GlassScriptPrepare for your visit
Ira M Epstein
Nephrology (Internal Medicine) · North Richland Hills, TX · NPI 1205886207
One page to bring to your appointment. Every figure is as reported to CMS by drug and device makers. Payments are legal and often routine; this is context for a conversation, not a verdict.
What was reported
$11,185.31
in general payments reported to CMS, 2019-2025 · $1,882 in 2025
The $1,882 reported for 2025 was more than what 89% of Nephrology (Internal Medicine) providers received nationally (typical 2025 total: $311).
Who reported paying
General payments only, top 6 by amount.
- Astrazeneca Pharmaceuticals LP $1,252.83
- Bayer Healthcare Pharmaceuticals INC. $1,222.40
- Otsuka America Pharmaceutical, INC. $1,109.79
- Mallinckrodt Hospital Products INC. $996.65
- Vifor Pharma, INC. $878.13
- Opko Pharmaceuticals, LLC $830.89
Drugs and devices associated with these payments
Acthar Farxiga Jynarque Kerendia Jardiance Rayaldee Veltassa Tarpeyo Krystexxa Tavneos Injectafer Ozempic
Association is not allocation: a product listed here means a payment was associated with it, not that money was paid to promote it. Detail covers 2023-2025.
Questions you might ask
- I saw Ira Epstein listed in the CMS Open Payments database. Can you tell me about your work with those companies?
- Is there a generic or alternative to this medication, and would it work as well for me?
- What made you choose this particular treatment for my situation?
These are normal questions. A good clinician will welcome them.
Notes
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.
GlassScript is independent and not affiliated with CMS or any government agency. glasscript.com/doctor/100326/ira-m-epstein