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

Covered recipient · General Payments record

MICHELLE MARIE TREXLER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1063063766
CMS profile
10900160
Location
PINEHURST, NC

General Payments · PY2022–2025

$910.58

  • Reported across 54 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$398.46

25 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $398.46 25

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $14.96 1
PY2024 $497.16 28
PY2025 $398.46 25

Payment records · PY2025 (25)

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

Program year 2025 20222024 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
Astellas Pharma US Inc $21.27 05/06/2025 Food and Beverage Undisputed 06/30/2026 1238563598 CMS
AstraZeneca Pharmaceuticals LP $14.03 11/04/2025 Food and Beverage Undisputed 06/30/2026 1206803830 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.58 06/24/2025 Food and Beverage Undisputed 06/30/2026 1225858523 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.85 06/17/2025 Food and Beverage Undisputed 06/30/2026 1222815132 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.29 09/09/2025 Food and Beverage Undisputed 06/30/2026 1222815134 CMS
Exact Sciences Corporation $13.51 08/20/2025 Food and Beverage Undisputed 06/30/2026 1235243125 CMS
Lilly USA, LLC $25.48 10/14/2025 Food and Beverage Undisputed 06/30/2026 1187180719 CMS
Novo Nordisk Inc $14.99 01/15/2025 Food and Beverage Undisputed 06/30/2026 1188360552 CMS
Novo Nordisk Inc $19.72 02/25/2025 Food and Beverage Undisputed 06/30/2026 1189008741 CMS
Novo Nordisk Inc $7.72 03/26/2025 Food and Beverage Undisputed 06/30/2026 1188251308 CMS
Novo Nordisk Inc $19.89 04/09/2025 Food and Beverage Undisputed 06/30/2026 1188503153 CMS
Novo Nordisk Inc $15.61 04/17/2025 Food and Beverage Undisputed 06/30/2026 1188691662 CMS
Novo Nordisk Inc $18.65 05/20/2025 Food and Beverage Undisputed 06/30/2026 1188659947 CMS
Novo Nordisk Inc $14.31 05/27/2025 Food and Beverage Undisputed 06/30/2026 1188301489 CMS
Novo Nordisk Inc $7.77 06/06/2025 Food and Beverage Undisputed 06/30/2026 1188799779 CMS
Novo Nordisk Inc $14.25 07/22/2025 Food and Beverage Undisputed 06/30/2026 1188419660 CMS
Novo Nordisk Inc $7.89 09/17/2025 Food and Beverage Undisputed 06/30/2026 1188376345 CMS
Novo Nordisk Inc $6.51 11/19/2025 Food and Beverage Undisputed 06/30/2026 1188565837 CMS
Novo Nordisk Inc $16.20 11/24/2025 Food and Beverage Undisputed 06/30/2026 1188636440 CMS
Novo Nordisk Inc $17.23 12/03/2025 Food and Beverage Undisputed 06/30/2026 1188973669 CMS
Phathom Pharmaceuticals, Inc. $3.98 05/29/2025 Food and Beverage Undisputed 06/30/2026 1219300403 CMS
Phathom Pharmaceuticals, Inc. $14.40 06/10/2025 Food and Beverage Undisputed 06/30/2026 1219300421 CMS
Phathom Pharmaceuticals, Inc. $16.75 08/05/2025 Food and Beverage Undisputed 06/30/2026 1219225568 CMS
Vanda Pharmaceuticals Inc. $24.75 02/11/2025 Food and Beverage Undisputed 06/30/2026 1233137612 CMS
Viatris Specialty LLC $22.83 10/21/2025 Food and Beverage Undisputed 06/30/2026 1238470215 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
2022, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , 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.