Payment overview · 2025
General Payments
$175.57
6 reported records · 6 companies
Healthcare provider profile · identity verified
John M Elser, MD
Allopathic & Osteopathic Physicians|Internal Medicine · NAUGATUCK, CT · NPI 1982677894
Verified facts
What the public records show
CMS Open Payments records show John M Elser, MD received $175.57 in general payments during 2025 across 6 reported records.
Vanda Pharmaceuticals Inc. accounted for 22.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 8 associated products.
Astellas Pharma US 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 Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 29 claims for Myrbetriq 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 33 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 |
|---|---|---|---|---|---|
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $39.28 | 22.4% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $31.11 | 17.7% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $30.47 | 17.4% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $29.49 | 16.8% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $25.24 | 14.4% | 1 | 2025 |
| Intra-Sana Laboratories | Unresolved — no canonical attribution shown | $19.98 | 11.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $175.57 | 6 |
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 |
|---|---|---|---|---|---|
| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $39.28 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $31.11 | 1 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $30.47 | 1 | 2025 |
Source payment records
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| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $29.49 | 1 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $25.24 | 1 | 2025 |
Source payment records
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| GLYCATE Normalized: glycate |
Drug | Intra-Sana Laboratories | $19.98 | 1 | 2025 |
Source payment records
|
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| RELTONE 200 MG Normalized: reltone 200 mg |
Drug | Intra-Sana Laboratories | $19.98 | 1 | 2025 |
Source payment records
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| RELTONE 400 MG Normalized: reltone 400 mg |
Drug | Intra-Sana Laboratories | $19.98 | 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
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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
29 | suppressed by CMS |
| 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 |
33 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 625 | 150 |
| Amlodipine Besylate | Amlodipine Besylate | 467 | 96 |
| Lisinopril | Lisinopril | 296 | 67 |
| Levothyroxine Sodium | Levothyroxine Sodium | 281 | 49 |
| Metformin Hcl | Metformin Hcl | 249 | 55 |
| Trazodone Hcl | Trazodone Hcl | 239 | 34 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 216 | 54 |
| Gabapentin | Gabapentin | 173 | 32 |
| Furosemide | Furosemide | 169 | 28 |
| Metoprolol Succinate | Metoprolol Succinate | 168 | 35 |
| Pantoprazole Sodium | Pantoprazole Sodium | 161 | 27 |
| Sertraline Hcl | Sertraline Hcl | 149 | 21 |
| Eliquis | Apixaban | 140 | 17 |
| Hydrochlorothiazide | Hydrochlorothiazide | 133 | 34 |
| Simvastatin | Simvastatin | 126 | 24 |
| Escitalopram Oxalate | Escitalopram Oxalate | 115 | 20 |
| Jardiance | Empagliflozin | 114 | 14 |
| Famotidine | Famotidine | 108 | 19 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 98 | 27 |
| Losartan Potassium | Losartan Potassium | 98 | 22 |
| Mirtazapine | Mirtazapine | 97 | 14 |
| Metoprolol Tartrate | Metoprolol Tartrate | 96 | 21 |
| Gemtesa | Vibegron | 89 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 86 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 85 | 18 |
| Carvedilol | Carvedilol | 83 | 17 |
| Omeprazole | Omeprazole | 82 | 16 |
| Prednisone | Prednisone | 81 | 20 |
| Tamsulosin Hcl | Tamsulosin Hcl | 79 | 14 |
| Zolpidem Tartrate | Zolpidem Tartrate | 68 | suppressed |
| Allopurinol | Allopurinol | 65 | 14 |
| Valsartan | Valsartan | 65 | 17 |
| Potassium Chloride | Potassium Chloride | 62 | 14 |
| Meloxicam | Meloxicam | 57 | 14 |
| Divalproex Sodium | Divalproex Sodium | 54 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 53 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 53 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 52 | 13 |
| Diclofenac Sodium | Diclofenac Sodium | 50 | 11 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 50 | 12 |
| Tizanidine Hcl | Tizanidine Hcl | 49 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 47 | 14 |
| Baclofen | Baclofen | 43 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 43 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 42 | suppressed |
| Risperidone | Risperidone | 42 | suppressed |
| Levetiracetam | Levetiracetam | 41 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 41 | 12 |
| Xarelto | Rivaroxaban | 41 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 40 | 11 |
| Bupropion Xl | Bupropion Hcl | 39 | suppressed |
| Memantine Hcl | Memantine Hcl | 38 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 37 | suppressed |
| Methenamine Hippurate | Methenamine Hippurate | 37 | suppressed |
| Synthroid | Levothyroxine Sodium | 37 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 36 | suppressed |
| Chlorthalidone | Chlorthalidone | 34 | suppressed |
| Clonazepam | Clonazepam | 34 | suppressed |
| Ozempic | Semaglutide | 33 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 32 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 31 | suppressed |
| Azithromycin | Azithromycin | 30 | 25 |
| Finasteride | Finasteride | 30 | suppressed |
| Alprazolam | Alprazolam | 29 | suppressed |
| Myrbetriq | Mirabegron | 29 | suppressed |
| Tradjenta | Linagliptin | 29 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 28 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 27 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 27 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 27 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 27 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 27 | suppressed |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 26 | suppressed |
| Rexulti | Brexpiprazole | 25 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 25 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 24 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 24 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 23 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 22 | suppressed |
| Movantik | Naloxegol Oxalate | 22 | suppressed |
| Trulicity | Dulaglutide | 22 | suppressed |
| Cephalexin | Cephalexin | 21 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 21 | suppressed |
| Lovastatin | Lovastatin | 21 | suppressed |
| Methimazole | Methimazole | 21 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 20 | 18 |
| Januvia | Sitagliptin Phosphate | 20 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 20 | suppressed |
| Bumetanide | Bumetanide | 19 | suppressed |
| Kapspargo Sprinkle | Metoprolol Succinate | 19 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 19 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 19 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 19 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 19 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 18 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 18 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 18 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 17 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 17 | suppressed |
| Drizalma Sprinkle | Duloxetine Hcl | 17 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 17 | suppressed |
| Febuxostat | Febuxostat | 17 | suppressed |
| Lactulose | Lactulose | 17 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 16 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 16 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 16 | suppressed |
| Aripiprazole | Aripiprazole | 15 | suppressed |
| Atenolol | Atenolol | 15 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 15 | suppressed |
| Ezetimibe | Ezetimibe | 15 | suppressed |
| Lorazepam | Lorazepam | 15 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 15 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 14 | suppressed |
| Carbamazepine | Carbamazepine | 14 | suppressed |
| Glipizide Er | Glipizide | 14 | suppressed |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 14 | suppressed |
| Pyridostigmine Bromide | Pyridostigmine Bromide | 14 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 14 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Anastrozole | Anastrozole | 13 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 13 | suppressed |
| Glipizide | Glipizide | 13 | suppressed |
| Haloperidol | Haloperidol | 13 | suppressed |
| Lurasidone Hcl | Lurasidone Hcl | 13 | suppressed |
| Nystatin | Nystatin | 13 | suppressed |
| Spironolactone | Spironolactone | 13 | suppressed |
| Acetazolamide Er | Acetazolamide | 12 | suppressed |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 12 | suppressed |
| Cyclosporine | Cyclosporine | 12 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 12 | suppressed |
| Dutasteride | Dutasteride | 12 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 12 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 12 | suppressed |
| Levemir Flexpen | Insulin Detemir | 12 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 12 | suppressed |
| Selenium Sulfide | Selenium Sulfide | 12 | suppressed |
| Sucralfate | Sucralfate | 12 | suppressed |
| Ulticare Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 12 | suppressed |
| Amiloride Hcl | Amiloride Hcl | 11 | suppressed |
| Betamethasone Valerate | Betamethasone Valerate | 11 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 11 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 11 | suppressed |
| Linzess | Linaclotide | 11 | suppressed |
| Olanzapine | Olanzapine | 11 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 11 | suppressed |
| Topiramate | Topiramate | 11 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 11 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 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 | $175.57 · 6 records | Vanda Pharmaceuticals Inc. | FANAPT, GLYCATE, JOURNAVX, RELTONE 200 MG, RELTONE 400 MG, The Cologuard Plus Collection Kit, Veozah, Wegovy | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US 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