Covered recipient · General Payments record

JOHN THOMAS FLETCHER

Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

NPI: 1114006947
CMS profile: 96095
Location: SHERMAN, TX

General Payments · PY2018–2024

$6,262.45

Reported across 330 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,764.64

78 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 payment	Amount	Records
Food and Beverage	$1,764.64	78

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$661.52	27
Gilead Sciences, Inc.	$109.41	1
Ardelyx, Inc.	$93.72	5
Takeda Pharmaceuticals U.S.A., Inc.	$86.93	5
Regeneron Healthcare Solutions, Inc.	$84.16	4
Janssen Biotech, Inc.	$81.15	4
VIVUS LLC	$81.01	4
Phathom Pharmaceuticals, Inc.	$69.46	4
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$64.70	4
QOL Medical, LLC	$55.43	2
GENZYME CORPORATION	$51.97	2
Alnylam Pharmaceuticals Inc.	$48.23	2
Lilly USA, LLC	$47.03	2
INTERCEPT PHARMACEUTICALS, INC.	$41.59	3
Medtronic, Inc.	$37.33	1
AIMMUNE THERAPEUTICS, INC.	$37.13	2
PFIZER INC.	$36.59	2
Madrigal Pharmaceuticals	$34.63	2
Micro-tech Endoscopy USA, Inc.	$25.94	1
EVOKE PHARMA, INC.	$16.71	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$383.78	23
PY2019	$410.53	30
PY2020	$355.24	22
PY2021	$816.67	52
PY2022	$1,203.45	62
PY2023	$1,328.14	63
PY2024	$1,764.64	78

Payment records · PY2024 (78)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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.	$18.04	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1103736335	CMS
ABBVIE INC.	$25.58	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1103736337	CMS
ABBVIE INC.	$18.14	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1103736339	CMS
ABBVIE INC.	$14.16	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1103736341	CMS
ABBVIE INC.	$7.77	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1103736343	CMS
ABBVIE INC.	$24.59	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1103736345	CMS
ABBVIE INC.	$17.82	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1103736347	CMS
ABBVIE INC.	$14.73	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1103736349	CMS
ABBVIE INC.	$96.39	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1103736351	CMS
ABBVIE INC.	$29.96	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1103736353	CMS
ABBVIE INC.	$12.25	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1103736355	CMS
ABBVIE INC.	$21.75	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1103736357	CMS
ABBVIE INC.	$15.19	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1103736359	CMS
ABBVIE INC.	$16.24	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1103736361	CMS
ABBVIE INC.	$16.89	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1103736363	CMS
ABBVIE INC.	$109.41	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1103736365	CMS
ABBVIE INC.	$21.27	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1103736367	CMS
ABBVIE INC.	$10.03	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1103736369	CMS
ABBVIE INC.	$27.80	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1103736371	CMS
ABBVIE INC.	$16.02	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1103736373	CMS
ABBVIE INC.	$25.53	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1103736375	CMS
ABBVIE INC.	$11.04	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1103736377	CMS
ABBVIE INC.	$20.79	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1103736379	CMS
ABBVIE INC.	$15.36	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1103736381	CMS
ABBVIE INC.	$19.65	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1103736383	CMS
ABBVIE INC.	$15.23	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1103736385	CMS
ABBVIE INC.	$19.89	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1103736387	CMS
AIMMUNE THERAPEUTICS, INC.	$22.72	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1146979972	CMS
AIMMUNE THERAPEUTICS, INC.	$14.41	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1146980074	CMS
Alnylam Pharmaceuticals Inc.	$19.75	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1125826611	CMS
Alnylam Pharmaceuticals Inc.	$28.48	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1125826641	CMS
Ardelyx, Inc.	$20.24	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1146680558	CMS
Ardelyx, Inc.	$18.60	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1146680560	CMS
Ardelyx, Inc.	$19.96	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1146680562	CMS
Ardelyx, Inc.	$14.65	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1146680564	CMS
Ardelyx, Inc.	$20.27	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1146680566	CMS
EVOKE PHARMA, INC.	$16.71	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1127775607	CMS
GENZYME CORPORATION	$28.72	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1139899362	CMS
GENZYME CORPORATION	$23.25	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1139899426	CMS
Gilead Sciences, Inc.	$109.41	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1133786123	CMS
Intercept Pharmaceuticals, Inc.	$13.31	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1113635500	CMS
Intercept Pharmaceuticals, Inc.	$13.36	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1113635502	CMS
Intercept Pharmaceuticals, Inc.	$14.92	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1113635504	CMS
Janssen Biotech, Inc.	$20.59	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1078768143	CMS
Janssen Biotech, Inc.	$24.54	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1078768107	CMS
Janssen Biotech, Inc.	$17.21	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1078768209	CMS
Janssen Biotech, Inc.	$18.81	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1078768201	CMS
Lilly USA, LLC	$22.87	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1135061589	CMS
Lilly USA, LLC	$24.16	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1135072451	CMS
Madrigal Pharmaceuticals	$18.84	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1144165967	CMS
Madrigal Pharmaceuticals	$15.79	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1144165969	CMS
Medtronic, Inc.	$37.33	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1117067642	CMS
Micro-tech Endoscopy USA, Inc.	$25.94	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1085601405	CMS
PFIZER INC.	$16.18	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1131774967	CMS
PFIZER INC.	$20.41	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1131863007	CMS
Phathom Pharmaceuticals, Inc.	$14.39	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1151061559	CMS
Phathom Pharmaceuticals, Inc.	$19.01	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1151061561	CMS
Phathom Pharmaceuticals, Inc.	$20.04	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1151061563	CMS
Phathom Pharmaceuticals, Inc.	$16.02	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1151061565	CMS
QOL Medical, LLC	$26.58	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1147714305	CMS
QOL Medical, LLC	$28.85	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1147714307	CMS
Regeneron Healthcare Solutions, Inc.	$19.24	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1114048663	CMS
Regeneron Healthcare Solutions, Inc.	$21.26	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1114048665	CMS
Regeneron Healthcare Solutions, Inc.	$20.25	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1114048667	CMS
Regeneron Healthcare Solutions, Inc.	$23.41	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1114048669	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.28	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1153482578	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.52	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1153462308	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.47	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1153554877	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.43	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1153499927	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.34	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1137548619	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.03	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1137548623	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.36	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1137548627	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.46	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1137548631	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.74	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1137548635	CMS
VIVUS LLC	$19.99	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1129415698	CMS
VIVUS LLC	$19.36	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1129415700	CMS
VIVUS LLC	$24.96	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1129415702	CMS
VIVUS LLC	$16.70	11/10/2024	Food and Beverage	Undisputed	01/23/2026	1129415704	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.