JOHN R NELSON

Allopathic & Osteopathic Physicians|Internal Medicine FRESNO, CA NPI 1003908591

General Payments — all program years on this page

$694,488.41

Category: General Payments
Program years: PY2018–2024
Record count: 1,204
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $4,444.88 across 59 records · disputed records: 0

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

How this figure is calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. 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 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$2,800.00	1
Food and Beverage	$1,644.88	58

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
Amgen Inc.	$3,603.93	29
Regeneron Healthcare Solutions, Inc.	$314.91	6
NOVARTIS PHARMACEUTICALS CORPORATION	$202.34	14
Esperion Therapeutics, Inc.	$81.03	4
PFIZER INC.	$78.48	1
Alnylam Pharmaceuticals Inc.	$73.20	1
Azurity Pharmaceuticals, Inc.	$29.96	1
Acerta Pharma LLC	$26.60	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.05	1
E.R. Squibb & Sons, L.L.C.	$13.38	1

By program year

Program year	Amount	Records
2018	$301,453.72	411
2019	$253,493.36	326
2020	$65,510.51	143
2021	$27,367.96	96
2022	$27,896.39	86
2023	$14,321.59	83
2024	$4,444.88	59

Records — PY2024 (59)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1087006588	Novartis Pharmaceuticals Corporation	$17.88	01/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006602	Novartis Pharmaceuticals Corporation	$3.20	02/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006626	Novartis Pharmaceuticals Corporation	$5.81	03/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006632	Novartis Pharmaceuticals Corporation	$3.40	04/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006634	Novartis Pharmaceuticals Corporation	$16.65	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006638	Novartis Pharmaceuticals Corporation	$43.65	05/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006654	Novartis Pharmaceuticals Corporation	$9.24	05/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006656	Novartis Pharmaceuticals Corporation	$26.45	06/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006672	Novartis Pharmaceuticals Corporation	$24.43	07/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006674	Novartis Pharmaceuticals Corporation	$3.91	07/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006684	Novartis Pharmaceuticals Corporation	$5.74	08/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006686	Novartis Pharmaceuticals Corporation	$7.74	09/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006690	Novartis Pharmaceuticals Corporation	$26.94	11/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087006698	Novartis Pharmaceuticals Corporation	$7.30	12/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101230607	E.R. Squibb & Sons, L.L.C.	$13.38	02/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105467707	AstraZeneca Pharmaceuticals LP	$26.60	08/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661111	Amgen Inc.	$25.52	01/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661113	Amgen Inc.	$25.05	01/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661115	Amgen Inc.	$29.21	01/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661117	Amgen Inc.	$29.12	02/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661119	Amgen Inc.	$33.95	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661121	Amgen Inc.	$30.45	03/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661123	Amgen Inc.	$34.10	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661125	Amgen Inc.	$18.60	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661127	Amgen Inc.	$27.45	05/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661129	Amgen Inc.	$128.35	03/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661131	Amgen Inc.	$33.25	05/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661133	Amgen Inc.	$26.38	05/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661135	Amgen Inc.	$29.58	06/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661137	Amgen Inc.	$30.15	06/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661139	Amgen Inc.	$17.05	07/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661141	Amgen Inc.	$12.67	07/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661143	Amgen Inc.	$23.93	07/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661145	Amgen Inc.	$19.80	08/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661147	Amgen Inc.	$25.16	08/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661149	Amgen Inc.	$27.71	08/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661151	Amgen Inc.	$20.93	08/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661153	Amgen Inc.	$27.04	09/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661155	Amgen Inc.	$33.95	09/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661157	Amgen Inc.	$30.45	10/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661159	Amgen Inc.	$12.35	10/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661161	Amgen Inc.	$23.69	10/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661163	Amgen Inc.	$18.10	07/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111661165	Amgen Inc.	$2,800.00	07/22/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	View at CMS
1111661167	Amgen Inc.	$9.94	12/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114123439	Regeneron Healthcare Solutions, Inc.	$39.09	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114123441	Regeneron Healthcare Solutions, Inc.	$26.00	03/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114123443	Regeneron Healthcare Solutions, Inc.	$37.26	05/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114123445	Regeneron Healthcare Solutions, Inc.	$144.85	06/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114123447	Regeneron Healthcare Solutions, Inc.	$34.69	07/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114123449	Regeneron Healthcare Solutions, Inc.	$33.02	10/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117834560	Boehringer Ingelheim Pharmaceuticals, Inc.	$21.05	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125858759	Alnylam Pharmaceuticals Inc.	$73.20	09/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1129448524	Esperion Therapeutics, Inc.	$18.34	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1129448526	Esperion Therapeutics, Inc.	$23.34	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1129448528	Esperion Therapeutics, Inc.	$20.98	09/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1129448530	Esperion Therapeutics, Inc.	$18.37	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131521439	PFIZER INC.	$78.48	09/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1134010351	Azurity Pharmaceuticals, Inc.	$29.96	07/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.