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

DEBRA PAIGE KLEIN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1093784217
CMS profile
10650510
Location
COLUMBIA, MO

General Payments · PY2021–2024

$950.08

  • Reported across 36 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$386.59

17 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 $386.59 17

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $43.82 1
PY2022 $321.62 7
PY2023 $198.05 11
PY2024 $386.59 17

Payment records · PY2024 (17)

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
ABIOMED $32.03 08/30/2024 Food and Beverage Undisputed 01/23/2026 1142295545 CMS
Amgen Inc. $15.71 01/02/2024 Food and Beverage Undisputed 01/23/2026 1115818556 CMS
Amgen Inc. $15.01 07/19/2024 Food and Beverage Undisputed 01/23/2026 1115818564 CMS
Amgen Inc. $15.34 07/22/2024 Food and Beverage Undisputed 01/23/2026 1115818537 CMS
Amgen Inc. $18.38 10/17/2024 Food and Beverage Undisputed 01/23/2026 1115818547 CMS
AstraZeneca Pharmaceuticals LP $14.34 06/29/2024 Food and Beverage Undisputed 01/23/2026 1104414417 CMS
AstraZeneca Pharmaceuticals LP $13.80 12/10/2024 Food and Beverage Undisputed 01/23/2026 1105255093 CMS
E.R. Squibb & Sons, L.L.C. $20.18 02/02/2024 Food and Beverage Undisputed 01/23/2026 1101316560 CMS
E.R. Squibb & Sons, L.L.C. $20.79 08/02/2024 Food and Beverage Undisputed 01/23/2026 1101316604 CMS
Edwards Lifesciences Corporation $70.26 04/23/2024 Food and Beverage Undisputed 01/23/2026 1138834020 CMS
Edwards Lifesciences Corporation $29.61 10/25/2024 Food and Beverage Undisputed 01/23/2026 1138834036 CMS
Edwards Lifesciences Corporation $26.48 12/20/2024 Food and Beverage Undisputed 01/23/2026 1138834048 CMS
Janssen Pharmaceuticals, Inc $16.42 04/20/2024 Food and Beverage Undisputed 01/23/2026 1078057468 CMS
Kiniksa Pharmaceuticals International, plc $19.70 07/12/2024 Food and Beverage Undisputed 01/23/2026 1154898188 CMS
Merck Sharp & Dohme LLC $14.35 08/16/2024 Food and Beverage Undisputed 01/23/2026 1141766304 CMS
Merck Sharp & Dohme LLC $15.13 10/11/2024 Food and Beverage Undisputed 01/23/2026 1141940157 CMS
Novartis Pharmaceuticals Corporation $29.06 06/19/2024 Food and Beverage Undisputed 01/23/2026 1087141618 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

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.