Payment overview · 2025
General Payments
$548.34
30 reported records · 10 companies
Healthcare provider profile · identity verified
Bryan Douglas Piotrowski, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease · FARMINGTON, MO · NPI 1962586289
Verified facts
What the public records show
CMS Open Payments records show Bryan Douglas Piotrowski, M.D. received $548.34 in general payments during 2025 across 30 reported records.
Merck Sharp & Dohme LLC accounted for 21.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 10 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga.
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 BRILINTA as an associated drug or biological on 993 records involving 512 distinct recipient NPIs. Public Medicare Part D data also shows 71 claims for Brilinta 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 259 claims for Farxiga by this doctor in 2024.
E.R. Squibb & Sons, L.L.C. 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 27956 records involving 14870 distinct recipient NPIs. Public Medicare Part D data also shows 994 claims for Eliquis by this doctor in 2024.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ENTRESTO as an associated drug or biological on 9346 records involving 6254 distinct recipient NPIs. Public Medicare Part D data also shows 149 claims for Entresto 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 |
|---|---|---|---|---|---|
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $120.27 | 21.9% | 7 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $81.26 | 14.8% | 5 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $72.53 | 13.2% | 2 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $52.35 | 9.6% | 3 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $49.18 | 9.0% | 3 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $46.47 | 8.5% | 3 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $35.29 | 6.4% | 2 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $34.79 | 6.3% | 2 | 2025 |
| Esperion Therapeutics, Inc. | Unresolved — no canonical attribution shown | $29.75 | 5.4% | 2 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $26.45 | 4.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $548.34 | 30 |
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 |
|---|---|---|---|---|---|
| VERQUVO Normalized: verquvo |
Drug | Merck Sharp & Dohme LLC | $120.27 | 7 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $81.26 | 5 | 2025 |
Source payment records
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| WATCHMAN Access System Normalized: watchman access system |
Device | Boston Scientific Corporation | $72.53 | 2 | 2025 |
Source payment records
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| CAMZYOS Normalized: camzyos |
Drug | E.R. Squibb & Sons, L.L.C. | $52.35 | 3 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $49.18 | 3 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $46.47 | 3 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $35.29 | 2 | 2025 |
Source payment records
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| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $34.79 | 2 | 2025 |
Source payment records
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| NEXLETOL Normalized: nexletol |
Drug | Esperion Therapeutics, Inc. | $29.75 | 2 | 2025 |
Source payment records
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $15.64 | 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 |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 259 | 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | BRILINTA open payments reported associated product |
CMS Open Payments — General Payments 993 supporting records · 512 recipient NPIs · example record 1206131430 |
Brilinta · 2024 Exact normalized brand match · 1 Part D row |
71 | 17 |
| 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 |
259 | 62 |
| E.R. Squibb & Sons, L.L.C. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 27956 supporting records · 14870 recipient NPIs · example record 1184377713 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
994 | 212 |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | ENTRESTO open payments reported associated product |
CMS Open Payments — General Payments 9346 supporting records · 6254 recipient NPIs · example record 1200004797 |
Entresto · 2024 Exact normalized brand match · 1 Part D row |
149 | 36 |
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 |
|---|---|---|---|
| Furosemide | Furosemide | 1638 | 415 |
| Metoprolol Succinate | Metoprolol Succinate | 1604 | 421 |
| Amlodipine Besylate | Amlodipine Besylate | 1444 | 372 |
| Atorvastatin Calcium | Atorvastatin Calcium | 1199 | 316 |
| Carvedilol | Carvedilol | 1041 | 256 |
| Potassium Chloride | Potassium Chloride | 1028 | 250 |
| Eliquis | Apixaban | 994 | 212 |
| Clopidogrel | Clopidogrel Bisulfate | 921 | 219 |
| Metoprolol Tartrate | Metoprolol Tartrate | 810 | 198 |
| Losartan Potassium | Losartan Potassium | 806 | 230 |
| Lisinopril | Lisinopril | 693 | 206 |
| Hydrochlorothiazide | Hydrochlorothiazide | 589 | 176 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 578 | 165 |
| Spironolactone | Spironolactone | 554 | 148 |
| Xarelto | Rivaroxaban | 348 | 71 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 321 | 86 |
| Hydralazine Hcl | Hydralazine Hcl | 314 | 84 |
| Nitroglycerin | Nitroglycerin | 306 | 167 |
| Cilostazol | Cilostazol | 303 | 84 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 263 | 58 |
| Farxiga | Dapagliflozin Propanediol | 259 | 62 |
| Digoxin | Digoxin | 251 | 63 |
| Ezetimibe | Ezetimibe | 208 | 47 |
| Warfarin Sodium | Warfarin Sodium | 206 | 37 |
| Repatha Sureclick | Evolocumab | 165 | 34 |
| Ranolazine Er | Ranolazine | 159 | 39 |
| Entresto | Sacubitril/Valsartan | 149 | 36 |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 146 | 41 |
| Nebivolol Hcl | Nebivolol Hcl | 131 | 38 |
| Metolazone | Metolazone | 127 | 31 |
| Diltiazem Hcl | Diltiazem Hcl | 115 | 34 |
| Midodrine Hcl | Midodrine Hcl | 109 | 30 |
| Amiodarone Hcl | Amiodarone Hcl | 104 | 41 |
| Fenofibrate | Fenofibrate Nanocrystallized | 99 | 31 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 98 | 29 |
| Torsemide | Torsemide | 98 | 26 |
| Pravastatin Sodium | Pravastatin Sodium | 86 | 28 |
| Diltiazem 24hr Er (Xr) | Diltiazem Hcl | 83 | 15 |
| Atenolol | Atenolol | 78 | 24 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 74 | 20 |
| Sotalol | Sotalol Hcl | 74 | 18 |
| Multaq | Dronedarone Hcl | 73 | 14 |
| Brilinta | Ticagrelor | 71 | 17 |
| Clonidine Hcl | Clonidine Hcl | 64 | 22 |
| Irbesartan | Irbesartan | 63 | 16 |
| Bumetanide | Bumetanide | 58 | 17 |
| Dilt-Xr | Diltiazem Hcl | 56 | 15 |
| Repatha Syringe | Evolocumab | 48 | suppressed |
| Acebutolol Hcl | Acebutolol Hcl | 47 | suppressed |
| Jardiance | Empagliflozin | 47 | 16 |
| Diltiazem 12hr Er | Diltiazem Hcl | 42 | suppressed |
| Nitro-Bid | Nitroglycerin | 38 | suppressed |
| Omeprazole | Omeprazole | 37 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 34 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 33 | suppressed |
| Valsartan | Valsartan | 33 | 12 |
| Nitroglycerin Patch | Nitroglycerin | 32 | suppressed |
| Verapamil Er | Verapamil Hcl | 32 | suppressed |
| Corlanor | Ivabradine Hcl | 31 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 31 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 30 | suppressed |
| Simvastatin | Simvastatin | 28 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 26 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 24 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 24 | suppressed |
| Klor-Con M20 | Potassium Chloride | 23 | suppressed |
| Fenofibrate | Fenofibrate | 22 | suppressed |
| Lovastatin | Lovastatin | 22 | suppressed |
| Vascepa | Icosapent Ethyl | 21 | suppressed |
| Nifedipine Er | Nifedipine | 20 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 20 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 20 | suppressed |
| Ramipril | Ramipril | 20 | suppressed |
| Isosorbide Mononitrate | Isosorbide Mononitrate | 19 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 17 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 17 | suppressed |
| Eplerenone | Eplerenone | 16 | suppressed |
| Cartia Xt | Diltiazem Hcl | 15 | 12 |
| Chlorthalidone | Chlorthalidone | 15 | suppressed |
| Ivabradine Hcl | Ivabradine Hcl | 15 | suppressed |
| Praluent Pen | Alirocumab | 15 | suppressed |
| Prednisone | Prednisone | 15 | 13 |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 14 | suppressed |
| Famotidine | Famotidine | 14 | suppressed |
| Pentoxifylline | Pentoxifylline | 14 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 13 | suppressed |
| Fosinopril Sodium | Fosinopril Sodium | 12 | suppressed |
| Gabapentin | Gabapentin | 12 | suppressed |
| Jantoven | Warfarin Sodium | 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 | $548.34 · 30 records | Merck Sharp & Dohme LLC | CAMZYOS, CAPVAXIVE, FARXIGA, Kerendia, LEQVIO, LifeVest, NEXLETOL, REPATHA, VERQUVO, WATCHMAN Access System | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Farxiga play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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