GUSTAVO CUMBO NACHELI

Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease GRAND RAPIDS, MI NPI 1013124312

General Payments — all program years on this page

$573,936.18

Category: General Payments
Program years: PY2018–2024
Record count: 578
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $141,009.17 across 118 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
Consulting Fee	$116,213.54	27
Travel and Lodging	$12,658.56	29
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$9,150.00	6
Food and Beverage	$2,987.07	56

By paying entity

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

Paying entity	Amount	Records
Medical Device Business Services, Inc.	$77,811.15	62
Ethicon Inc.	$31,485.43	32
GE HEALTHCARE	$16,243.60	6
Acerta Pharma LLC	$11,867.82	13
Ethicon Endo-Surgery Inc.	$3,305.00	2
Regeneron Pharmaceuticals, Inc.	$171.78	1
Pulmonx Corporation	$67.67	1
Siemens Medical Solutions USA, Inc.	$56.72	1

By program year

Program year	Amount	Records
2018	$7,438.30	47
2019	$10,443.08	35
2020	$60,635.45	34
2021	$115,739.34	71
2022	$110,492.17	134
2023	$128,178.67	139
2024	$141,009.17	118

Records — PY2024 (118)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1077583594	Ethicon Inc.	$21.49	05/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583600	Ethicon Inc.	$34.00	01/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583604	Ethicon Inc.	$43.45	12/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583608	Ethicon Inc.	$25.71	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583610	Ethicon Inc.	$131.17	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583612	Ethicon Inc.	$30.57	01/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583614	Ethicon Inc.	$15.96	08/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583624	Ethicon Inc.	$22.98	09/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583626	Ethicon Inc.	$302.93	05/09/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077583636	Ethicon Inc.	$26.03	10/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583642	Ethicon Inc.	$19.96	02/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583646	Ethicon Inc.	$22.78	08/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583648	Ethicon Inc.	$8.95	03/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583654	Ethicon Inc.	$31.80	12/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583656	Ethicon Inc.	$11.29	09/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583658	Ethicon Inc.	$49.50	05/13/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077583662	Ethicon Inc.	$1,597.40	05/13/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077583670	Ethicon Inc.	$12.21	10/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583674	Ethicon Inc.	$72.46	03/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077583676	Ethicon Inc.	$25.42	09/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077586246	Ethicon Inc.	$254.99	11/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077586248	Ethicon Inc.	$1,230.62	11/25/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077586250	Ethicon Inc.	$53.23	10/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077586252	Ethicon Inc.	$4,041.70	10/15/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077586254	Ethicon Inc.	$39.77	10/15/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077586256	Ethicon Inc.	$102.01	03/08/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077586258	Ethicon Inc.	$33.49	10/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077586260	Ethicon Inc.	$1,010.00	05/24/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077586262	Ethicon Inc.	$2,019.93	10/15/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077586264	Ethicon Inc.	$9,590.00	11/25/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077586266	Ethicon Inc.	$10,098.63	03/08/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077586268	Ethicon Inc.	$505.00	03/14/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077621704	Ethicon Endo-Surgery Inc.	$2,800.00	01/04/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077621706	Ethicon Endo-Surgery Inc.	$505.00	01/22/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077789524	Medical Device Business Services, Inc.	$57.12	06/20/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789528	Medical Device Business Services, Inc.	$781.43	02/25/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789568	Medical Device Business Services, Inc.	$130.03	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789577	Medical Device Business Services, Inc.	$815.16	10/08/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789587	Medical Device Business Services, Inc.	$135.07	06/20/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789595	Medical Device Business Services, Inc.	$22.10	11/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789605	Medical Device Business Services, Inc.	$593.54	02/25/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789609	Medical Device Business Services, Inc.	$121.60	01/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789637	Medical Device Business Services, Inc.	$26.00	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789642	Medical Device Business Services, Inc.	$123.68	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789646	Medical Device Business Services, Inc.	$304.22	11/01/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789650	Medical Device Business Services, Inc.	$14.48	11/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789670	Medical Device Business Services, Inc.	$14.00	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789674	Medical Device Business Services, Inc.	$105.14	02/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789678	Medical Device Business Services, Inc.	$421.99	11/01/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789689	Medical Device Business Services, Inc.	$123.75	09/25/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789696	Medical Device Business Services, Inc.	$443.25	02/25/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789700	Medical Device Business Services, Inc.	$20.22	10/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789704	Medical Device Business Services, Inc.	$225.48	11/01/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789709	Medical Device Business Services, Inc.	$323.18	09/25/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789719	Medical Device Business Services, Inc.	$26.00	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789723	Medical Device Business Services, Inc.	$66.15	08/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789742	Medical Device Business Services, Inc.	$238.68	10/08/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789755	Medical Device Business Services, Inc.	$507.84	06/20/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789763	Medical Device Business Services, Inc.	$18.00	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789783	Medical Device Business Services, Inc.	$20.22	10/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789795	Medical Device Business Services, Inc.	$609.31	09/25/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789800	Medical Device Business Services, Inc.	$124.26	11/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789803	Medical Device Business Services, Inc.	$64.20	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789807	Medical Device Business Services, Inc.	$703.96	10/08/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077789811	Medical Device Business Services, Inc.	$22.42	11/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789828	Medical Device Business Services, Inc.	$5.49	01/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789836	Medical Device Business Services, Inc.	$14.00	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077789872	Medical Device Business Services, Inc.	$18.00	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077864186	Medical Device Business Services, Inc.	$3,030.00	10/31/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864190	Medical Device Business Services, Inc.	$18.73	07/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077864194	Medical Device Business Services, Inc.	$5,555.00	08/13/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864199	Medical Device Business Services, Inc.	$39.98	10/07/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077864203	Medical Device Business Services, Inc.	$41.98	10/24/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077864207	Medical Device Business Services, Inc.	$9,345.77	07/02/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864212	Medical Device Business Services, Inc.	$79.35	11/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077864216	Medical Device Business Services, Inc.	$59.98	10/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077864220	Medical Device Business Services, Inc.	$1,641.25	03/05/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864225	Medical Device Business Services, Inc.	$757.50	10/02/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864229	Medical Device Business Services, Inc.	$8,328.94	10/24/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864234	Medical Device Business Services, Inc.	$4,040.00	03/22/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864238	Medical Device Business Services, Inc.	$5,556.38	03/19/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864243	Medical Device Business Services, Inc.	$148.78	03/19/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077864247	Medical Device Business Services, Inc.	$41.02	08/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077864251	Medical Device Business Services, Inc.	$12.87	10/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077864256	Medical Device Business Services, Inc.	$6,564.04	10/07/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864260	Medical Device Business Services, Inc.	$757.50	06/07/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864264	Medical Device Business Services, Inc.	$505.00	02/07/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864268	Medical Device Business Services, Inc.	$5,807.50	01/26/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864272	Medical Device Business Services, Inc.	$7,069.07	11/18/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864277	Medical Device Business Services, Inc.	$608.41	08/08/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077864281	Medical Device Business Services, Inc.	$16.79	10/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077864286	Medical Device Business Services, Inc.	$17.17	03/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077864290	Medical Device Business Services, Inc.	$6,186.62	08/08/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864294	Medical Device Business Services, Inc.	$4,040.71	10/25/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1077864299	Medical Device Business Services, Inc.	$64.92	11/18/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1077864303	Medical Device Business Services, Inc.	$235.92	10/25/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1087846754	Pulmonx Corporation	$67.67	04/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093681180	Siemens Medical Solutions USA, Inc.	$56.72	10/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104203781	AstraZeneca Pharmaceuticals LP	$525.00	07/02/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1104207367	AstraZeneca Pharmaceuticals LP	$950.00	01/25/2024	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
1104312668	AstraZeneca Pharmaceuticals LP	$5.51	11/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104343202	AstraZeneca Pharmaceuticals LP	$3,700.00	05/16/2024	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
1104344184	AstraZeneca Pharmaceuticals LP	$300.00	03/07/2024	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
1104455130	AstraZeneca Pharmaceuticals LP	$250.00	10/29/2024	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
1104561382	AstraZeneca Pharmaceuticals LP	$124.74	02/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105207940	AstraZeneca Pharmaceuticals LP	$956.18	02/29/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1105421018	AstraZeneca Pharmaceuticals LP	$128.72	05/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105430012	AstraZeneca Pharmaceuticals LP	$956.18	05/14/2024	Travel and Lodging	Undisputed	01/23/2026	View at CMS
1105556062	AstraZeneca Pharmaceuticals LP	$250.00	03/05/2024	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
1105634098	AstraZeneca Pharmaceuticals LP	$3,700.00	03/05/2024	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
1105872057	AstraZeneca Pharmaceuticals LP	$21.49	05/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114397841	Regeneron Pharmaceuticals, Inc.	$171.78	12/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144691145	GE HEALTHCARE	$125.00	03/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144691553	GE HEALTHCARE	$148.07	03/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144691555	GE HEALTHCARE	$37.53	10/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144691557	GE HEALTHCARE	$1,017.00	07/17/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1144691559	GE HEALTHCARE	$9,492.00	07/17/2024	Consulting Fee	Undisputed	01/23/2026	View at CMS
1144691561	GE HEALTHCARE	$5,424.00	07/17/2024	Consulting Fee	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.