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

Zacheriah Alexander

Family Medicine Newton, IA Medical Doctor

NPI 1679525521 CMS profile 211948

300 N 4Th Ave E, Ste 200, Newton, IA 50208

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General payments

$5,542

447 records reported · program years 2019–2025

Research payments

$0

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

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$2,149 paid to institutions, not to them · program year 2019

Through program year 2025, Zacheriah Alexander of Newton, IA is reported in the CMS Open Payments database as having received $5,542 across 447 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $2,149 in research payments, paid to institutions rather than 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. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 91st 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 $980 76
2024 General $736 64
2023 General $779 60
2022 General $748 45
2021 General $968 77
2020 General $422 44
2019 General $909 81

Beside peers

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

In program year 2025, general payments to Zacheriah Alexander were reported at $980. 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 Zacheriah Alexander Family Medicine median Middle half National median
2019 $909 $150 $41–$543 $163
2020 $422 $120 $32–$415 $114
2021 $968 $137 $35–$551 $132
2022 $748 $137 $37–$512 $149
2023 $779 $149 $42–$545 $160
2024 $736 $156 $44–$560 $164
2025 $980 $155 $45–$549 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Pfizer Inc. $1,186 144 payments
  2. GlaxoSmithKline, LLC. $470 37 payments
  3. Boehringer Ingelheim Pharmaceuticals, Inc. $334 19 payments
  4. Astellas Pharma US Inc $310 21 payments
  5. Novo Nordisk Inc $308 22 payments
  6. AbbVie, Inc. $302 16 payments
  7. Takeda Pharmaceuticals U.S.A., Inc. $280 28 payments
  8. AstraZeneca Pharmaceuticals LP $269 13 payments
  9. Lilly USA, LLC $264 18 payments
  10. Janssen Pharmaceuticals, Inc $263 24 payments
  11. Other $1,556 105 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $5,542 447 payments
Products named General payments · program years 2019–2025
  1. NURTEC ODT $629 97 payments
  2. TRELEGY ELLIPTA $352 27 payments
  3. ZAVZPRET $350 75 payments
  4. ELIQUIS $347 27 payments
  5. COMIRNATY $327 26 payments
  6. PAXLOVID $279 24 payments
  7. XARELTO $263 24 payments
  8. SPIRIVA RESPIMAT $244 12 payments
  9. PREVNAR 20 $243 14 payments
  10. MYRBETRIQ $194 14 payments
  11. Other $5,130 355 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 · 160 drugs

Part D claims

11,545

Median for Family Practice: 1,826

Drug cost

$1,055,936

Median for Family Practice: $120,094

Branded share of claims

21.3%

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
Ozempic Semaglutide Brand 164 $197,560
Eliquis Apixaban Brand 210 $146,302
Jardiance Empagliflozin Brand 139 $93,586
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 100 $78,770
Trulicity Dulaglutide Brand 65 $77,881
Myrbetriq Mirabegron Brand 64 $45,466
Tresiba Flextouch U-100 Insulin Degludec Brand 48 $39,528
Januvia Sitagliptin Phosphate Brand 42 $37,135
Anoro Ellipta Umeclidinium Brm/Vilanterol Tr Brand 74 $36,534
Xarelto Rivaroxaban Brand 43 $30,653

The 10 drugs with the highest cost, of 160 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.

Billing to Medicare

Part B · data year 2024 · 118 billing codes

Paid by Medicare

$198,363

Of which drugs: $43,145

Medicare patients

601

Average age 75

Services billed

6,128

268 women, 333 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 74%
Arthritis 37%
Diabetes 30%
Chronic kidney disease 23%
Depression 23%
Ischemic heart disease 22%
Atrial fibrillation 19%
Heart failure 17%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Sarscov2 vac 50 mcg/0.5ml im 91322 Office 116 124 $19,100
Pcv20 vaccine im 90677 Office 51 51 $14,786
Vaccine for influenza for injection into muscle 90662 Office 121 122 $9,145

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 24 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
NURTEC ODT
  • PFIZER INC. $99
$99 — —
Wegovy
  • Novo Nordisk Inc $70
$70 — —
ZAVZPRET
  • PFIZER INC. $61
$61 — —
ELIQUIS
  • PFIZER INC. $38
  • E.R. Squibb & Sons, L.L.C. $20
$58 210 —
MOUNJARO
  • Lilly USA, LLC $42
$42 14 —

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 all 24 in the dashboard with a free account

Records

447 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 Iowa

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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