Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

MARCINE A SCHRECKENGOST

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1154591444
CMS profile
10598694
Location
FRESNO, CA

General Payments · PY2021–2024

$5,907.71

  • Reported across 220 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,923.57

76 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,923.57 76

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,193.27 39
PY2022 $1,156.50 41
PY2023 $1,634.37 64
PY2024 $1,923.57 76

Payment records · PY2024 (76)

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

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $87.78 05/01/2024 Food and Beverage Undisputed 01/23/2026 1124873257 CMS
Abbott Laboratories $22.44 05/28/2024 Food and Beverage Undisputed 01/23/2026 1124873259 CMS
Abbott Laboratories $45.89 09/10/2024 Food and Beverage Undisputed 01/23/2026 1124873261 CMS
Amgen Inc. $24.59 01/12/2024 Food and Beverage Undisputed 01/23/2026 1117376897 CMS
Amgen Inc. $30.61 01/19/2024 Food and Beverage Undisputed 01/23/2026 1117376899 CMS
Amgen Inc. $28.44 01/29/2024 Food and Beverage Undisputed 01/23/2026 1117376901 CMS
Amgen Inc. $28.03 02/22/2024 Food and Beverage Undisputed 01/23/2026 1117376903 CMS
Amgen Inc. $28.89 03/04/2024 Food and Beverage Undisputed 01/23/2026 1117376905 CMS
Amgen Inc. $128.35 03/05/2024 Food and Beverage Undisputed 01/23/2026 1117376915 CMS
Amgen Inc. $30.32 03/22/2024 Food and Beverage Undisputed 01/23/2026 1117376907 CMS
Amgen Inc. $14.99 04/11/2024 Food and Beverage Undisputed 01/23/2026 1117376909 CMS
Amgen Inc. $32.96 04/25/2024 Food and Beverage Undisputed 01/23/2026 1117376911 CMS
Amgen Inc. $29.03 05/10/2024 Food and Beverage Undisputed 01/23/2026 1117376913 CMS
Amgen Inc. $8.02 05/14/2024 Food and Beverage Undisputed 01/23/2026 1117376917 CMS
Amgen Inc. $34.29 05/31/2024 Food and Beverage Undisputed 01/23/2026 1117376919 CMS
Amgen Inc. $28.11 06/24/2024 Food and Beverage Undisputed 01/23/2026 1117376921 CMS
Amgen Inc. $30.36 07/16/2024 Food and Beverage Undisputed 01/23/2026 1117376923 CMS
Amgen Inc. $124.99 07/17/2024 Food and Beverage Undisputed 01/23/2026 1117376941 CMS
Amgen Inc. $15.10 08/07/2024 Food and Beverage Undisputed 01/23/2026 1117376925 CMS
Amgen Inc. $20.41 08/16/2024 Food and Beverage Undisputed 01/23/2026 1117376927 CMS
Amgen Inc. $15.80 08/27/2024 Food and Beverage Undisputed 01/23/2026 1117376929 CMS
Amgen Inc. $15.23 08/29/2024 Food and Beverage Undisputed 01/23/2026 1117376931 CMS
Amgen Inc. $11.23 09/18/2024 Food and Beverage Undisputed 01/23/2026 1117376933 CMS
Amgen Inc. $19.92 09/24/2024 Food and Beverage Undisputed 01/23/2026 1117376935 CMS
Amgen Inc. $14.12 10/11/2024 Food and Beverage Undisputed 01/23/2026 1117376937 CMS
Amgen Inc. $7.23 10/28/2024 Food and Beverage Undisputed 01/23/2026 1117376939 CMS
Amgen Inc. $118.92 11/06/2024 Food and Beverage Undisputed 01/23/2026 1117376943 CMS
Amgen Inc. $24.06 11/21/2024 Food and Beverage Undisputed 01/23/2026 1117376945 CMS
Amgen Inc. $8.37 12/11/2024 Food and Beverage Undisputed 01/23/2026 1117376947 CMS
AstraZeneca Pharmaceuticals LP $19.49 04/04/2024 Food and Beverage Undisputed 01/23/2026 1104539646 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.63 02/01/2024 Food and Beverage Undisputed 01/23/2026 1117894841 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.74 05/09/2024 Food and Beverage Undisputed 01/23/2026 1117894837 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $7.02 06/06/2024 Food and Beverage Undisputed 01/23/2026 1117894827 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $9.34 06/21/2024 Food and Beverage Undisputed 01/23/2026 1117894829 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.99 08/07/2024 Food and Beverage Undisputed 01/23/2026 1117894835 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.67 09/04/2024 Food and Beverage Undisputed 01/23/2026 1117894839 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.65 09/19/2024 Food and Beverage Undisputed 01/23/2026 1117894833 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.65 11/13/2024 Food and Beverage Undisputed 01/23/2026 1117894843 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.58 12/24/2024 Food and Beverage Undisputed 01/23/2026 1117894831 CMS
Daiichi Sankyo Inc. $14.29 01/23/2024 Food and Beverage Undisputed 01/23/2026 1089479607 CMS
Edwards Lifesciences Corporation $27.75 12/13/2024 Food and Beverage Undisputed 01/23/2026 1138866915 CMS
Lexicon Pharmaceuticals, Inc. $21.47 03/28/2024 Food and Beverage Undisputed 01/23/2026 1081720817 CMS
Lexicon Pharmaceuticals, Inc. $124.99 04/11/2024 Food and Beverage Undisputed 01/23/2026 1081720823 CMS
Lexicon Pharmaceuticals, Inc. $18.02 04/12/2024 Food and Beverage Undisputed 01/23/2026 1081720833 CMS
Lexicon Pharmaceuticals, Inc. $13.11 05/30/2024 Food and Beverage Undisputed 01/23/2026 1081720829 CMS
Lexicon Pharmaceuticals, Inc. $25.61 08/06/2024 Food and Beverage Undisputed 01/23/2026 1081720821 CMS
Lexicon Pharmaceuticals, Inc. $5.74 08/27/2024 Food and Beverage Undisputed 01/23/2026 1081720827 CMS
Lexicon Pharmaceuticals, Inc. $23.10 10/08/2024 Food and Beverage Undisputed 01/23/2026 1081720819 CMS
Lexicon Pharmaceuticals, Inc. $19.62 10/29/2024 Food and Beverage Undisputed 01/23/2026 1081720815 CMS
Lexicon Pharmaceuticals, Inc. $1.91 11/19/2024 Food and Beverage Undisputed 01/23/2026 1081720825 CMS
Lexicon Pharmaceuticals, Inc. $16.22 11/19/2024 Food and Beverage Undisputed 01/23/2026 1081720831 CMS
Merck Sharp & Dohme LLC $13.92 02/13/2024 Food and Beverage Undisputed 01/23/2026 1141787208 CMS
Merck Sharp & Dohme LLC $25.44 05/07/2024 Food and Beverage Undisputed 01/23/2026 1141787076 CMS
Merck Sharp & Dohme LLC $25.03 06/04/2024 Food and Beverage Undisputed 01/23/2026 1141946759 CMS
Merck Sharp & Dohme LLC $29.53 07/25/2024 Food and Beverage Undisputed 01/23/2026 1141787210 CMS
Merck Sharp & Dohme LLC $15.16 08/15/2024 Food and Beverage Undisputed 01/23/2026 1141898476 CMS
Merck Sharp & Dohme LLC $17.47 09/26/2024 Food and Beverage Undisputed 01/23/2026 1141944391 CMS
Merck Sharp & Dohme LLC $21.09 10/17/2024 Food and Beverage Undisputed 01/23/2026 1141789690 CMS
Merck Sharp & Dohme LLC $13.99 11/20/2024 Food and Beverage Undisputed 01/23/2026 1141898478 CMS
Novartis Pharmaceuticals Corporation $10.98 01/23/2024 Food and Beverage Undisputed 01/23/2026 1087190113 CMS
Novartis Pharmaceuticals Corporation $12.71 02/15/2024 Food and Beverage Undisputed 01/23/2026 1087190121 CMS
Novartis Pharmaceuticals Corporation $22.60 03/06/2024 Food and Beverage Undisputed 01/23/2026 1087190123 CMS
Novartis Pharmaceuticals Corporation $6.97 04/10/2024 Food and Beverage Undisputed 01/23/2026 1087190125 CMS
Novartis Pharmaceuticals Corporation $5.75 04/10/2024 Food and Beverage Undisputed 01/23/2026 1087190127 CMS
Novartis Pharmaceuticals Corporation $20.75 04/24/2024 Food and Beverage Undisputed 01/23/2026 1087190131 CMS
Novartis Pharmaceuticals Corporation $0.33 05/03/2024 Food and Beverage Undisputed 01/23/2026 1087190143 CMS
Novartis Pharmaceuticals Corporation $14.58 05/03/2024 Food and Beverage Undisputed 01/23/2026 1087190147 CMS
Novartis Pharmaceuticals Corporation $20.79 05/15/2024 Food and Beverage Undisputed 01/23/2026 1087190137 CMS
Novartis Pharmaceuticals Corporation $0.80 06/13/2024 Food and Beverage Undisputed 01/23/2026 1087190145 CMS
Novartis Pharmaceuticals Corporation $15.64 06/13/2024 Food and Beverage Undisputed 01/23/2026 1087190149 CMS
Novartis Pharmaceuticals Corporation $1.00 11/01/2024 Food and Beverage Undisputed 01/23/2026 1087190171 CMS
Novartis Pharmaceuticals Corporation $17.41 11/14/2024 Food and Beverage Undisputed 01/23/2026 1087190173 CMS
PFIZER INC. $18.56 05/28/2024 Food and Beverage Undisputed 01/23/2026 1131570460 CMS
PFIZER INC. $16.67 07/22/2024 Food and Beverage Undisputed 01/23/2026 1131894506 CMS
SCPHARMACEUTICALS INC. $22.62 03/07/2024 Food and Beverage Undisputed 01/23/2026 1132259287 CMS
SCPHARMACEUTICALS INC. $25.71 10/15/2024 Food and Beverage Undisputed 01/23/2026 1132303990 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
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.

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