Covered recipient · General Payments record

MARK E ESTERLE

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI: 1003954876
CMS profile: 317856
Location: LOUISVILLE, KY

General Payments · PY2018–2024

$16,401.69

Reported across 751 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,259.80

109 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,171.47	106
Education	$88.33	3

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
PFIZER INC.	$224.99	10
Insmed, Inc.	$222.65	12
Acerta Pharma LLC	$220.57	10
Boehringer Ingelheim Pharmaceuticals, Inc.	$205.65	11
GlaxoSmithKline, LLC.	$174.97	11
Mylan Specialty L.P.	$164.94	7
GENZYME CORPORATION	$162.23	8
Merck Sharp & Dohme Corporation	$133.04	7
United Therapeutics Corporation	$119.64	6
Actelion Pharmaceuticals US, Inc.	$106.96	5
Regeneron Healthcare Solutions, Inc.	$88.50	4
CSL Behring	$82.12	3
Grifols USA, LLC	$66.74	2
SANOFI-AVENTIS U.S. LLC	$57.48	1
Pharming Healthcare, Inc.	$47.04	2
Amgen Inc.	$35.95	2
ANI Pharmaceuticals, Inc.	$29.07	1
Siemens Medical Solutions USA, Inc.	$26.45	1
Electromed, Inc.	$26.43	2
BAXTER HEALTHCARE	$22.08	1
Avadel CNS Pharmaceuticals, LLC	$19.21	1
JAZZ PHARMACEUTICALS INC.	$16.43	1
INTUITIVE SURGICAL, INC.	$6.66	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,310.95	91
PY2019	$1,341.95	95
PY2020	$1,447.93	95
PY2021	$1,909.13	128
PY2022	$2,152.49	118
PY2023	$5,979.44	115
PY2024	$2,259.80	109

Payment records · PY2024 (109)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2020 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Actelion Pharmaceuticals US, Inc.	$22.70	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1078888771	CMS
Actelion Pharmaceuticals US, Inc.	$27.09	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1078888955	CMS
Actelion Pharmaceuticals US, Inc.	$17.35	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1078888443	CMS
Actelion Pharmaceuticals US, Inc.	$19.79	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1078888493	CMS
Actelion Pharmaceuticals US, Inc.	$20.03	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1078888839	CMS
Amgen Inc.	$15.43	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1111571372	CMS
Amgen Inc.	$20.52	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1111571374	CMS
ANI Pharmaceuticals, Inc.	$29.07	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1091137516	CMS
AstraZeneca Pharmaceuticals LP	$71.34	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1105668521	CMS
AstraZeneca Pharmaceuticals LP	$18.84	01/15/2024	Food and Beverage	Undisputed	01/23/2026	1104243149	CMS
AstraZeneca Pharmaceuticals LP	$13.29	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1104419221	CMS
AstraZeneca Pharmaceuticals LP	$14.04	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1105375912	CMS
AstraZeneca Pharmaceuticals LP	$16.30	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1104575474	CMS
AstraZeneca Pharmaceuticals LP	$13.97	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1105668461	CMS
AstraZeneca Pharmaceuticals LP	$15.99	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1104517680	CMS
AstraZeneca Pharmaceuticals LP	$24.18	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1105659208	CMS
AstraZeneca Pharmaceuticals LP	$13.93	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1104500780	CMS
AstraZeneca Pharmaceuticals LP	$18.69	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1104750130	CMS
Avadel CNS Pharmaceuticals, LLC	$19.21	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1123381078	CMS
Baxter Healthcare	$22.08	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1120628498	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$24.06	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1117834794	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.09	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1117834784	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.28	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1117834790	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.07	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1117834786	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.12	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1117834788	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$12.13	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1117834800	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$12.81	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1117834802	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$28.03	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1117834796	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.66	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1117834782	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.40	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1117834792	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$11.00	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1117834798	CMS
CSL Behring	$20.00	02/29/2024	Education	Undisputed	01/23/2026	1134650253	CMS
CSL Behring	$31.06	06/01/2024	Food and Beverage	Undisputed	01/23/2026	1134650313	CMS
CSL Behring	$31.06	07/13/2024	Food and Beverage	Undisputed	01/23/2026	1134650325	CMS
Electromed, Inc.	$13.40	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1137888659	CMS
Electromed, Inc.	$13.03	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1137888664	CMS
GENZYME CORPORATION	$10.88	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1139772936	CMS
GENZYME CORPORATION	$19.78	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1139773010	CMS
GENZYME CORPORATION	$22.16	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1139772974	CMS
GENZYME CORPORATION	$31.74	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1139773022	CMS
GENZYME CORPORATION	$22.89	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1139773028	CMS
GENZYME CORPORATION	$10.41	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1139773042	CMS
GENZYME CORPORATION	$21.24	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1139773052	CMS
GENZYME CORPORATION	$23.13	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1139773056	CMS
GlaxoSmithKline, LLC.	$16.29	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1116466490	CMS
GlaxoSmithKline, LLC.	$15.00	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1116690321	CMS
GlaxoSmithKline, LLC.	$15.95	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1116049570	CMS
GlaxoSmithKline, LLC.	$13.79	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1116208453	CMS
GlaxoSmithKline, LLC.	$15.95	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1116232707	CMS
GlaxoSmithKline, LLC.	$15.35	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1116294797	CMS
GlaxoSmithKline, LLC.	$15.44	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1115889665	CMS
GlaxoSmithKline, LLC.	$17.09	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1116335061	CMS
GlaxoSmithKline, LLC.	$17.40	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1116467234	CMS
GlaxoSmithKline, LLC.	$17.42	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1116622847	CMS
GlaxoSmithKline, LLC.	$15.29	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1116419699	CMS
Grifols USA, LLC	$33.95	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1124721163	CMS
Grifols USA, LLC	$32.79	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1124721165	CMS
Insmed, Inc.	$18.14	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1089575656	CMS
Insmed, Inc.	$24.81	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1089581134	CMS
Insmed, Inc.	$19.55	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1089576456	CMS
Insmed, Inc.	$23.04	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1089580612	CMS
Insmed, Inc.	$19.55	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1089558630	CMS
Insmed, Inc.	$19.55	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1089562854	CMS
Insmed, Inc.	$23.44	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1089571268	CMS
Insmed, Inc.	$22.05	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1089567065	CMS
Insmed, Inc.	$14.33	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1089569904	CMS
Insmed, Inc.	$1.69	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1089569922	CMS
Insmed, Inc.	$18.25	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1089572144	CMS
Insmed, Inc.	$18.25	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1089565881	CMS
INTUITIVE SURGICAL, INC.	$6.66	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1137256497	CMS
JAZZ PHARMACEUTICALS INC.	$16.43	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1150194787	CMS
Merck Sharp & Dohme LLC	$21.85	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1141954782	CMS
Merck Sharp & Dohme LLC	$16.09	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1141588080	CMS
Merck Sharp & Dohme LLC	$18.86	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1141588108	CMS
Merck Sharp & Dohme LLC	$17.01	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1141831903	CMS
Merck Sharp & Dohme LLC	$10.85	10/01/2024	Education	Undisputed	01/23/2026	1141588078	CMS
Merck Sharp & Dohme LLC	$34.30	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1141833461	CMS
Merck Sharp & Dohme LLC	$14.08	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1141588082	CMS
Mylan Specialty L.P.	$22.76	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1147307421	CMS
Mylan Specialty L.P.	$24.28	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1147312437	CMS
Mylan Specialty L.P.	$28.34	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1147325176	CMS
Mylan Specialty L.P.	$22.05	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1147291592	CMS
Mylan Specialty L.P.	$23.09	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1147300429	CMS
Mylan Specialty L.P.	$21.33	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1147324252	CMS
Mylan Specialty L.P.	$23.09	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1147347399	CMS
PFIZER INC.	$23.74	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1130955127	CMS
PFIZER INC.	$22.84	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1131228964	CMS
PFIZER INC.	$22.84	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1131400682	CMS
PFIZER INC.	$21.72	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1131424821	CMS
PFIZER INC.	$22.48	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1131671906	CMS
PFIZER INC.	$22.60	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1131753664	CMS
PFIZER INC.	$22.23	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1131971145	CMS
PFIZER INC.	$23.43	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1131937221	CMS
PFIZER INC.	$20.85	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1131024459	CMS
PFIZER INC.	$22.26	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1131181123	CMS
Pharming Healthcare, Inc.	$25.04	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1132147630	CMS
Pharming Healthcare, Inc.	$22.00	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1132147635	CMS
Regeneron Healthcare Solutions, Inc.	$20.18	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1114044511	CMS
Regeneron Healthcare Solutions, Inc.	$21.20	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1114044513	CMS
Regeneron Healthcare Solutions, Inc.	$23.29	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1114044515	CMS
Regeneron Healthcare Solutions, Inc.	$23.83	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1114044517	CMS
SANOFI-AVENTIS U.S. LLC	$57.48	12/11/2024	Education	Undisputed	01/23/2026	1139773068	CMS
Siemens Medical Solutions USA, Inc.	$26.45	11/02/2024	Food and Beverage	Undisputed	01/23/2026	1093696252	CMS
United Therapeutics Corporation	$17.48	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1149451197	CMS
United Therapeutics Corporation	$26.07	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1149466842	CMS
United Therapeutics Corporation	$22.67	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1149456704	CMS
United Therapeutics Corporation	$15.12	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1149458062	CMS
United Therapeutics Corporation	$14.97	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1149459664	CMS
United Therapeutics Corporation	$23.33	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1149474074	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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