DARLENE FISCHER
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant CHARLESTON, SC NPI 1013078815
Browse related groups: Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant SC Alexion Pharmaceuticals, Inc. All categories
General Payments — all program years on this page
$476.93
- Category: General Payments
- Program years: PY2022–2023
- Record count: 4
- As of (CMS publication): 2026-01-23
Latest program year (PY2023): $341.45 across 3 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 (PY2023) · sorted by reported total.
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $341.45 | 3 |
By paying entity
Latest program year (PY2023) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Alexion Pharmaceuticals, Inc. | $134.48 | 1 |
| Neurocrine BioSciences, Inc. | $115.62 | 1 |
| Lilly USA, LLC | $91.35 | 1 |
By program year
Records — PY2023 (3)
| Record ID | Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Source |
|---|---|---|---|---|---|---|---|
| 1017067855 | Alexion Pharmaceuticals, Inc. | $134.48 | 05/24/2023 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1032762647 | Lilly USA, LLC | $91.35 | 03/30/2023 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1052236959 | Neurocrine Biosciences, Inc. | $115.62 | 04/20/2023 | 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_PGYR2023_P01232026_01102026.csv
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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.