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

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

ROY T AVALOS

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1154399632
CMS profile
279590
Location
ENCINITAS, CA

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 · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$4,559.71

102 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 paymentAmountRecords
Food and Beverage $4,559.71 102

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $3,600.23 141
PY2020 $737.09 36
PY2021 $936.21 43
PY2022 $3,204.45 117
PY2023 $2,788.55 88
PY2024 $3,160.86 83
PY2025 $4,559.71 102

Payment records · PY2025 (102)

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

Program year 2025 201920202021202220232024 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
PFIZER INC. $29.39 12/18/2025 Food and Beverage No dispute reported 06/30/2026 1229808989 CMS
PFIZER INC. $26.09 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1229894637 CMS
Regeneron Healthcare Solutions, Inc. $29.27 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1212865715 CMS
E.R. Squibb & Sons, L.L.C. $22.81 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1184549137 CMS
Kestra Medical Technology Services, Inc. $29.01 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1248831553 CMS
Amgen Inc. $122.97 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1228291867 CMS
Amgen Inc. $13.50 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1227076943 CMS
Merck Sharp & Dohme LLC $25.95 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1238268612 CMS
ABIOMED $116.30 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1174411047 CMS
Alnylam Pharmaceuticals Inc. $32.04 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1212746377 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.59 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1223026110 CMS
Getinge USA Sales, LLC $24.83 11/14/2025 Food and Beverage No dispute reported 06/30/2026 1215527532 CMS
Stryker Corporation $64.47 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1227371842 CMS
Novartis Pharmaceuticals Corporation $23.99 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1200114847 CMS
Regeneron Healthcare Solutions, Inc. $21.29 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1212865713 CMS
Baxter Healthcare $22.74 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1181533208 CMS
Boston Scientific Corporation $26.53 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1181176162 CMS
Imperative Care, Inc $13.49 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1251381045 CMS
Regeneron Healthcare Solutions, Inc. $31.07 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1212865711 CMS
GlaxoSmithKline, LLC. $17.83 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1190605639 CMS
MicroTransponder, Inc. $20.70 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1220109010 CMS
AOP Health US, LLC $463.52 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1254954898 CMS
Amgen Inc. $128.12 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1228291863 CMS
CVRx, Inc. $15.29 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1223403119 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.75 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1223026108 CMS
E.R. Squibb & Sons, L.L.C. $24.33 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1184549121 CMS
Kestra Medical Technology Services, Inc. $27.06 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1248831599 CMS
Boston Scientific Corporation $16.07 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1181176160 CMS
AOP Health US, LLC $484.10 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1254954896 CMS
Boston Scientific Corporation $23.71 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1181176156 CMS
PFIZER INC. $7.00 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1229232320 CMS
Cleerly, Inc. $27.13 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1241154648 CMS
Boston Scientific Corporation $25.66 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1181176158 CMS
Novartis Pharmaceuticals Corporation $19.22 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1200114845 CMS
Merck Sharp & Dohme LLC $31.93 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1238171376 CMS
ABIOMED $141.89 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1174410636 CMS
Esperion Therapeutics, Inc. $19.48 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1243951479 CMS
Alnylam Pharmaceuticals Inc. $149.73 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1212746541 CMS
Novartis Pharmaceuticals Corporation $17.51 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1200114843 CMS
ABIOMED $79.09 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1174410670 CMS
Amgen Inc. $17.72 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1228291865 CMS
GlaxoSmithKline, LLC. $17.59 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1190397962 CMS
AstraZeneca Pharmaceuticals LP $19.07 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1206264761 CMS
Abbott Laboratories $24.11 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1241019062 CMS
CVRx, Inc. $137.44 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1220071662 CMS
Medtronic, Inc. $17.91 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1219942714 CMS
Novartis Pharmaceuticals Corporation $27.72 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1200114835 CMS
Kestra Medical Technology Services, Inc. $26.58 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1248831581 CMS
E.R. Squibb & Sons, L.L.C. $20.51 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1184549099 CMS
CVRx, Inc. $12.41 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1220071242 CMS
Regeneron Healthcare Solutions, Inc. $125.42 07/11/2025 Food and Beverage No dispute reported 06/30/2026 1212865709 CMS
Novartis Pharmaceuticals Corporation $18.92 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1200114841 CMS
PFIZER INC. $24.26 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1229004050 CMS
Regeneron Healthcare Solutions, Inc. $28.95 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1212865707 CMS
Kestra Medical Technology Services, Inc. $28.17 07/03/2025 Food and Beverage No dispute reported 06/30/2026 1248831567 CMS
Medtronic, Inc. $22.50 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1219942712 CMS
Regeneron Healthcare Solutions, Inc. $15.55 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1212865705 CMS
Kestra Medical Technology Services, Inc. $33.30 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1248831607 CMS
Amgen Inc. $11.47 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1227076945 CMS
ABIOMED $18.57 06/19/2025 Food and Beverage No dispute reported 06/30/2026 1174410833 CMS
Novartis Pharmaceuticals Corporation $15.47 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1200114839 CMS
Boston Scientific Corporation $49.20 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1181176154 CMS
CVRx, Inc. $15.73 06/02/2025 Food and Beverage No dispute reported 06/30/2026 1219176078 CMS
Esperion Therapeutics, Inc. $14.29 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1243951477 CMS
Stryker Corporation $147.83 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1249026454 CMS
Regeneron Healthcare Solutions, Inc. $23.39 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1212865703 CMS
Amgen Inc. $17.35 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1228291869 CMS
ABIOMED $37.45 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1174410877 CMS
HEARTFLOW, INC. $51.21 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1233534374 CMS
Novartis Pharmaceuticals Corporation $18.46 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1200114829 CMS
Boston Scientific Corporation $25.86 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1181176152 CMS
Alnylam Pharmaceuticals Inc. $22.14 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1212746273 CMS
ABIOMED $110.35 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1174410941 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.61 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1223026106 CMS
Novartis Pharmaceuticals Corporation $16.52 04/16/2025 Food and Beverage No dispute reported 06/30/2026 1200114825 CMS
CVRx, Inc. $4.18 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1219176076 CMS
Stryker Corporation $15.81 04/13/2025 Food and Beverage No dispute reported 06/30/2026 1249026452 CMS
Actelion Pharmaceuticals US, Inc. $29.40 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1174177766 CMS
Amgen Inc. $17.59 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1228291861 CMS
Stryker Corporation $44.11 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1249026450 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $5.48 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1173672151 CMS
PFIZER INC. $24.20 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1231262469 CMS
Merck Sharp & Dohme LLC $26.12 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1238130953 CMS
HEARTFLOW, INC. $57.07 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1233534370 CMS
Stryker Corporation $38.46 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1249026448 CMS
AstraZeneca Pharmaceuticals LP $16.78 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1207077750 CMS
E.R. Squibb & Sons, L.L.C. $19.99 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1184549059 CMS
Kestra Medical Technology Services, Inc. $87.83 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1248831651 CMS
PFIZER INC. $7.50 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1231417668 CMS
Merck Sharp & Dohme LLC $32.13 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1238356662 CMS
Boston Scientific Corporation $26.20 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1181176150 CMS
Novartis Pharmaceuticals Corporation $17.47 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1200114817 CMS
PFIZER INC. $2.78 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1231378303 CMS
Kestra Medical Technology Services, Inc. $95.00 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1248831619 CMS
Alnylam Pharmaceuticals Inc. $15.58 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1212746409 CMS
Novartis Pharmaceuticals Corporation $21.98 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1200114819 CMS
PFIZER INC. $24.31 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1231254613 CMS
Boston Scientific Corporation $14.06 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1181176148 CMS
Amgen Inc. $14.63 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1227076947 CMS
E.R. Squibb & Sons, L.L.C. $24.05 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1184549007 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.99 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1223026104 CMS
Medtronic, Inc. $153.53 01/08/2025 Food and Beverage No dispute reported 06/30/2026 1219942710 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , 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.

Plain
ROY T AVALOS, NPI 1154399632. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1154399632.
APA 7
IndustryPayments. (2026). ROY T AVALOS, NPI 1154399632 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1154399632
Bluebook
ROY T AVALOS, NPI 1154399632, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1154399632.

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