Physician profile
Ashley R Guild
NPI 1386901536
$1,020.48
in general payments reported to CMS, 2019-2025
12 companies · $274 in 2025
The $274 reported for 2025 was more than what a typical Internal Medicine provider received nationally (typical 2025 total: $156).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $165 · 2020: $121 · 2021: $20.74 · 2023: $34.21 · 2024: $406 · 2025: $274.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $714.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $713.95 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Novo Nordisk INC | $281.21 | 2019-2025 | Ozempic, Rybelsus, Wegovy |
| Abbvie INC. | $261.03 | 2023-2025 | |
| Glaxosmithkline, LLC. | $149.96 | 2019-2024 | Shingrix, Arexvy |
| Astellas Pharma US INC | $95.44 | 2024-2025 | Veozah |
| Pfizer INC. | $63.40 | 2019-2024 | |
| Hologic INC | $50.95 | 2025 | 3dimensions |
| Inspire Medical Systems, INC. | $34.06 | 2024 | Inspire |
| Janssen Pharmaceuticals, INC | $28.79 | 2020 | |
| Astrazeneca Pharmaceuticals LP | $16.55 | 2024 | Airsupra |
| Amgen INC. | $13.90 | 2020 | |
| Allergan, INC. | $13.84 | 2019 | |
| Lilly USA, LLC | $11.35 | 2019 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Ashley Guild 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.
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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.