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

JOHN DANIEL VRNAK

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1154702314
CMS profile
10756673
Location
CHAPEL HILL, NC

General Payments · PY2021–2025

$759.62

  • Reported across 38 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$441.18

21 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 $441.18 21

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $34.76 2
PY2023 $68.60 4
PY2024 $215.08 11
PY2025 $441.18 21

Payment records · PY2025 (21)

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

Program year 2025 202120232024 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
Actelion Pharmaceuticals US, Inc. $21.93 03/11/2025 Food and Beverage Undisputed 06/30/2026 1174249379 CMS
Ardelyx, Inc. $18.90 04/11/2025 Food and Beverage Undisputed 06/30/2026 1247949134 CMS
Ardelyx, Inc. $26.53 05/16/2025 Food and Beverage Undisputed 06/30/2026 1247949136 CMS
Ardelyx, Inc. $27.24 09/12/2025 Food and Beverage Undisputed 06/30/2026 1247949138 CMS
GENZYME CORPORATION $16.19 07/18/2025 Food and Beverage Undisputed 06/30/2026 1233611570 CMS
Grifols USA, LLC $21.21 05/21/2025 Food and Beverage Undisputed 06/30/2026 1249598438 CMS
Grifols USA, LLC $24.01 10/27/2025 Food and Beverage Undisputed 06/30/2026 1249598440 CMS
Janssen Biotech, Inc. $11.23 02/04/2025 Food and Beverage Undisputed 06/30/2026 1175054205 CMS
Janssen Biotech, Inc. $24.52 04/08/2025 Food and Beverage Undisputed 06/30/2026 1175054411 CMS
Janssen Biotech, Inc. $13.67 06/03/2025 Food and Beverage Undisputed 06/30/2026 1175051752 CMS
Janssen Biotech, Inc. $14.89 06/17/2025 Food and Beverage Undisputed 06/30/2026 1175052276 CMS
Janssen Biotech, Inc. $16.75 08/12/2025 Food and Beverage Undisputed 06/30/2026 1175054082 CMS
Janssen Biotech, Inc. $22.41 09/09/2025 Food and Beverage Undisputed 06/30/2026 1175053421 CMS
Janssen Biotech, Inc. $22.41 10/21/2025 Food and Beverage Undisputed 06/30/2026 1175054025 CMS
Janssen Biotech, Inc. $20.90 12/03/2025 Food and Beverage Undisputed 06/30/2026 1175052991 CMS
Lilly USA, LLC $21.81 08/18/2025 Food and Beverage Undisputed 06/30/2026 1187139619 CMS
Merck Sharp & Dohme LLC $14.17 09/12/2025 Food and Beverage Undisputed 06/30/2026 1238328293 CMS
Novo Nordisk Inc $27.58 06/16/2025 Food and Beverage Undisputed 06/30/2026 1188310550 CMS
PFIZER INC. $17.38 05/20/2025 Food and Beverage Undisputed 06/30/2026 1229170741 CMS
Recor Medical Inc $35.37 10/13/2025 Food and Beverage Undisputed 06/30/2026 1245913297 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.08 10/03/2025 Food and Beverage Undisputed 06/30/2026 1224036902 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, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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