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

MICHELLE M SZYMANOWSKI

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Women's Health

NPI
1104888957
CMS profile
4316
Location
GILBERT, AZ

General Payments · PY2021–2024

$3,780.96

  • Reported across 48 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$408.33

13 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 $408.33 13

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $367.69 13
PY2022 $165.21 8
PY2023 $2,839.73 14
PY2024 $408.33 13

Payment records · PY2024 (13)

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
Astellas Pharma US Inc $116.02 03/27/2024 Food and Beverage Undisputed 01/23/2026 1139524182 CMS
Astellas Pharma US Inc $21.81 04/03/2024 Food and Beverage Undisputed 01/23/2026 1139481810 CMS
Astellas Pharma US Inc $13.66 08/29/2024 Food and Beverage Undisputed 01/23/2026 1139517865 CMS
Biogen, Inc. $26.11 08/01/2024 Food and Beverage Undisputed 01/23/2026 1104868418 CMS
Biogen, Inc. $22.82 10/29/2024 Food and Beverage Undisputed 01/23/2026 1104862842 CMS
Exact Sciences Corporation $15.25 09/20/2024 Food and Beverage Undisputed 01/23/2026 1114926403 CMS
Exeltis, USA Inc. $74.93 05/09/2024 Food and Beverage Undisputed 01/23/2026 1150020349 CMS
Hologic Sales and Service, LLC $15.78 06/12/2024 Food and Beverage Undisputed 01/23/2026 1084902242 CMS
MAYNE PHARMA COMMERCIAL LLC $22.59 07/29/2024 Food and Beverage Undisputed 01/23/2026 1154713061 CMS
OptumHealth Care Solutions, LLC $21.61 07/26/2024 Food and Beverage Undisputed 01/23/2026 1153140510 CMS
Organon Llc $18.79 01/09/2024 Food and Beverage Undisputed 01/23/2026 1136279973 CMS
Organon Llc $15.75 08/21/2024 Food and Beverage Undisputed 01/23/2026 1136279969 CMS
Organon Llc $23.21 09/12/2024 Food and Beverage Undisputed 01/23/2026 1136314685 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.