Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

NICHOLAS C RAINS

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1124418363
CMS profile: 11228915
Location: WEST DES MOINES, IA

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.

General Payments · PY2024–2025

CMS publication 2026-06-30

Latest program year · PY2025

$2,163.30

101 records · 0 disputed

“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.
Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,082.31	99
Education	$80.99	2

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Grifols USA, LLC	$307.01	9
Acerta Pharma LLC	$304.31	14
Takeda Pharmaceuticals U.S.A., Inc.	$274.11	14
GENZYME CORPORATION	$183.11	15
PFIZER INC.	$168.77	7
CSL Behring	$157.82	7
Pharming Healthcare, Inc.	$95.16	5
BioCryst US Sales Co., LLC	$91.69	4
LEO Pharma Inc.	$75.15	3
NOVARTIS PHARMACEUTICALS CORPORATION	$73.98	4
Regeneron Healthcare Solutions, Inc.	$64.24	3
Lilly USA, LLC	$56.83	2
SANOFI-AVENTIS U.S. LLC	$55.99	1
Insmed, Inc.	$52.38	3
Galderma Laboratories, L.P.	$40.13	2
CYCLE PHARMACEUTICALS INC	$40.04	2
Blueprint Medicines Corporation	$28.04	1
Ionis Pharmaceuticals, Inc.	$25.00	1
GlaxoSmithKline, LLC.	$21.40	1
Paratek Pharmaceuticals, Inc.	$16.82	1
Genentech USA, Inc.	$16.22	1
ARS Pharmaceuticals Operations, Inc.	$15.10	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2024	$797.93	38
PY2025	$2,163.30	101

Payment records · PY2025 (101)

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

Program year 2025 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Cycle Pharmaceuticals Inc	$22.77	12/19/2025	Food and Beverage	No dispute reported	06/30/2026	1248899802	CMS
Grifols USA, LLC	$30.98	12/18/2025	Food and Beverage	No dispute reported	06/30/2026	1249587371	CMS
AstraZeneca Pharmaceuticals LP	$21.10	12/17/2025	Food and Beverage	No dispute reported	06/30/2026	1206788953	CMS
Novartis Pharmaceuticals Corporation	$19.62	12/16/2025	Food and Beverage	No dispute reported	06/30/2026	1200442389	CMS
PFIZER INC.	$30.46	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1231024816	CMS
PFIZER INC.	$2.45	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1231018464	CMS
Paratek Pharmaceuticals, Inc.	$16.82	12/09/2025	Food and Beverage	No dispute reported	06/30/2026	1181781265	CMS
ARS Pharmaceuticals Operations, Inc.	$15.10	12/05/2025	Food and Beverage	No dispute reported	06/30/2026	1245909226	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.24	12/05/2025	Food and Beverage	No dispute reported	06/30/2026	1223991602	CMS
LEO Pharma Inc.	$25.46	12/01/2025	Food and Beverage	No dispute reported	06/30/2026	1252086109	CMS
Grifols USA, LLC	$31.11	11/26/2025	Food and Beverage	No dispute reported	06/30/2026	1249587375	CMS
CSL Behring	$23.68	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1232365080	CMS
GENZYME CORPORATION	$24.85	11/24/2025	Food and Beverage	No dispute reported	06/30/2026	1233470919	CMS
GENZYME CORPORATION	$2.94	11/24/2025	Food and Beverage	No dispute reported	06/30/2026	1233470921	CMS
Insmed, Inc.	$16.26	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1186291870	CMS
AstraZeneca Pharmaceuticals LP	$21.80	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1206690643	CMS
Insmed, Inc.	$18.69	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1186306454	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$28.87	11/17/2025	Food and Beverage	No dispute reported	06/30/2026	1224076476	CMS
BioCryst US Sales Co., LLC	$21.44	11/14/2025	Food and Beverage	No dispute reported	06/30/2026	1222018365	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.93	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1224058095	CMS
Pharming Healthcare, Inc.	$15.51	11/11/2025	Food and Beverage	No dispute reported	06/30/2026	1200806727	CMS
Cycle Pharmaceuticals Inc	$17.27	11/07/2025	Food and Beverage	No dispute reported	06/30/2026	1248899800	CMS
GENZYME CORPORATION	$13.20	11/06/2025	Food and Beverage	No dispute reported	06/30/2026	1233470941	CMS
Grifols USA, LLC	$36.94	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1249587373	CMS
Genentech USA, Inc.	$16.22	10/30/2025	Food and Beverage	No dispute reported	06/30/2026	1211661360	CMS
AstraZeneca Pharmaceuticals LP	$20.99	10/24/2025	Food and Beverage	No dispute reported	06/30/2026	1206850881	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$30.17	10/16/2025	Food and Beverage	No dispute reported	06/30/2026	1224080758	CMS
Galderma Laboratories, L.P.	$22.70	10/14/2025	Food and Beverage	No dispute reported	06/30/2026	1234810852	CMS
PFIZER INC.	$19.55	10/14/2025	Food and Beverage	No dispute reported	06/30/2026	1230750275	CMS
CSL Behring	$29.47	10/13/2025	Food and Beverage	No dispute reported	06/30/2026	1232365068	CMS
Novartis Pharmaceuticals Corporation	$14.86	10/09/2025	Food and Beverage	No dispute reported	06/30/2026	1200589631	CMS
Grifols USA, LLC	$11.36	10/07/2025	Food and Beverage	No dispute reported	06/30/2026	1249587377	CMS
Insmed, Inc.	$17.43	10/02/2025	Food and Beverage	No dispute reported	06/30/2026	1186284854	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.11	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1224037208	CMS
CSL Behring	$32.21	09/29/2025	Food and Beverage	No dispute reported	06/30/2026	1232365062	CMS
Ionis Pharmaceuticals, Inc.	$25.00	09/24/2025	Education	No dispute reported	06/30/2026	1246795365	CMS
AstraZeneca Pharmaceuticals LP	$15.37	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1207092271	CMS
BioCryst US Sales Co., LLC	$30.99	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1222014824	CMS
GENZYME CORPORATION	$10.07	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1233470899	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.66	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1224041713	CMS
PFIZER INC.	$28.30	09/12/2025	Food and Beverage	No dispute reported	06/30/2026	1230304229	CMS
AstraZeneca Pharmaceuticals LP	$10.28	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1206509924	CMS
AstraZeneca Pharmaceuticals LP	$26.57	09/08/2025	Food and Beverage	No dispute reported	06/30/2026	1207269546	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.64	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1224005138	CMS
Regeneron Healthcare Solutions, Inc.	$18.84	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1213192823	CMS
GENZYME CORPORATION	$10.96	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1233470885	CMS
Grifols USA, LLC	$19.18	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1249587379	CMS
GENZYME CORPORATION	$5.50	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1233470877	CMS
GENZYME CORPORATION	$1.45	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1233470879	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.04	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1224009041	CMS
CSL Behring	$5.80	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1232365042	CMS
AstraZeneca Pharmaceuticals LP	$21.33	08/08/2025	Food and Beverage	No dispute reported	06/30/2026	1206333450	CMS
BioCryst US Sales Co., LLC	$18.24	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1222025305	CMS
AstraZeneca Pharmaceuticals LP	$24.69	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1206459733	CMS
GENZYME CORPORATION	$7.48	07/25/2025	Food and Beverage	No dispute reported	06/30/2026	1233470869	CMS
AstraZeneca Pharmaceuticals LP	$19.54	07/24/2025	Food and Beverage	No dispute reported	06/30/2026	1206510444	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.83	07/24/2025	Food and Beverage	No dispute reported	06/30/2026	1223963370	CMS
Pharming Healthcare, Inc.	$21.56	07/19/2025	Food and Beverage	No dispute reported	06/30/2026	1200806725	CMS
PFIZER INC.	$37.65	07/08/2025	Food and Beverage	No dispute reported	06/30/2026	1230227205	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.81	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1224006662	CMS
LEO Pharma Inc.	$24.22	07/01/2025	Food and Beverage	No dispute reported	06/30/2026	1252086107	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$12.62	06/27/2025	Food and Beverage	No dispute reported	06/30/2026	1223959196	CMS
Pharming Healthcare, Inc.	$16.10	06/26/2025	Food and Beverage	No dispute reported	06/30/2026	1200806723	CMS
Novartis Pharmaceuticals Corporation	$24.52	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1200589615	CMS
GENZYME CORPORATION	$10.68	06/24/2025	Food and Beverage	No dispute reported	06/30/2026	1233470883	CMS
GENZYME CORPORATION	$17.90	06/23/2025	Food and Beverage	No dispute reported	06/30/2026	1233470855	CMS
LEO Pharma Inc.	$25.47	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1252086105	CMS
CSL Behring	$26.51	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1232365030	CMS
AstraZeneca Pharmaceuticals LP	$14.67	06/13/2025	Food and Beverage	No dispute reported	06/30/2026	1206577348	CMS
BioCryst US Sales Co., LLC	$21.02	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1222028684	CMS
AstraZeneca Pharmaceuticals LP	$24.23	06/06/2025	Food and Beverage	No dispute reported	06/30/2026	1207302718	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.29	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1223992114	CMS
Lilly USA, LLC	$24.67	05/29/2025	Food and Beverage	No dispute reported	06/30/2026	1187275924	CMS
Novartis Pharmaceuticals Corporation	$14.98	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1200589613	CMS
Pharming Healthcare, Inc.	$22.41	05/27/2025	Food and Beverage	No dispute reported	06/30/2026	1200806721	CMS
Grifols USA, LLC	$14.14	05/22/2025	Food and Beverage	No dispute reported	06/30/2026	1249587385	CMS
Grifols USA, LLC	$116.01	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1249587383	CMS
GENZYME CORPORATION	$17.79	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1233470845	CMS
SANOFI-AVENTIS U.S. LLC	$55.99	05/20/2025	Education	No dispute reported	06/30/2026	1233470839	CMS
CSL Behring	$27.58	05/16/2025	Food and Beverage	No dispute reported	06/30/2026	1232365020	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$10.27	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1223955907	CMS
GENZYME CORPORATION	$8.53	04/29/2025	Food and Beverage	No dispute reported	06/30/2026	1233470835	CMS
PFIZER INC.	$22.97	04/17/2025	Food and Beverage	No dispute reported	06/30/2026	1230071126	CMS
Regeneron Healthcare Solutions, Inc.	$31.00	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1213192821	CMS
CSL Behring	$12.57	04/11/2025	Food and Beverage	No dispute reported	06/30/2026	1232365008	CMS
Blueprint Medicines Corporation	$28.04	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1235810683	CMS
GENZYME CORPORATION	$8.01	04/03/2025	Food and Beverage	No dispute reported	06/30/2026	1233470833	CMS
GlaxoSmithKline, LLC.	$21.40	03/28/2025	Food and Beverage	No dispute reported	06/30/2026	1191368519	CMS
Grifols USA, LLC	$33.64	03/14/2025	Food and Beverage	No dispute reported	06/30/2026	1249587381	CMS
Grifols USA, LLC	$13.65	03/04/2025	Food and Beverage	No dispute reported	06/30/2026	1249587387	CMS
Galderma Laboratories, L.P.	$17.43	02/28/2025	Food and Beverage	No dispute reported	06/30/2026	1234810850	CMS
AstraZeneca Pharmaceuticals LP	$15.19	02/25/2025	Food and Beverage	No dispute reported	06/30/2026	1206359148	CMS
Pharming Healthcare, Inc.	$19.58	02/20/2025	Food and Beverage	No dispute reported	06/30/2026	1200806719	CMS
GENZYME CORPORATION	$30.79	02/19/2025	Food and Beverage	No dispute reported	06/30/2026	1233470807	CMS
PFIZER INC.	$27.39	02/18/2025	Food and Beverage	No dispute reported	06/30/2026	1230023598	CMS
AstraZeneca Pharmaceuticals LP	$47.82	01/17/2025	Food and Beverage	No dispute reported	06/30/2026	1206849867	CMS
Lilly USA, LLC	$32.16	01/15/2025	Food and Beverage	No dispute reported	06/30/2026	1187240520	CMS
GENZYME CORPORATION	$12.96	01/10/2025	Food and Beverage	No dispute reported	06/30/2026	1233470799	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.63	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1223995264	CMS
AstraZeneca Pharmaceuticals LP	$20.73	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1206545811	CMS
Regeneron Healthcare Solutions, Inc.	$14.40	01/02/2025	Food and Beverage	No dispute reported	06/30/2026	1213192819	CMS

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: 2024, 2025
Source files: Dataset page · Bulk file · 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.

Cite this record.

Permalink https://industrypayments.org/provider/npi-1124418363

Plain: NICHOLAS C RAINS, NPI 1124418363. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1124418363.
APA 7: IndustryPayments. (2026). NICHOLAS C RAINS, NPI 1124418363 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1124418363
Bluebook: NICHOLAS C RAINS, NPI 1124418363, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1124418363.

Source: Centers for Medicare & Medicaid Services, Open Payments.