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

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General Payments · PY2023 · Entire year

$3,439.37

174 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $3,424.91 173
Education $14.46 1

By paying entity

PY2023 · entire year · sorted by reported total

Page 1 of 4; records 1–50 of 174 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

CYNTHIA S GUZMAN

NPI 1083355242 · CMS profile ID 11366069

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner

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.

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.

General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 4; records 1–50 of 174 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1083355242?year=2023&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
CYNTHIA S GUZMAN, NPI 1083355242, CMS profile ID 11366069. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 4; records 1–50 of 174 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1083355242?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7
IndustryPayments. (2026). CYNTHIA S GUZMAN, NPI 1083355242, CMS profile ID 11366069. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 4; records 1–50 of 174 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1083355242?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook
CYNTHIA S GUZMAN, NPI 1083355242, CMS profile ID 11366069, IndustryPayments, General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 4; records 1–50 of 174 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1083355242?year=2023&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2023

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

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

174 matching records · $3,439.37 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 174 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 174.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.4912/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057290995 CMS
Evoke Pharma, Inc. $18.5412/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056629433 CMS
Ardelyx, Inc. $5.0412/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1052985069 CMS
Ardelyx, Inc. $12.2212/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1052985075 CMS
PFIZER INC. $15.1512/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1050208557 CMS
ABBVIE INC. $25.2912/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005409347 CMS
ABBVIE INC. $17.5912/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005409351 CMS
GENZYME CORPORATION $32.0012/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1050418259 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.5512/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057113407 CMS
Evoke Pharma, Inc. $11.1312/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056629159 CMS
Ferring Pharmaceuticals Inc. $15.5412/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1044286577 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $9.9812/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057121177 CMS
Lilly USA, LLC $27.8711/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1032761053 CMS
Celgene Corporation $10.3211/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015538155 CMS
Evoke Pharma, Inc. $13.0111/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056628793 CMS
ABBVIE INC. $8.2811/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005409343 CMS
Ardelyx, Inc. $126.9811/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1052985063 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $12.2211/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057316919 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $12.6111/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057385119 CMS
Ferring Pharmaceuticals Inc. $15.9311/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1044286569 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $7.7111/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057351623 CMS
ABBVIE INC. $128.3211/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005409339 CMS
Evoke Pharma, Inc. $11.0811/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056628623 CMS
QOL Medical, LLC $22.9511/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1059264115 CMS
ABBVIE INC. $23.1511/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005409335 CMS
Ardelyx, Inc. $12.5511/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1052985057 CMS
Ironwood Pharmaceuticals, Inc $22.3511/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1045557045 CMS
PFIZER INC. $15.1511/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1050322699 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.2511/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057415055 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.7210/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057447891 CMS
Celgene Corporation $17.0110/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015538151 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.3910/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057131239 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $8.1510/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057236533 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $13.5010/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057368593 CMS
Ferring Pharmaceuticals Inc. $3.3310/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1044286547 CMS
Ferring Pharmaceuticals Inc. $17.5310/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1044286559 CMS
Janssen Biotech, Inc. $124.9910/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1061054945 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.4010/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057427829 CMS
Janssen Biotech, Inc. $32.7610/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988424901 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.3510/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057355641 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.8810/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057487793 CMS
Ironwood Pharmaceuticals, Inc $9.4210/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1045553665 CMS
ABBVIE INC. $8.5810/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005409331 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $9.2610/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057294315 CMS
Janssen Biotech, Inc. $15.4209/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988424891 CMS
ABBVIE INC. $11.8109/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005409327 CMS
E.R. Squibb & Sons, L.L.C. $123.1209/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015538123 CMS
Evoke Pharma, Inc. $18.0309/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056627733 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.7009/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1057319927 CMS
ABBVIE INC. $11.5209/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005409323 CMS

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

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 and profile matching
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.