DAVID A RYBNICEK

Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology HENDERSONVILLE, NC NPI 1134480197

General Payments — all program years on this page

$6,188.70

Category: General Payments
Program years: PY2018–2024
Record count: 349
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,427.05 across 72 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$1,407.03	71
Education	$20.02	1

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
ABBVIE INC.	$273.27	20
Gilead Sciences, Inc.	$171.07	6
Takeda Pharmaceuticals U.S.A., Inc.	$133.85	6
IRONWOOD PHARMACEUTICALS, INC	$126.28	5
PENTAX OF AMERICA, INC.	$92.99	3
Phathom Pharmaceuticals, Inc.	$87.16	5
GENZYME CORPORATION	$73.89	3
Janssen Biotech, Inc.	$58.98	4
Daiichi Sankyo Inc.	$47.78	2
PFIZER INC.	$45.40	3
Celltrion USA Inc.	$44.22	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$43.78	2
Olympus America Inc.	$43.21	2
INTERCEPT PHARMACEUTICALS, INC.	$42.19	2
Regeneron Healthcare Solutions, Inc.	$40.79	2
Lilly USA, LLC	$32.28	2
Madrigal Pharmaceuticals	$25.56	1
QOL Medical, LLC	$22.29	1
Organon LLC	$22.06	1

By program year

Program year	Amount	Records
2018	$183.92	3
2019	$708.49	33
2020	$605.54	42
2021	$877.65	61
2022	$1,099.11	65
2023	$1,286.94	73
2024	$1,427.05	72

Records — PY2024 (72)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1075857497	Celltrion USA Inc.	$20.02	03/14/2024	Education	Undisputed	01/23/2026	View at CMS
1075857499	Celltrion USA Inc.	$24.20	11/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078833277	Janssen Biotech, Inc.	$13.20	04/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078833366	Janssen Biotech, Inc.	$14.68	08/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078833550	Janssen Biotech, Inc.	$17.20	12/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078833570	Janssen Biotech, Inc.	$13.90	07/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089476869	Daiichi Sankyo Inc.	$21.04	03/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089476871	Daiichi Sankyo Inc.	$26.74	08/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992820	ABBVIE INC.	$13.11	02/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992822	ABBVIE INC.	$17.24	02/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992824	ABBVIE INC.	$5.57	03/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992826	ABBVIE INC.	$18.76	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992828	ABBVIE INC.	$11.57	04/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992830	ABBVIE INC.	$15.76	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992832	ABBVIE INC.	$9.50	04/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992834	ABBVIE INC.	$13.00	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992836	ABBVIE INC.	$18.47	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992838	ABBVIE INC.	$9.44	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992840	ABBVIE INC.	$12.42	07/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992842	ABBVIE INC.	$19.48	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992844	ABBVIE INC.	$14.83	08/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992846	ABBVIE INC.	$9.49	09/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992848	ABBVIE INC.	$11.19	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992850	ABBVIE INC.	$10.21	10/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992852	ABBVIE INC.	$15.29	10/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992854	ABBVIE INC.	$16.20	11/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992856	ABBVIE INC.	$15.60	11/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105992858	ABBVIE INC.	$16.14	11/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108477365	Olympus America Inc.	$22.29	01/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108477368	Olympus America Inc.	$20.92	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1113632634	Intercept Pharmaceuticals, Inc.	$21.74	04/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1113632636	Intercept Pharmaceuticals, Inc.	$20.45	09/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114151562	Regeneron Healthcare Solutions, Inc.	$20.74	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114151564	Regeneron Healthcare Solutions, Inc.	$20.05	08/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119260314	PENTAX of America, Inc.	$35.11	01/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119260316	PENTAX of America, Inc.	$28.94	02/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119260318	PENTAX of America, Inc.	$28.94	02/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131175538	PFIZER INC.	$13.94	01/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131226561	PFIZER INC.	$17.42	03/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131500297	PFIZER INC.	$14.04	04/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133778604	Gilead Sciences, Inc.	$23.28	01/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133778606	Gilead Sciences, Inc.	$27.53	02/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133778608	Gilead Sciences, Inc.	$31.42	03/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133778610	Gilead Sciences, Inc.	$32.35	05/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133778612	Gilead Sciences, Inc.	$31.59	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133778614	Gilead Sciences, Inc.	$24.90	10/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1136119051	Lilly USA, LLC	$14.53	12/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1136124673	Lilly USA, LLC	$17.75	03/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1136188042	Organon Llc	$22.06	04/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137666072	Takeda Pharmaceuticals U.S.A., Inc.	$19.09	04/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137666074	Takeda Pharmaceuticals U.S.A., Inc.	$29.89	04/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137666076	Takeda Pharmaceuticals U.S.A., Inc.	$21.76	05/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137666078	Takeda Pharmaceuticals U.S.A., Inc.	$23.13	07/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137666080	Takeda Pharmaceuticals U.S.A., Inc.	$15.97	09/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137666082	Takeda Pharmaceuticals U.S.A., Inc.	$24.01	10/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139842915	GENZYME CORPORATION	$21.09	07/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139842935	GENZYME CORPORATION	$24.10	09/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139842967	GENZYME CORPORATION	$28.70	11/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144180937	Madrigal Pharmaceuticals	$25.56	11/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147714643	QOL Medical, LLC	$22.29	07/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151118834	Phathom Pharmaceuticals, Inc.	$19.35	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151118836	Phathom Pharmaceuticals, Inc.	$20.13	04/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151118838	Phathom Pharmaceuticals, Inc.	$18.07	09/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151118840	Phathom Pharmaceuticals, Inc.	$16.04	11/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151118842	Phathom Pharmaceuticals, Inc.	$13.57	12/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153487581	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.35	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153723250	IRONWOOD PHARMACEUTICALS, INC	$25.22	12/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153735144	Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.43	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153758510	IRONWOOD PHARMACEUTICALS, INC	$25.25	06/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153758514	IRONWOOD PHARMACEUTICALS, INC	$24.24	05/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153758518	IRONWOOD PHARMACEUTICALS, INC	$27.66	09/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153770862	IRONWOOD PHARMACEUTICALS, INC	$23.91	07/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
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.