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

MIRANDA J PIERCE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1073230769
CMS profile
11399600
Location
LOMPOC, CA

General Payments · PY2023–2024

$383.64

  • Reported across 20 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$223.99

12 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 $223.99 12

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $74.27 4
Novo Nordisk AS $58.62 3
Exact Sciences Corporation $39.64 2
PFIZER INC. $37.72 2
Acerta Pharma LLC $13.74 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $159.65 8
PY2024 $223.99 12

Payment records · PY2024 (12)

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

Program year 2024 2023 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
AstraZeneca Pharmaceuticals LP $13.74 04/09/2024 Food and Beverage Undisputed 01/23/2026 1104467970 CMS
Exact Sciences Corporation $17.81 01/09/2024 Food and Beverage Undisputed 01/23/2026 1114835443 CMS
Exact Sciences Corporation $21.83 10/03/2024 Food and Beverage Undisputed 01/23/2026 1114835449 CMS
Lilly USA, LLC $15.51 02/19/2024 Food and Beverage Undisputed 01/23/2026 1135895797 CMS
Lilly USA, LLC $18.86 04/23/2024 Food and Beverage Undisputed 01/23/2026 1135895799 CMS
Lilly USA, LLC $15.53 07/16/2024 Food and Beverage Undisputed 01/23/2026 1135895801 CMS
Lilly USA, LLC $24.37 09/04/2024 Food and Beverage Undisputed 01/23/2026 1135837813 CMS
Novo Nordisk Inc $23.27 02/26/2024 Food and Beverage Undisputed 01/23/2026 1100525175 CMS
Novo Nordisk Inc $20.00 05/28/2024 Food and Beverage Undisputed 01/23/2026 1100616941 CMS
Novo Nordisk Inc $15.35 10/21/2024 Food and Beverage Undisputed 01/23/2026 1100614525 CMS
PFIZER INC. $16.36 10/10/2024 Food and Beverage Undisputed 01/23/2026 1132083098 CMS
PFIZER INC. $21.36 12/10/2024 Food and Beverage Undisputed 01/23/2026 1131176328 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
2023, 2024
Source files
Dataset page · Bulk file · PY2023 , PY2024
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.