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

CYNTHIA S GUZMAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1083355242
CMS profile
11366069
Location
SAN ANTONIO, TX

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 · PY2022–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$3,904.41

144 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 $3,805.41 143
Education $99.00 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $1,967.80 84
PY2023 $3,439.37 174
PY2024 $3,990.56 173
PY2025 $3,904.41 144

Payment records · PY2025 (144)

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

Program year 2025 202220232024 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
PFIZER INC. $26.66 12/30/2025 Food and Beverage No dispute reported 06/30/2026 1231182772 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.74 12/21/2025 Food and Beverage No dispute reported 06/30/2026 1232055446 CMS
Janssen Biotech, Inc. $26.92 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1175153754 CMS
Madrigal Pharmaceuticals $8.90 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1248349029 CMS
Madrigal Pharmaceuticals $124.99 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1248349033 CMS
ABBVIE INC. $12.96 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1204108277 CMS
Phathom Pharmaceuticals, Inc. $23.50 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1219235102 CMS
Ardelyx, Inc. $19.31 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1247915888 CMS
Janssen Biotech, Inc. $15.21 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1175132473 CMS
Ardelyx, Inc. $13.24 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1247915886 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.79 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1223956551 CMS
ABBVIE INC. $16.71 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1204108271 CMS
Aimmune Therapeutics, Inc. $15.76 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1249646031 CMS
PFIZER INC. $24.82 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1230897239 CMS
Novo Nordisk Inc $17.52 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1188475211 CMS
Madrigal Pharmaceuticals $10.69 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1248349025 CMS
PFIZER INC. $16.96 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1230764647 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $12.37 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1232055450 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.95 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1224007999 CMS
ABBVIE INC. $124.97 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1204108267 CMS
Madrigal Pharmaceuticals $17.50 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1248349021 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.75 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1232055444 CMS
ABBVIE INC. $20.17 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1204108260 CMS
PFIZER INC. $8.03 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1230879506 CMS
ABBVIE INC. $18.39 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1204108253 CMS
Ardelyx, Inc. $23.70 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1247915884 CMS
ABBVIE INC. $4.30 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1204108248 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.61 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1232055440 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.61 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1232055442 CMS
ABBVIE INC. $116.31 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1204108242 CMS
Aimmune Therapeutics, Inc. $26.48 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1249646033 CMS
Janssen Biotech, Inc. $5.75 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1175142743 CMS
Ferring Pharmaceuticals Inc. $31.87 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1242095926 CMS
Takeda Pharmaceuticals U.S.A., Inc. $32.55 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1224086384 CMS
PFIZER INC. $19.74 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1230457013 CMS
ABBVIE INC. $8.92 09/11/2025 Food and Beverage No dispute reported 06/30/2026 1204108237 CMS
EVOKE PHARMA, INC. $19.49 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1243916195 CMS
ABBVIE INC. $16.75 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1204108232 CMS
Janssen Biotech, Inc. $99.00 09/04/2025 Education No dispute reported 06/30/2026 1175133321 CMS
ABBVIE INC. $7.58 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1204108226 CMS
PFIZER INC. $23.95 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1229695998 CMS
Ardelyx, Inc. $7.80 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1247915882 CMS
Janssen Biotech, Inc. $32.20 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1175151848 CMS
Madrigal Pharmaceuticals $9.28 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1248349017 CMS
Lilly USA, LLC $22.05 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1187109071 CMS
Phathom Pharmaceuticals, Inc. $11.29 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1219235104 CMS
Janssen Biotech, Inc. $27.64 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1175155708 CMS
ABBVIE INC. $4.93 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1204108221 CMS
Ardelyx, Inc. $19.26 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1247915880 CMS
ABBVIE INC. $18.44 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1204108216 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $21.59 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1232055438 CMS
ABBVIE INC. $14.74 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1204108211 CMS
PFIZER INC. $5.09 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1230943006 CMS
Janssen Biotech, Inc. $38.27 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1175140605 CMS
Janssen Biotech, Inc. $12.74 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1175145290 CMS
QOL Medical, LLC $20.47 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1185020696 CMS
Braintree Laboratories, Inc. $14.95 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1173784238 CMS
Madrigal Pharmaceuticals $12.79 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1248349013 CMS
Celltrion USA Inc. $23.73 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1250841571 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.60 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1232055432 CMS
PFIZER INC. $23.37 07/23/2025 Food and Beverage No dispute reported 06/30/2026 1229463220 CMS
Phathom Pharmaceuticals, Inc. $124.98 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1219235100 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $6.60 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1232055434 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $2.74 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1232055436 CMS
Janssen Biotech, Inc. $3.85 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1175134945 CMS
ABBVIE INC. $16.16 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1204108205 CMS
Ardelyx, Inc. $16.33 07/03/2025 Food and Beverage No dispute reported 06/30/2026 1247915878 CMS
Janssen Biotech, Inc. $19.64 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1175129684 CMS
ABBVIE INC. $10.56 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1204108200 CMS
ABBVIE INC. $5.77 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1204108194 CMS
Madrigal Pharmaceuticals $146.48 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1248349009 CMS
EVOKE PHARMA, INC. $22.02 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1243915153 CMS
Janssen Biotech, Inc. $31.22 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1175127510 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.56 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1232055430 CMS
PFIZER INC. $11.15 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1230939822 CMS
Celltrion USA Inc. $23.75 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1250841567 CMS
ABBVIE INC. $2.17 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1204108187 CMS
Ardelyx, Inc. $28.41 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1247915876 CMS
ABBVIE INC. $24.12 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1204108182 CMS
Celltrion USA Inc. $20.62 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1250841562 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.53 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1223976494 CMS
ABBVIE INC. $9.38 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1204108178 CMS
Phathom Pharmaceuticals, Inc. $12.19 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1219300925 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.49 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1232055428 CMS
ABBVIE INC. $9.24 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1204108173 CMS
ABBVIE INC. $7.68 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1204108167 CMS
PFIZER INC. $21.00 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1229135407 CMS
ABBVIE INC. $24.14 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1204108162 CMS
Madrigal Pharmaceuticals $24.36 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1248349005 CMS
Aimmune Therapeutics, Inc. $14.67 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1249646029 CMS
Janssen Biotech, Inc. $17.46 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1175145661 CMS
ABBVIE INC. $20.72 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1204108152 CMS
ABBVIE INC. $6.75 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1204108157 CMS
Ardelyx, Inc. $19.63 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1247915874 CMS
Janssen Biotech, Inc. $19.89 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1175135101 CMS
Phathom Pharmaceuticals, Inc. $11.43 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1219300923 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.35 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1232055425 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $124.98 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1232055448 CMS
Lilly USA, LLC $23.53 04/16/2025 Food and Beverage No dispute reported 06/30/2026 1187020408 CMS
ABBVIE INC. $29.29 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1204108146 CMS
Lilly USA, LLC $22.15 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1187029791 CMS
QOL Medical, LLC $34.50 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1185020638 CMS
Janssen Biotech, Inc. $12.38 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1175138967 CMS
ABBVIE INC. $7.04 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1204108140 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.96 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1232055423 CMS
Braintree Laboratories, Inc. $22.79 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1173784234 CMS
Lilly USA, LLC $10.56 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1187089575 CMS
Celltrion USA Inc. $21.75 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1250841559 CMS
Ardelyx, Inc. $14.55 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1247915872 CMS
Janssen Biotech, Inc. $16.46 03/31/2025 Food and Beverage No dispute reported 06/30/2026 1175144611 CMS
ABBVIE INC. $16.14 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1204108134 CMS
Lilly USA, LLC $109.01 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1187095670 CMS
Janssen Biotech, Inc. $7.00 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1175136859 CMS
GENZYME CORPORATION $25.04 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1233405240 CMS
Janssen Biotech, Inc. $7.79 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1175127890 CMS
Madrigal Pharmaceuticals $149.92 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1248349000 CMS
Lilly USA, LLC $17.49 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1187095668 CMS
Takeda Pharmaceuticals U.S.A., Inc. $116.71 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1224096368 CMS
ABBVIE INC. $17.57 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1204108127 CMS
Janssen Biotech, Inc. $15.13 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1175139839 CMS
Phathom Pharmaceuticals, Inc. $115.34 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1219299323 CMS
Janssen Biotech, Inc. $8.34 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1175131902 CMS
ABBVIE INC. $10.78 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1204108115 CMS
ABBVIE INC. $19.78 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1204108122 CMS
Madrigal Pharmaceuticals $132.20 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1248348997 CMS
Janssen Biotech, Inc. $21.98 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1175149991 CMS
Lilly USA, LLC $124.99 02/06/2025 Food and Beverage No dispute reported 06/30/2026 1187089573 CMS
ABBVIE INC. $109.02 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1204108108 CMS
Lilly USA, LLC $26.31 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1187020406 CMS
ABBVIE INC. $4.54 02/04/2025 Food and Beverage No dispute reported 06/30/2026 1204108103 CMS
Lilly USA, LLC $19.46 02/04/2025 Food and Beverage No dispute reported 06/30/2026 1187037389 CMS
Janssen Biotech, Inc. $15.79 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1175127725 CMS
Madrigal Pharmaceuticals $13.27 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1248348993 CMS
Celltrion USA Inc. $22.85 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1250841555 CMS
Ipsen Biopharmaceuticals, Inc $14.09 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1208870071 CMS
Lilly USA, LLC $18.82 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1187029793 CMS
EVOKE PHARMA, INC. $15.62 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1243912267 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.95 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1223971823 CMS
Ardelyx, Inc. $19.91 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1247915870 CMS
ABBVIE INC. $23.25 01/13/2025 Food and Beverage No dispute reported 06/30/2026 1204108090 CMS
ABBVIE INC. $5.75 01/13/2025 Food and Beverage No dispute reported 06/30/2026 1204108097 CMS
ABBVIE INC. $9.24 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1204108084 CMS
Janssen Biotech, Inc. $11.71 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1175132577 CMS
Lilly USA, LLC $20.99 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1187089571 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, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

Cite this record.

Plain
CYNTHIA S GUZMAN, NPI 1083355242. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1083355242.
APA 7
IndustryPayments. (2026). CYNTHIA S GUZMAN, NPI 1083355242 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1083355242
Bluebook
CYNTHIA S GUZMAN, NPI 1083355242, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1083355242.

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