Doctor of Osteopathy Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Brian Smith

Family Medicine Neosho, MO Doctor of Osteopathy

NPI 1619926250 CMS profile 1262792

2550 Lusk Dr, Neosho, MO 64850

Open in the dashboard

General payments

$8,578

538 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Brian Smith of Neosho, MO is reported in the CMS Open Payments database as having received $8,578 across 538 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 94th percentile of Family Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $2,097 119
2024 General $1,383 80
2023 General $1,024 61
2022 General $1,256 75
2021 General $943 65
2020 General $531 38
2019 General $1,344 100

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Brian Smith
  • Family Medicine median
  • Middle half of Family Medicine
  • National median

In program year 2025, general payments to Brian Smith were reported at $2,097. Among 56,786 Family Medicine profiles paid that year, the median was $155 and the middle half received between $45 and $549.

Show as a table
Year Brian Smith Family Medicine median Middle half National median
2019 $1,344 $150 $41–$543 $163
2020 $531 $120 $32–$415 $114
2021 $943 $137 $35–$551 $132
2022 $1,256 $137 $37–$512 $149
2023 $1,024 $149 $42–$545 $160
2024 $1,383 $156 $44–$560 $164
2025 $2,097 $155 $45–$549 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AbbVie, Inc. $1,181 78 payments
  2. AstraZeneca Pharmaceuticals LP $949 40 payments
  3. Lilly USA, LLC $784 56 payments
  4. Pfizer Inc. $674 62 payments
  5. Novo Nordisk Inc $585 36 payments
  6. Amgen Inc. $406 23 payments
  7. Boehringer Ingelheim Pharmaceuticals, Inc. $387 24 payments
  8. Abbott Laboratories $345 16 payments
  9. Otsuka America Pharmaceutical, Inc. $296 18 payments
  10. Janssen Pharmaceuticals, Inc $295 20 payments
  11. Other $2,675 165 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $8,564 537 payments
  2. Education $14 1 payment
Products named General payments · program years 2019–2025
  1. FARXIGA $604 18 payments
  2. BREZTRI $546 19 payments
  3. Ozempic $401 26 payments
  4. VRAYLAR Neuroscience $391 25 payments
  5. JARDIANCE $365 28 payments
  6. VRAYLAR Neuroscience $327 37 payments
  7. UBRELVY $314 18 payments
  8. TRULICITY $312 23 payments
  9. RYBELSUS $306 21 payments
  10. NURTEC ODT $299 32 payments
  11. Other $8,398 534 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 209 drugs

Part D claims

17,509

Median for Family Practice: 1,826

Drug cost

$1,658,058

Median for Family Practice: $120,094

Branded share of claims

26.1%

Median for Family Practice: 18.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Trulicity Dulaglutide Brand 136 $185,815
Ozempic Semaglutide Brand 141 $176,068
Jardiance Empagliflozin Brand 145 $144,520
Eliquis Apixaban Brand 133 $115,106
Enbrel Sureclick Etanercept Brand 13 $95,658
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 134 $87,909
Rexulti Brexpiprazole Brand 45 $69,687
Farxiga Dapagliflozin Propanediol Brand 68 $58,897
Anoro Ellipta Umeclidinium Brm/Vilanterol Tr Brand 92 $45,696
Xarelto Rivaroxaban Brand 50 $45,146

The 10 drugs with the highest cost, of 209 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 105,120 Part D prescribers listed as Family Practice; they describe a distribution and say nothing about conduct.

Payments and prescribing

First 5 of 28 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
VRAYLAR
  • AbbVie, Inc. $127
$127 21 —
REXULTI
  • Otsuka America Pharmaceutical, Inc. $64
  • Lundbeck LLC $38
$103 45 —
BREZTRI
  • AstraZeneca Pharmaceuticals LP $89
$89 15 —
IBSRELA
  • Ardelyx, Inc. $78
$78 — —
FARXIGA
  • AstraZeneca Pharmaceuticals LP $74
$74 68 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See more in the dashboard: 25 with a free account, all 28 with Patron

Records

538 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Family Medicine in Missouri

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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