Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

LARRY E SIREF

Allopathic & Osteopathic Physicians Urology

NPI
1043219546
CMS profile
182933
Location
OMAHA, NE

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,057.10

29 records · 0 disputed

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,022.04 28
Education $35.06 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,458.13 67
PY2020 $785.29 37
PY2021 $1,447.29 52
PY2022 $1,391.58 52
PY2023 $1,202.82 31
PY2024 $1,111.85 38
PY2025 $1,057.10 29

Payment records · PY2025 (29)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $27.37 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1204319297 CMS
Merck Sharp & Dohme LLC $16.53 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1238224658 CMS
Boston Scientific Corporation $23.58 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1181155312 CMS
AstraZeneca Pharmaceuticals LP $35.06 11/19/2025 Education No dispute reported 06/30/2026 1206867942 CMS
Ferring Pharmaceuticals Inc. $48.90 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1242084914 CMS
Merck Sharp & Dohme LLC $14.01 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1238220680 CMS
Calyxo, Inc. $145.71 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1246159556 CMS
PFIZER INC. $15.17 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1229967918 CMS
Ferring Pharmaceuticals Inc. $23.11 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1242084912 CMS
Merck Sharp & Dohme LLC $17.51 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1238172222 CMS
UROGEN PHARMA, INC. $22.19 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1244850392 CMS
Janssen Biotech, Inc. $20.20 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1175138087 CMS
180 Medical, Inc. $26.18 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1252563382 CMS
Procept Biorobotics Corporation $109.94 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1249754537 CMS
COLOPLAST CORP $123.93 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1226961082 CMS
Novartis Pharmaceuticals Corporation $17.87 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1200574136 CMS
ABBVIE INC. $21.82 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1204319291 CMS
ABBVIE INC. $27.50 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1204319287 CMS
PFIZER INC. $18.72 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1231300605 CMS
UROGEN PHARMA, INC. $27.26 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1244838698 CMS
Merck Sharp & Dohme LLC $17.51 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1238249519 CMS
Cook Medical LLC $23.58 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1208787282 CMS
Astellas Pharma US Inc $18.80 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1238740558 CMS
UROGEN PHARMA, INC. $28.42 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1244850740 CMS
Janssen Biotech, Inc. $16.25 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1175146139 CMS
ABBVIE INC. $21.07 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1204319283 CMS
COLOPLAST CORP $114.25 02/07/2025 Food and Beverage No dispute reported 06/30/2026 1226961010 CMS
Janssen Biotech, Inc. $15.60 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1175141438 CMS
PFIZER INC. $19.06 01/13/2025 Food and Beverage No dispute reported 06/30/2026 1229678017 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

Cite this record.

Plain
LARRY E SIREF, NPI 1043219546. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1043219546.
APA 7
IndustryPayments. (2026). LARRY E SIREF, NPI 1043219546 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1043219546
Bluebook
LARRY E SIREF, NPI 1043219546, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1043219546.

Source: Centers for Medicare & Medicaid Services, Open Payments.