Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

BETSY S CRAMER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Primary Care

NPI
1003656281
CMS profile
11608039
Location
COLDWATER, MI

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2024–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,597.63

74 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,497.68 73
Education $99.95 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $296.16 15
PY2025 $1,597.63 74

Payment records · PY2025 (74)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Lundbeck LLC $16.68 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1251887767 CMS
AstraZeneca Pharmaceuticals LP $15.56 12/13/2025 Food and Beverage No dispute reported 06/30/2026 1206599758 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $11.16 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1241489895 CMS
Otsuka America Pharmaceutical, Inc. $28.33 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1227646857 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $4.49 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1241489893 CMS
ABBVIE INC. $14.79 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1203370232 CMS
Paratek Pharmaceuticals, Inc. $13.95 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1181773733 CMS
Amgen Inc. $23.20 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1228735895 CMS
AstraZeneca Pharmaceuticals LP $20.75 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1207006127 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $23.90 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1241489891 CMS
Otsuka America Pharmaceutical, Inc. $18.19 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1227646852 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $12.40 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1241489889 CMS
Otsuka America Pharmaceutical, Inc. $17.28 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1227646844 CMS
Otsuka America Pharmaceutical, Inc. $6.25 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1227646848 CMS
Lilly USA, LLC $19.50 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1187054645 CMS
Corcept Therapeutics $21.55 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1214135314 CMS
Novo Nordisk Inc $27.16 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1188967254 CMS
SANOFI-AVENTIS U.S. LLC $99.95 10/08/2025 Education No dispute reported 06/30/2026 1233204053 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.30 10/04/2025 Food and Beverage No dispute reported 06/30/2026 1225505646 CMS
AstraZeneca Pharmaceuticals LP $13.75 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1207259953 CMS
Alkermes, Inc. $28.08 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1222470617 CMS
Viatris Specialty LLC $25.16 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1238477061 CMS
Viatris Specialty LLC $44.77 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1238486115 CMS
Corcept Therapeutics $15.53 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1214135306 CMS
GENZYME CORPORATION $16.36 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1233204055 CMS
Lundbeck LLC $21.86 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1251887765 CMS
AstraZeneca Pharmaceuticals LP $17.70 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1206443411 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $21.29 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1241489887 CMS
ABBVIE INC. $14.50 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1203370226 CMS
Otsuka America Pharmaceutical, Inc. $25.36 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1227646841 CMS
Corcept Therapeutics $14.42 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1214135294 CMS
AstraZeneca Pharmaceuticals LP $15.16 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1207212341 CMS
Exact Sciences Corporation $27.96 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1235225800 CMS
Vanda Pharmaceuticals Inc. $21.16 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1233042340 CMS
ABBVIE INC. $14.18 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1203370220 CMS
Lundbeck LLC $20.76 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1251887763 CMS
Lundbeck LLC $19.17 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1251887761 CMS
Otsuka America Pharmaceutical, Inc. $25.52 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1227646838 CMS
Novo Nordisk Inc $21.83 07/24/2025 Food and Beverage No dispute reported 06/30/2026 1188585283 CMS
Vanda Pharmaceuticals Inc. $29.29 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1233042338 CMS
AstraZeneca Pharmaceuticals LP $14.74 07/11/2025 Food and Beverage No dispute reported 06/30/2026 1206497254 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $23.06 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1241489885 CMS
Otsuka America Pharmaceutical, Inc. $22.56 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1227646834 CMS
GlaxoSmithKline, LLC. $15.10 06/28/2025 Food and Beverage No dispute reported 06/30/2026 1191695169 CMS
Otsuka America Pharmaceutical, Inc. $6.41 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1227646831 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.51 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1225505644 CMS
Otsuka America Pharmaceutical, Inc. $7.32 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1227646828 CMS
Corcept Therapeutics $23.35 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1214135250 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.81 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1241489883 CMS
Vanda Pharmaceuticals Inc. $15.10 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1233042336 CMS
Viatris Specialty LLC $20.48 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1238510100 CMS
Exact Sciences Corporation $18.69 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1235225798 CMS
Otsuka America Pharmaceutical, Inc. $6.05 06/06/2025 Food and Beverage No dispute reported 06/30/2026 1227646824 CMS
AstraZeneca Pharmaceuticals LP $29.83 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1206150797 CMS
Viatris Specialty LLC $7.12 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1238510096 CMS
Otsuka America Pharmaceutical, Inc. $9.87 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1227646819 CMS
Paratek Pharmaceuticals, Inc. $15.28 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1181773731 CMS
Amgen Inc. $13.47 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1228735887 CMS
Genentech USA, Inc. $32.97 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1211620613 CMS
AstraZeneca Pharmaceuticals LP $31.31 04/18/2025 Food and Beverage No dispute reported 06/30/2026 1206423691 CMS
Viatris Specialty LLC $21.09 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1238510094 CMS
AstraZeneca Pharmaceuticals LP $59.06 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1206915154 CMS
AstraZeneca Pharmaceuticals LP $19.63 04/04/2025 Food and Beverage No dispute reported 06/30/2026 1206445042 CMS
Amgen Inc. $21.11 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1228735891 CMS
GENZYME CORPORATION $46.57 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1233204017 CMS
Viatris Specialty LLC $33.29 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1238510088 CMS
Regeneron Healthcare Solutions, Inc. $15.82 02/14/2025 Food and Beverage No dispute reported 06/30/2026 1213109380 CMS
Verona Pharma, Inc. $30.65 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1233816097 CMS
Amgen Inc. $30.74 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1228735884 CMS
Viatris Specialty LLC $22.91 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1238510080 CMS
AstraZeneca Pharmaceuticals LP $19.58 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1207091350 CMS
Regeneron Healthcare Solutions, Inc. $20.66 01/18/2025 Food and Beverage No dispute reported 06/30/2026 1213109378 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $17.63 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1241489881 CMS
ABBVIE INC. $21.66 01/08/2025 Food and Beverage No dispute reported 06/30/2026 1203370213 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2024, 2025
Source files
Dataset page · Bulk file · PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Plain
BETSY S CRAMER, NPI 1003656281. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1003656281.
APA 7
IndustryPayments. (2026). BETSY S CRAMER, NPI 1003656281 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1003656281
Bluebook
BETSY S CRAMER, NPI 1003656281, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1003656281.

Source: Centers for Medicare & Medicaid Services, Open Payments.