Payment overview · 2025
General Payments
We did not find matching Open Payments records for this doctor in the selected program year.
Healthcare provider profile · identity verified
Alexandra L Messerli, MD
Internal Medicine · WILLISTON, VT · NPI 1992142939
Verified facts
What the public records show
We did not find matching Open Payments records for this doctor in 2025.
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.
Analysis 1 · Payment-linked products
Products named in Open Payments records
No payment-linked product analysis is available because no matching General Payment records were found for the selected year.
Public prescribing for products named in payments
There is no explicit payment-product set available for a Part D comparison.
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.
There is no payer-company set available for this comparison.
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 | 327 | 91 |
| Amlodipine Besylate | Amlodipine Besylate | 210 | 55 |
| Levothyroxine Sodium | Levothyroxine Sodium | 197 | 45 |
| Eliquis | Apixaban | 183 | 55 |
| Gabapentin | Gabapentin | 157 | 48 |
| Sertraline Hcl | Sertraline Hcl | 150 | 28 |
| Omeprazole | Omeprazole | 139 | 43 |
| Lisinopril | Lisinopril | 118 | 32 |
| Quetiapine Fumarate | Quetiapine Fumarate | 100 | 20 |
| Losartan Potassium | Losartan Potassium | 98 | 21 |
| Finasteride | Finasteride | 96 | 21 |
| Furosemide | Furosemide | 93 | 26 |
| Trazodone Hcl | Trazodone Hcl | 93 | 29 |
| Tamsulosin Hcl | Tamsulosin Hcl | 91 | 24 |
| Simvastatin | Simvastatin | 87 | 18 |
| Metoprolol Succinate | Metoprolol Succinate | 80 | 26 |
| Pantoprazole Sodium | Pantoprazole Sodium | 79 | 23 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 78 | 24 |
| Hydrochlorothiazide | Hydrochlorothiazide | 76 | 18 |
| Famotidine | Famotidine | 74 | 14 |
| Escitalopram Oxalate | Escitalopram Oxalate | 61 | 14 |
| Alendronate Sodium | Alendronate Sodium | 60 | 16 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 60 | 17 |
| Metoprolol Tartrate | Metoprolol Tartrate | 58 | 20 |
| Atenolol | Atenolol | 54 | suppressed |
| Mirtazapine | Mirtazapine | 50 | 18 |
| Spironolactone | Spironolactone | 50 | 13 |
| Torsemide | Torsemide | 49 | 21 |
| Lorazepam | Lorazepam | 48 | 30 |
| Ozempic | Semaglutide | 48 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 47 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 45 | suppressed |
| Allopurinol | Allopurinol | 44 | 13 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 43 | 12 |
| Metformin Hcl | Metformin Hcl | 41 | 13 |
| Carvedilol | Carvedilol | 39 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 39 | 18 |
| Celecoxib | Celecoxib | 37 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 35 | suppressed |
| Prednisone | Prednisone | 34 | 15 |
| Potassium Chloride | Potassium Chloride | 33 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 32 | 12 |
| Jardiance | Empagliflozin | 32 | suppressed |
| Valsartan | Valsartan | 32 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 32 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 30 | suppressed |
| Meloxicam | Meloxicam | 30 | 12 |
| Ropinirole Hcl | Ropinirole Hcl | 29 | suppressed |
| Bupropion Xl | Bupropion Hcl | 28 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 28 | suppressed |
| Chlorthalidone | Chlorthalidone | 28 | suppressed |
| Ezetimibe | Ezetimibe | 28 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 27 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 26 | 13 |
| Lactulose | Lactulose | 25 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 25 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 25 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 24 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 23 | 11 |
| Cephalexin | Cephalexin | 21 | 13 |
| Clonazepam | Clonazepam | 21 | suppressed |
| Memantine Hcl | Memantine Hcl | 21 | suppressed |
| Synthroid | Levothyroxine Sodium | 21 | suppressed |
| Nifedipine Er | Nifedipine | 20 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 20 | suppressed |
| Trospium Chloride | Trospium Chloride | 20 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 19 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 19 | suppressed |
| Pregabalin | Pregabalin | 19 | 13 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 18 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 18 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 18 | suppressed |
| Fenofibrate | Fenofibrate | 18 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 18 | suppressed |
| Lovastatin | Lovastatin | 18 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 18 | suppressed |
| Risperidone | Risperidone | 17 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 17 | suppressed |
| Baclofen | Baclofen | 16 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 16 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 16 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 16 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 16 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 16 | suppressed |
| Cefpodoxime Proxetil | Cefpodoxime Proxetil | 15 | 12 |
| Hydromorphone Hcl | Hydromorphone Hcl | 15 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 15 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 15 | suppressed |
| Nystatin | Nystatin | 15 | 11 |
| Tizanidine Hcl | Tizanidine Hcl | 15 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 14 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 14 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 13 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 13 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 13 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 13 | 11 |
| Tadalafil | Tadalafil | 13 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 13 | suppressed |
| Acarbose | Acarbose | 12 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 12 | suppressed |
| Glipizide | Glipizide | 12 | suppressed |
| Lipitor | Atorvastatin Calcium | 12 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 12 | 12 |
| Telmisartan | Telmisartan | 12 | suppressed |
| Acyclovir | Acyclovir | 11 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 11 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Estradiol | Estradiol | 11 | suppressed |
| Lamotrigine | Lamotrigine | 11 | suppressed |
| Methocarbamol | Methocarbamol | 11 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 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 | — | — | — | — | — |
| 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