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

Covered recipient · General Payments record

ALYSSA TWARDOSKI

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1144117623
CMS profile
11853008
Location
BISMARCK, ND

General Payments · PY2025

$142.94

  • Reported across 8 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$142.94

8 records · 0 disputed

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

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 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $142.94 8

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $42.07 2
PFIZER INC. $29.39 2
Astellas Pharma US Inc $22.87 1
Axsome Therapeutics, Inc. $17.16 1
Janssen Biotech, Inc. $16.28 1
Actelion Pharmaceuticals US, Inc. $15.17 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2025 $142.94 8

Payment records · PY2025 (8)

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

Program year 2025
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $24.82 11/19/2025 Food and Beverage Undisputed 06/30/2026 1203877301 CMS
ABBVIE INC. $17.25 12/18/2025 Food and Beverage Undisputed 06/30/2026 1203877308 CMS
Actelion Pharmaceuticals US, Inc. $15.17 07/31/2025 Food and Beverage Undisputed 06/30/2026 1174252796 CMS
Astellas Pharma US Inc $22.87 12/10/2025 Food and Beverage Undisputed 06/30/2026 1238587814 CMS
Axsome Therapeutics, Inc. $17.16 12/17/2025 Food and Beverage Undisputed 06/30/2026 1235664205 CMS
Janssen Biotech, Inc. $16.28 01/14/2025 Food and Beverage Undisputed 06/30/2026 1175123425 CMS
PFIZER INC. $14.47 11/03/2025 Food and Beverage Undisputed 06/30/2026 1230681301 CMS
PFIZER INC. $14.92 12/03/2025 Food and Beverage Undisputed 06/30/2026 1230902878 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
2025
Source files
Dataset page · Bulk file · PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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