Payment overview · 2025
General Payments
5 reported records · 2 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Vascular Neurology · ROYAL OAK, MI · NPI 1982852794
Verified facts
CMS Open Payments records show Rebbeca Ann Grysiewicz, D.O. received $77.85 in general payments during 2025 across 5 reported records.
Novartis Pharmaceuticals Corporation accounted for 77.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
5 reported records · 2 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $60.51 | 77.7% | 4 | 2025 |
| LivaNova USA, Inc. | Unresolved — no canonical attribution shown | $17.34 | 22.3% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $77.85 | 5 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| KESIMPTA Normalized: kesimpta |
Drug | Novartis Pharmaceuticals Corporation | $60.51 | 4 | 2025 |
Source payment records
|
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| VNS THERAPY SENTIVA MODEL 1000 GENERATOR Normalized: vns therapy sentiva model 1000 generator |
Device | LivaNova USA, Inc. | $17.34 | 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.
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
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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Gabapentin | Gabapentin | 174 | 33 |
| Baclofen | Baclofen | 109 | 27 |
| Levetiracetam | Levetiracetam | 105 | 21 |
| Alprazolam | Alprazolam | 87 | 11 |
| Kesimpta Pen | Ofatumumab | 75 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 70 | suppressed |
| Topiramate | Topiramate | 63 | 11 |
| Dalfampridine Er | Dalfampridine | 51 | suppressed |
| Atorvastatin Calcium | Atorvastatin Calcium | 45 | 18 |
| Clopidogrel | Clopidogrel Bisulfate | 44 | 12 |
| Dimethyl Fumarate | Dimethyl Fumarate | 43 | suppressed |
| Lamotrigine | Lamotrigine | 42 | suppressed |
| Lacosamide | Lacosamide | 38 | suppressed |
| Pregabalin | Pregabalin | 38 | suppressed |
| Modafinil | Modafinil | 33 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 31 | suppressed |
| Diazepam | Diazepam | 30 | 11 |
| Nortriptyline Hcl | Nortriptyline Hcl | 25 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 20 | suppressed |
| Aimovig Autoinjector | Erenumab-Aooe | 19 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 19 | suppressed |
| Nurtec Odt | Rimegepant Sulfate | 18 | suppressed |
| Glatiramer Acetate | Glatiramer Acetate | 17 | suppressed |
| Copaxone | Glatiramer Acetate | 16 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 16 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 16 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 15 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 15 | suppressed |
| Prednisone | Prednisone | 15 | suppressed |
| Primidone | Primidone | 15 | suppressed |
| Fingolimod | Fingolimod Hcl | 14 | suppressed |
| Vumerity | Diroximel Fumarate | 14 | suppressed |
| Clonazepam | Clonazepam | 13 | suppressed |
| Dextroamphetamine-Amphet Er | Dextroamphetamine/Amphetamine | 13 | suppressed |
| Gilenya | Fingolimod Hcl | 13 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 12 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 12 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 11 | suppressed |
| Methylprednisolone | Methylprednisolone | 11 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 11 | suppressed |
Timeline
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 | $77.85 · 5 records | Novartis Pharmaceuticals Corporation | KESIMPTA, VNS THERAPY SENTIVA MODEL 1000 GENERATOR | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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 |
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