Covered recipient · General Payments record
STEPHANIE VACIANNA
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2023–2025
$294.78
- Reported across 12 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $225.94 | 9 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk AS | $146.68 | 6 |
| Acerta Pharma LLC | $31.51 | 1 |
| Lilly USA, LLC | $24.21 | 1 |
| PFIZER INC. | $23.54 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (9)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | $31.51 | 06/26/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1206475497 | CMS |
| Lilly USA, LLC | $24.21 | 01/29/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1187297685 | CMS |
| Novo Nordisk Inc | $28.07 | 01/18/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188257399 | CMS |
| Novo Nordisk Inc | $23.95 | 03/04/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188423536 | CMS |
| Novo Nordisk Inc | $23.54 | 04/17/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188216763 | CMS |
| Novo Nordisk Inc | $18.95 | 04/22/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188273753 | CMS |
| Novo Nordisk Inc | $25.12 | 11/14/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188319539 | CMS |
| Novo Nordisk Inc | $27.05 | 12/18/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188473822 | CMS |
| PFIZER INC. | $23.54 | 02/19/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1229862667 | 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
- 2023, 2024, 2025
- Source files
- Dataset page · Bulk file · 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.