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

DEMI D MERLINO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care

NPI
1144611922
CMS profile
10927441
Location
FORT SMITH, AR

General Payments · PY2021–2025

$4,444.19

  • Reported across 313 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$743.98

40 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 $743.98 40

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $732.12 65
PY2022 $1,118.56 84
PY2023 $1,159.14 82
PY2024 $690.39 42
PY2025 $743.98 40

Payment records · PY2025 (40)

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

Program year 2025 2021202220232024 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 $16.44 02/17/2025 Food and Beverage Undisputed 06/30/2026 1240903962 CMS
ABBVIE INC. $14.87 06/07/2025 Food and Beverage Undisputed 06/30/2026 1204933056 CMS
ABBVIE INC. $21.58 09/12/2025 Food and Beverage Undisputed 06/30/2026 1204933060 CMS
ABBVIE INC. $19.88 09/27/2025 Food and Beverage Undisputed 06/30/2026 1204933064 CMS
Amgen Inc. $14.11 01/22/2025 Food and Beverage Undisputed 06/30/2026 1228849867 CMS
Amgen Inc. $18.72 09/25/2025 Food and Beverage Undisputed 06/30/2026 1228849857 CMS
Amgen Inc. $17.72 11/14/2025 Food and Beverage Undisputed 06/30/2026 1228849842 CMS
Amgen Inc. $18.04 12/11/2025 Food and Beverage Undisputed 06/30/2026 1228849834 CMS
AstraZeneca Pharmaceuticals LP $95.47 01/14/2025 Food and Beverage Undisputed 06/30/2026 1206442389 CMS
AstraZeneca Pharmaceuticals LP $15.71 02/28/2025 Food and Beverage Undisputed 06/30/2026 1207025758 CMS
AstraZeneca Pharmaceuticals LP $13.78 03/06/2025 Food and Beverage Undisputed 06/30/2026 1206436476 CMS
AstraZeneca Pharmaceuticals LP $17.24 04/10/2025 Food and Beverage Undisputed 06/30/2026 1206188418 CMS
AstraZeneca Pharmaceuticals LP $14.10 04/11/2025 Food and Beverage Undisputed 06/30/2026 1207035465 CMS
AstraZeneca Pharmaceuticals LP $20.43 05/22/2025 Food and Beverage Undisputed 06/30/2026 1206310984 CMS
AstraZeneca Pharmaceuticals LP $19.51 06/10/2025 Food and Beverage Undisputed 06/30/2026 1207228597 CMS
AstraZeneca Pharmaceuticals LP $15.92 06/24/2025 Food and Beverage Undisputed 06/30/2026 1206793451 CMS
AstraZeneca Pharmaceuticals LP $17.94 09/03/2025 Food and Beverage Undisputed 06/30/2026 1207197443 CMS
Averitas Pharma Inc. $18.58 02/27/2025 Food and Beverage Undisputed 06/30/2026 1248563775 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.41 02/20/2025 Food and Beverage Undisputed 06/30/2026 1225652509 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.41 04/08/2025 Food and Beverage Undisputed 06/30/2026 1225652507 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.43 10/24/2025 Food and Beverage Undisputed 06/30/2026 1225652511 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.37 06/04/2025 Food and Beverage Undisputed 06/30/2026 1222967641 CMS
Dexcom, Inc. $20.05 10/07/2025 Food and Beverage Undisputed 06/30/2026 1250552332 CMS
Exact Sciences Corporation $17.79 07/11/2025 Food and Beverage Undisputed 06/30/2026 1235269023 CMS
Exact Sciences Corporation $16.41 09/19/2025 Food and Beverage Undisputed 06/30/2026 1235269025 CMS
GlaxoSmithKline, LLC. $14.73 03/01/2025 Food and Beverage Undisputed 06/30/2026 1190724146 CMS
GlaxoSmithKline, LLC. $13.55 10/02/2025 Food and Beverage Undisputed 06/30/2026 1191289138 CMS
GlaxoSmithKline, LLC. $13.61 11/05/2025 Food and Beverage Undisputed 06/30/2026 1190822897 CMS
GlaxoSmithKline, LLC. $14.56 11/11/2025 Food and Beverage Undisputed 06/30/2026 1190480443 CMS
Inari Medical, Inc. $18.19 01/15/2025 Food and Beverage Undisputed 06/30/2026 1248577099 CMS
Novartis Pharmaceuticals Corporation $18.91 08/07/2025 Food and Beverage Undisputed 06/30/2026 1200772413 CMS
Novo Nordisk Inc $16.66 02/26/2025 Food and Beverage Undisputed 06/30/2026 1188440630 CMS
Novo Nordisk Inc $14.66 07/10/2025 Food and Beverage Undisputed 06/30/2026 1188644230 CMS
Novo Nordisk Inc $18.21 08/22/2025 Food and Beverage Undisputed 06/30/2026 1188962214 CMS
Novo Nordisk Inc $17.86 10/28/2025 Food and Beverage Undisputed 06/30/2026 1188336122 CMS
Otsuka America Pharmaceutical, Inc. $17.71 05/13/2025 Food and Beverage Undisputed 06/30/2026 1227852071 CMS
PFIZER INC. $13.83 02/05/2025 Food and Beverage Undisputed 06/30/2026 1229388822 CMS
PFIZER INC. $13.90 04/09/2025 Food and Beverage Undisputed 06/30/2026 1228897777 CMS
PFIZER INC. $15.00 10/15/2025 Food and Beverage Undisputed 06/30/2026 1230410584 CMS
PFIZER INC. $14.69 11/06/2025 Food and Beverage Undisputed 06/30/2026 1230710034 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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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