Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

ZALEH PARHAM

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1134459670
CMS profile
10992685
Location
TACOMA, WA

General Payments · PY2023–2025

$1,561.02

  • Reported across 73 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$545.78

20 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $545.78 20

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $196.95 14
PY2024 $818.29 39
PY2025 $545.78 20

Payment records · PY2025 (20)

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

Program year 2025 20232024 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
Abbott Laboratories $171.23 04/22/2025 Food and Beverage Undisputed 06/30/2026 1240997642 CMS
Abbott Laboratories $18.15 05/14/2025 Food and Beverage Undisputed 06/30/2026 1240934033 CMS
Amgen Inc. $15.39 01/13/2025 Food and Beverage Undisputed 06/30/2026 1228835702 CMS
Amgen Inc. $16.31 03/28/2025 Food and Beverage Undisputed 06/30/2026 1228835706 CMS
Kowa Pharmaceuticals America, Inc. $14.47 08/01/2025 Food and Beverage Undisputed 06/30/2026 1243150204 CMS
Kowa Pharmaceuticals America, Inc. $22.31 11/07/2025 Food and Beverage Undisputed 06/30/2026 1243150208 CMS
Lilly USA, LLC $16.33 05/05/2025 Food and Beverage Undisputed 06/30/2026 1187329493 CMS
Lilly USA, LLC $25.83 07/18/2025 Food and Beverage Undisputed 06/30/2026 1187265597 CMS
Medtronic, Inc. $19.86 04/22/2025 Food and Beverage Undisputed 06/30/2026 1219751439 CMS
Novo Nordisk Inc $15.28 02/03/2025 Food and Beverage Undisputed 06/30/2026 1189108755 CMS
Novo Nordisk Inc $24.51 03/07/2025 Food and Beverage Undisputed 06/30/2026 1188430564 CMS
Novo Nordisk Inc $18.77 03/10/2025 Food and Beverage Undisputed 06/30/2026 1188799778 CMS
Novo Nordisk Inc $25.50 04/28/2025 Food and Beverage Undisputed 06/30/2026 1188866444 CMS
Novo Nordisk Inc $23.27 11/20/2025 Food and Beverage Undisputed 06/30/2026 1188392355 CMS
PFIZER INC. $21.76 01/30/2025 Food and Beverage Undisputed 06/30/2026 1229863142 CMS
PFIZER INC. $21.81 05/06/2025 Food and Beverage Undisputed 06/30/2026 1229214568 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.42 09/10/2025 Food and Beverage Undisputed 06/30/2026 1232156842 CMS
Viatris Specialty LLC $20.13 01/10/2025 Food and Beverage Undisputed 06/30/2026 1238492241 CMS
Viatris Specialty LLC $15.26 03/03/2025 Food and Beverage Undisputed 06/30/2026 1238495593 CMS
Xeris Pharmaceuticals, Inc. $24.19 01/17/2025 Food and Beverage Undisputed 06/30/2026 1250206777 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
2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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