CONSTANCE DEFREEST

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Psychiatric/Mental Health WAPPINGERS FALLS, NY NPI 1154550127

General Payments — all program years on this page

$8,092.52

Category: General Payments
Program years: PY2021–2024
Record count: 389
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,202.58 across 110 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	$2,202.58	110

By paying entity

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

Paying entity	Amount	Records
ABBVIE INC.	$596.16	41
Axsome Therapeutics, Inc.	$346.89	10
ITI, Inc.	$337.01	14
Otsuka America Pharmaceutical, Inc.	$254.72	10
Corium, Inc.	$168.47	11
Lundbeck LLC	$108.23	5
Neos Therapeutics, LP	$86.92	4
Alkermes, Inc.	$86.85	4
Almatica Pharma Inc.	$65.01	3
Janssen Pharmaceuticals, Inc	$55.58	3
Neurocrine BioSciences, Inc.	$54.81	3
Takeda Pharmaceuticals U.S.A., Inc.	$41.93	2

By program year

Program year	Amount	Records
2021	$1,476.40	67
2022	$2,478.87	111
2023	$1,934.67	101
2024	$2,202.58	110

Records — PY2024 (110)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1078121142	Janssen Pharmaceuticals, Inc	$19.54	04/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078121144	Janssen Pharmaceuticals, Inc	$17.14	05/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078121150	Janssen Pharmaceuticals, Inc	$18.90	06/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1082663389	Neos Therapeutics, LP	$23.15	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1082665623	Neos Therapeutics, LP	$24.02	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1082666979	Neos Therapeutics, LP	$20.05	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1082675547	Neos Therapeutics, LP	$19.70	03/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100096783	Corium, LLC	$20.27	03/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100102398	Corium, LLC	$18.59	06/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100105857	Corium, LLC	$17.40	02/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100108640	Corium, LLC	$16.54	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100116562	Corium, LLC	$13.35	01/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100119422	Corium, LLC	$11.98	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100137427	Corium, LLC	$1.27	06/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100160561	Corium, LLC	$13.14	07/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100161957	Corium, LLC	$13.82	10/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100178302	Corium, LLC	$20.20	07/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100183314	Corium, LLC	$21.91	09/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004710	ABBVIE INC.	$18.00	01/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004712	ABBVIE INC.	$30.38	01/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004714	ABBVIE INC.	$16.41	01/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004716	ABBVIE INC.	$6.63	01/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004718	ABBVIE INC.	$29.42	02/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004720	ABBVIE INC.	$8.81	02/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004722	ABBVIE INC.	$20.47	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004724	ABBVIE INC.	$12.66	03/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004726	ABBVIE INC.	$20.47	03/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004728	ABBVIE INC.	$29.03	03/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004730	ABBVIE INC.	$13.95	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004732	ABBVIE INC.	$11.08	04/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004734	ABBVIE INC.	$19.22	04/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004736	ABBVIE INC.	$8.94	04/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004738	ABBVIE INC.	$16.14	04/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004740	ABBVIE INC.	$10.19	05/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004742	ABBVIE INC.	$45.07	05/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004744	ABBVIE INC.	$16.31	05/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004746	ABBVIE INC.	$7.55	05/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004748	ABBVIE INC.	$13.64	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004750	ABBVIE INC.	$33.60	06/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004752	ABBVIE INC.	$9.12	06/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004754	ABBVIE INC.	$8.65	07/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004756	ABBVIE INC.	$10.56	07/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004758	ABBVIE INC.	$4.46	07/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004760	ABBVIE INC.	$24.61	07/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004762	ABBVIE INC.	$16.42	08/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004764	ABBVIE INC.	$4.79	08/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004766	ABBVIE INC.	$12.10	08/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004768	ABBVIE INC.	$13.26	09/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004770	ABBVIE INC.	$5.99	09/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004772	ABBVIE INC.	$3.54	10/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004774	ABBVIE INC.	$4.83	10/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004776	ABBVIE INC.	$9.25	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004778	ABBVIE INC.	$15.17	10/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004780	ABBVIE INC.	$10.58	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004782	ABBVIE INC.	$5.74	11/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004784	ABBVIE INC.	$13.81	11/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004786	ABBVIE INC.	$8.72	11/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004788	ABBVIE INC.	$13.15	12/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107004790	ABBVIE INC.	$13.44	12/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057000	Otsuka America Pharmaceutical, Inc.	$12.09	01/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057002	Otsuka America Pharmaceutical, Inc.	$10.45	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057004	Otsuka America Pharmaceutical, Inc.	$10.78	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057006	Otsuka America Pharmaceutical, Inc.	$124.96	06/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057008	Otsuka America Pharmaceutical, Inc.	$13.95	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057010	Otsuka America Pharmaceutical, Inc.	$19.95	07/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057012	Otsuka America Pharmaceutical, Inc.	$13.50	09/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057014	Otsuka America Pharmaceutical, Inc.	$16.79	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057016	Otsuka America Pharmaceutical, Inc.	$19.32	11/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119057018	Otsuka America Pharmaceutical, Inc.	$12.93	11/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120488726	Alkermes, Inc.	$18.81	03/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120488728	Alkermes, Inc.	$23.86	09/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120488730	Alkermes, Inc.	$26.57	12/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120488732	Alkermes, Inc.	$17.61	12/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137592193	Almatica Pharma LLC	$20.47	04/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137592197	Almatica Pharma LLC	$27.56	09/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137592201	Almatica Pharma LLC	$16.98	10/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137733322	Takeda Pharmaceuticals U.S.A., Inc.	$20.85	04/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137733324	Takeda Pharmaceuticals U.S.A., Inc.	$21.08	05/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424695	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$12.95	02/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424699	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.39	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424702	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$5.99	05/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424706	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$24.47	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424710	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.42	06/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424714	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$11.51	07/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424717	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$15.01	07/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424721	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.42	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424725	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$13.16	08/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424728	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$8.75	09/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424732	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$125.00	10/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424736	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$15.02	10/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424740	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.69	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143424743	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.23	12/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146012607	Lundbeck LLC	$20.20	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146012609	Lundbeck LLC	$24.69	05/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146012611	Lundbeck LLC	$19.99	09/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146012613	Lundbeck LLC	$17.39	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146012615	Lundbeck LLC	$25.96	12/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349720	Axsome Therapeutics, Inc.	$85.88	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349722	Axsome Therapeutics, Inc.	$22.63	06/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349724	Axsome Therapeutics, Inc.	$10.53	08/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349726	Axsome Therapeutics, Inc.	$6.25	09/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349728	Axsome Therapeutics, Inc.	$117.07	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349730	Axsome Therapeutics, Inc.	$20.45	12/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349732	Axsome Therapeutics, Inc.	$22.43	10/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349734	Axsome Therapeutics, Inc.	$17.33	10/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349736	Axsome Therapeutics, Inc.	$19.20	11/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148349738	Axsome Therapeutics, Inc.	$25.12	12/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150950501	Neurocrine Biosciences, Inc.	$26.27	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151006397	Neurocrine Biosciences, Inc.	$14.39	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151007125	Neurocrine Biosciences, Inc.	$14.15	11/12/2024	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.