CMS
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 SYMBICORT
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 51 recipient NPIs · example record 1206132610
Symbicort · 2024
Exact normalized brand match · 1 Part D row
57 13
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
20 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
52 13
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
63 16
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
84 16
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Rybelsus
open payments reported associated product
CMS Open Payments — General Payments
161257 supporting records · 55409 recipient NPIs · example record 1188130076
Rybelsus · 2024
Exact normalized brand match · 1 Part D row
11 suppressed by CMS
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
131 21
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 NURTEC ODT
open payments reported associated product
CMS Open Payments — General Payments
217574 supporting records · 54025 recipient NPIs · example record 1228794063
Nurtec Odt · 2024
Exact normalized brand match · 1 Part D row
12 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

BrandGenericClaimsBeneficiaries
Atorvastatin CalciumAtorvastatin Calcium33796
Losartan PotassiumLosartan Potassium32199
Amlodipine BesylateAmlodipine Besylate29094
Rosuvastatin CalciumRosuvastatin Calcium27082
LisinoprilLisinopril26981
Levothyroxine SodiumLevothyroxine Sodium24876
GabapentinGabapentin24379
OmeprazoleOmeprazole21072
HydrochlorothiazideHydrochlorothiazide18062
Pantoprazole SodiumPantoprazole Sodium16140
Duloxetine HclDuloxetine Hcl14043
Trazodone HclTrazodone Hcl13441
Metoprolol SuccinateMetoprolol Succinate13243
EliquisApixaban13121
Tamsulosin HclTamsulosin Hcl12537
Fluticasone PropionateFluticasone Propionate11736
Metformin Hcl ErMetformin Hcl11438
Metformin HclMetformin Hcl11130
FamotidineFamotidine11028
Albuterol Sulfate HfaAlbuterol Sulfate10342
CarvedilolCarvedilol9323
Propranolol HclPropranolol Hcl8826
SimvastatinSimvastatin8525
AllopurinolAllopurinol8421
FurosemideFurosemide8429
OzempicSemaglutide8416
Pravastatin SodiumPravastatin Sodium8425
PregabalinPregabalin8414
Sertraline HclSertraline Hcl8123
Tramadol HclTramadol Hcl8119
Escitalopram OxalateEscitalopram Oxalate8025
Zolpidem TartrateZolpidem Tartrate7414
Montelukast SodiumMontelukast Sodium7221
Cyclobenzaprine HclCyclobenzaprine Hcl7120
Metoprolol TartrateMetoprolol Tartrate7122
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen6925
Bupropion XlBupropion Hcl6822
MounjaroTirzepatide6316
Potassium ChloridePotassium Chloride5920
SymbicortBudesonide/Formoterol Fumarate5713
Diclofenac SodiumDiclofenac Sodium5519
AlprazolamAlprazolam5312
PrednisonePrednisone5337
JardianceEmpagliflozin5213
ClonazepamClonazepam50suppressed
CelecoxibCelecoxib4914
ClopidogrelClopidogrel Bisulfate4919
XareltoRivaroxaban4913
MeloxicamMeloxicam4817
MirtazapineMirtazapine4812
SpironolactoneSpironolactone4815
Buprenorphine HclBuprenorphine Hcl47suppressed
Fluoxetine HclFluoxetine Hcl4618
Buspirone HclBuspirone Hcl4515
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride4411
BuprenorphineBuprenorphine43suppressed
Oxycodone HclOxycodone Hcl4311
Donepezil HclDonepezil Hcl3812
JanuviaSitagliptin Phosphate38suppressed
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen3614
Azelastine HclAzelastine Hcl3513
Ondansetron OdtOndansetron3311
ChlorthalidoneChlorthalidone32suppressed
Memantine HclMemantine Hcl32suppressed
Alendronate SodiumAlendronate Sodium31suppressed
Citalopram HbrCitalopram Hydrobromide31suppressed
LorazepamLorazepam31suppressed
Olmesartan MedoxomilOlmesartan Medoxomil31suppressed
Solifenacin SuccinateSolifenacin Succinate30suppressed
FluconazoleFluconazole2917
BaclofenBaclofen2811
EzetimibeEzetimibe28suppressed
Tizanidine HclTizanidine Hcl28suppressed
Hydroxyzine HclHydroxyzine Hcl27suppressed
MethocarbamolMethocarbamol26suppressed
Clonidine HclClonidine Hcl25suppressed
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine25suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide2511
MupirocinMupirocin2521
Ropinirole HclRopinirole Hcl25suppressed
ValsartanValsartan25suppressed
Quetiapine FumarateQuetiapine Fumarate24suppressed
Doxycycline HyclateDoxycycline Hyclate2323
EstradiolEstradiol23suppressed
Ondansetron HclOndansetron Hcl2311
AzithromycinAzithromycin2221
FinasterideFinasteride22suppressed
AtenololAtenolol21suppressed
Promethazine HclPromethazine Hcl21suppressed
Trelegy ElliptaFluticasone/Umeclidin/Vilanter20suppressed
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid20suppressed
Varenicline TartrateVarenicline Tartrate20suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog19suppressed
NitroglycerinNitroglycerin19suppressed
Spiriva HandihalerTiotropium Bromide18suppressed
Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl17suppressed
TestosteroneTestosterone17suppressed
CephalexinCephalexin1616
DiazepamDiazepam16suppressed
LovastatinLovastatin16suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav1515
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide15suppressed
NystatinNystatin15suppressed
Triamcinolone AcetonideTriamcinolone Acetonide15suppressed
BumetanideBumetanide14suppressed
ClotrimazoleClotrimazole14suppressed
MyrbetriqMirabegron14suppressed
Oxybutynin ChlorideOxybutynin Chloride14suppressed
Victoza 3-PakLiraglutide14suppressed
Wixela InhubFluticasone Propion/Salmeterol14suppressed
Advair HfaFluticasone Propion/Salmeterol13suppressed
Aimovig AutoinjectorErenumab-Aooe13suppressed
Dexlansoprazole DrDexlansoprazole13suppressed
Esomeprazole MagnesiumEsomeprazole Magnesium13suppressed
SynthroidLevothyroxine Sodium13suppressed
Benazepril HclBenazepril Hcl12suppressed
Dicyclomine HclDicyclomine Hcl12suppressed
Nurtec OdtRimegepant Sulfate12suppressed
Testosterone CypionateTestosterone Cypionate12suppressed
Ventolin HfaAlbuterol Sulfate12suppressed
Amitriptyline HclAmitriptyline Hcl11suppressed
AripiprazoleAripiprazole11suppressed
FarxigaDapagliflozin Propanediol11suppressed
KetoconazoleKetoconazole11suppressed
Prazosin HclPrazosin Hcl11suppressed
RybelsusSemaglutide11suppressed
Spiriva RespimatTiotropium Bromide11suppressed
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide11suppressed

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 $618.92 · 43 records ABBVIE INC. ABRYSVO, AREXVY, AUSTEDO XR, Arikayce, Azstarys, BREZTRI, CAPVAXIVE, COMIRNATY, EMGALITY, GVOKE HYPOPEN, JARDIANCE, MOUNJARO, NURTEC ODT, OTEZLA, Ozempic, PREVNAR 20, QULIPTA, REPATHA, REXULTI, REYVOW, SHINGRIX, Symbravo, The Cologuard Plus Collection Kit, UBRELVY, VAXNEUVANCE, Wegovy, ZAVZPRET, ZEPBOUND 10
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