Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ELIZABETH W RZEPKA-ALTO

Allopathic & Osteopathic Physicians Pediatrics

NPI
1033176599
CMS profile
47122
Location
CADILLAC, MI

General Payments · PY2018–2024

$1,202.41

  • Reported across 66 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$429.74

22 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 paymentAmountRecords
Food and Beverage $429.74 22

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
IRONSHORE PHARMACEUTICALS INC. $175.70 9
Corium, Inc. $117.54 7
Merck Sharp & Dohme Corporation $57.21 2
BioMarin Pharmaceutical Inc. $44.00 2
PFIZER INC. $21.94 1
UCB, Inc. $13.35 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $55.35 4
PY2019 $36.54 3
PY2020 $26.60 2
PY2022 $239.75 15
PY2023 $414.43 20
PY2024 $429.74 22

Payment records · PY2024 (22)

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

Program year 2024 20182019202020222023 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
BioMarin Pharmaceutical Inc. $21.12 03/08/2024 Food and Beverage Undisputed 01/23/2026 1127060411 CMS
BioMarin Pharmaceutical Inc. $22.88 09/12/2024 Food and Beverage Undisputed 01/23/2026 1127061846 CMS
Corium, LLC $25.90 01/30/2024 Food and Beverage Undisputed 01/23/2026 1100081617 CMS
Corium, LLC $10.94 04/22/2024 Food and Beverage Undisputed 01/23/2026 1100121136 CMS
Corium, LLC $23.38 07/16/2024 Food and Beverage Undisputed 01/23/2026 1100187588 CMS
Corium, LLC $17.71 08/26/2024 Food and Beverage Undisputed 01/23/2026 1100171230 CMS
Corium, LLC $20.60 10/14/2024 Food and Beverage Undisputed 01/23/2026 1100179446 CMS
Corium, LLC $2.70 11/25/2024 Food and Beverage Undisputed 01/23/2026 1100218707 CMS
Corium, LLC $16.31 11/26/2024 Food and Beverage Undisputed 01/23/2026 1100218711 CMS
IRONSHORE PHARMACEUTICALS INC. $27.75 01/25/2024 Food and Beverage Undisputed 01/23/2026 1146258441 CMS
IRONSHORE PHARMACEUTICALS INC. $27.07 03/01/2024 Food and Beverage Undisputed 01/23/2026 1146258721 CMS
IRONSHORE PHARMACEUTICALS INC. $21.00 04/01/2024 Food and Beverage Undisputed 01/23/2026 1146241797 CMS
IRONSHORE PHARMACEUTICALS INC. $18.59 06/03/2024 Food and Beverage Undisputed 01/23/2026 1146258205 CMS
IRONSHORE PHARMACEUTICALS INC. $21.51 09/09/2024 Food and Beverage Undisputed 01/23/2026 1146289696 CMS
IRONSHORE PHARMACEUTICALS INC. $14.68 10/18/2024 Food and Beverage Undisputed 01/23/2026 1146324515 CMS
IRONSHORE PHARMACEUTICALS INC. $2.19 11/16/2024 Food and Beverage Undisputed 01/23/2026 1146257637 CMS
IRONSHORE PHARMACEUTICALS INC. $24.76 11/18/2024 Food and Beverage Undisputed 01/23/2026 1146257663 CMS
IRONSHORE PHARMACEUTICALS INC. $18.15 12/13/2024 Food and Beverage Undisputed 01/23/2026 1146300622 CMS
Merck Sharp & Dohme LLC $31.66 07/15/2024 Food and Beverage Undisputed 01/23/2026 1141790012 CMS
Merck Sharp & Dohme LLC $25.55 09/23/2024 Food and Beverage Undisputed 01/23/2026 1141952225 CMS
PFIZER INC. $21.94 03/04/2024 Food and Beverage Undisputed 01/23/2026 1131056235 CMS
UCB, Inc. $13.35 03/07/2024 Food and Beverage Undisputed 01/23/2026 1143333722 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, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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