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

MARGARET NESMITH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1093067795
CMS profile
10795495
Location
HOUSTON, TX

General Payments · PY2021–2024

$1,815.52

  • Reported across 75 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$583.23

23 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 $583.23 23

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $114.90 6
PY2022 $454.24 19
PY2023 $663.15 27
PY2024 $583.23 23

Payment records · PY2024 (23)

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

Program year 2024 202120222023 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
ABBVIE INC. $27.06 01/26/2024 Food and Beverage Undisputed 01/23/2026 1107728976 CMS
ABBVIE INC. $30.22 07/05/2024 Food and Beverage Undisputed 01/23/2026 1107728978 CMS
Amgen Inc. $31.02 08/30/2024 Food and Beverage Undisputed 01/23/2026 1117338277 CMS
BeiGene USA, Inc. $29.59 02/24/2024 Food and Beverage Undisputed 01/23/2026 1120844291 CMS
BeiGene USA, Inc. $14.84 04/19/2024 Food and Beverage Undisputed 01/23/2026 1120844287 CMS
BeiGene USA, Inc. $24.07 09/27/2024 Food and Beverage Undisputed 01/23/2026 1120844295 CMS
Celgene Corporation $23.61 09/20/2024 Food and Beverage Undisputed 01/23/2026 1101167994 CMS
GENZYME CORPORATION $18.03 04/26/2024 Food and Beverage Undisputed 01/23/2026 1139880385 CMS
Incyte Corporation $16.19 02/08/2024 Food and Beverage Undisputed 01/23/2026 1141197633 CMS
Incyte Corporation $26.79 05/24/2024 Food and Beverage Undisputed 01/23/2026 1141274828 CMS
Janssen Pharmaceuticals, Inc $14.63 03/08/2024 Food and Beverage Undisputed 01/23/2026 1078206167 CMS
Lilly USA, LLC $22.28 01/05/2024 Food and Beverage Undisputed 01/23/2026 1135803712 CMS
Novartis Pharmaceuticals Corporation $33.01 02/02/2024 Food and Beverage Undisputed 01/23/2026 1086983620 CMS
Novartis Pharmaceuticals Corporation $31.12 04/12/2024 Food and Beverage Undisputed 01/23/2026 1086983626 CMS
Novartis Pharmaceuticals Corporation $31.00 09/06/2024 Food and Beverage Undisputed 01/23/2026 1086983660 CMS
PFIZER INC. $14.29 05/03/2024 Food and Beverage Undisputed 01/23/2026 1131524617 CMS
PharmaEssentia USA Corporation $30.27 08/24/2024 Food and Beverage Undisputed 01/23/2026 1137303380 CMS
PharmaEssentia USA Corporation $19.66 11/22/2024 Food and Beverage Undisputed 01/23/2026 1137303434 CMS
Rigel Pharmaceuticals, Inc. $30.19 07/19/2024 Food and Beverage Undisputed 01/23/2026 1145203689 CMS
Secura Bio, Inc. $22.84 03/15/2024 Food and Beverage Undisputed 01/23/2026 1133336931 CMS
SOBI, INC $43.18 02/16/2024 Food and Beverage Undisputed 01/23/2026 1141440995 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.95 01/12/2024 Food and Beverage Undisputed 01/23/2026 1144980932 CMS
Takeda Pharmaceuticals U.S.A., Inc. $31.39 08/02/2024 Food and Beverage Undisputed 01/23/2026 1144980934 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.