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

ALFE R GARPERIO

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1104366178
CMS profile
10506830
Location
PUEBLO, CO

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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Filter and download payment records

General Payments · PY2022 · Entire year

$916.69

41 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

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $916.65 37
Gift $0.04 4

By paying entity

PY2022 · entire year · sorted by reported total

Page 1 of 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

ALFE R GARPERIO

NPI 1104366178 · CMS profile ID 10506830

Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant

PUEBLO, CO

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, PY2022; 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 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1104366178?year=2022&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c

Cite these filtered records

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

Plain
ALFE R GARPERIO, NPI 1104366178, CMS profile ID 10506830. General Payments, PY2022; 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 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1104366178?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
APA 7
IndustryPayments. (2026). ALFE R GARPERIO, NPI 1104366178, CMS profile ID 10506830. General Payments, PY2022; 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 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1104366178?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
Bluebook
ALFE R GARPERIO, NPI 1104366178, CMS profile ID 10506830, IndustryPayments, General Payments, PY2022; 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 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c. https://industrypayments.org/provider/npi-1104366178?year=2022&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 · PY2022

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

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

41 matching records · $916.69 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 41 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 1–41 of 41.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Scilex Pharmaceuticals Inc. $19.9912/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916142081 CMS
ABBVIE INC. $25.1712/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 891899019 CMS
Kowa Pharmaceuticals America, Inc. $15.9512/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 900396523 CMS
Scilex Pharmaceuticals Inc. $24.9212/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916139209 CMS
Scilex Pharmaceuticals Inc. $22.4211/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916135347 CMS
Kowa Pharmaceuticals America, Inc. $18.2011/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 900371187 CMS
Scilex Pharmaceuticals Inc. $0.0110/27/2022 Gift No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916132419 CMS
Kowa Pharmaceuticals America, Inc. $18.4510/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 900365861 CMS
Scilex Pharmaceuticals Inc. $0.0110/21/2022 Gift No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916130939 CMS
Scilex Pharmaceuticals Inc. $0.0110/12/2022 Gift No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916128261 CMS
Collegium Pharmaceutical, Inc. $23.3410/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 914566395 CMS
Scilex Pharmaceuticals Inc. $0.0110/04/2022 Gift No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916126221 CMS
Scilex Pharmaceuticals Inc. $24.2310/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916125739 CMS
RedHill Biopharma Inc. $16.0409/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 902958169 CMS
SI-BONE, Inc. $53.7609/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 954345249 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.0608/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 959982055 CMS
ABBVIE INC. $22.2008/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 891899017 CMS
Scilex Pharmaceuticals Inc. $22.1508/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916116769 CMS
Scilex Pharmaceuticals Inc. $24.7807/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916114015 CMS
ABBVIE INC. $28.3607/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 891899015 CMS
Horizon Therapeutics plc $19.4807/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 937726041 CMS
Scilex Pharmaceuticals Inc. $24.5407/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916109691 CMS
Scilex Pharmaceuticals Inc. $23.5606/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916104349 CMS
Boston Scientific Corporation $48.5005/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916759191 CMS
ABBVIE INC. $20.2705/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 891899011 CMS
ABBVIE INC. $15.6205/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 891899013 CMS
Scilex Pharmaceuticals Inc. $23.3605/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916098711 CMS
Kowa Pharmaceuticals America, Inc. $16.1305/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 900335569 CMS
Scilex Pharmaceuticals Inc. $19.1304/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916095925 CMS
Abbott Laboratories $121.2104/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 920075969 CMS
ABBVIE INC. $11.1804/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 891899009 CMS
Scilex Pharmaceuticals Inc. $23.5904/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916092207 CMS
ABBVIE INC. $21.0904/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 891899007 CMS
GRT US Holding, Inc. $14.7003/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 894621573 CMS
Scilex Pharmaceuticals Inc. $17.9303/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916082727 CMS
FORTE BIO-PHARMA LLC $10.0802/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 964231173 CMS
Scilex Pharmaceuticals Inc. $23.5602/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916075443 CMS
Scilex Pharmaceuticals Inc. $23.5602/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916075449 CMS
Scilex Pharmaceuticals Inc. $23.3701/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916061819 CMS
Scilex Pharmaceuticals Inc. $23.3701/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 916061825 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.4001/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 959977393 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $949.47 42
PY2022 $916.69 41
PY2023 $1,332.10 52
PY2024 $1,049.34 63
PY2025 $738.76 40

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
2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2021 , 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.