Covered recipient · General Payments record

EPHRAIM B GAMMADA

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1174501027
CMS profile: 143421
Location: WINCHESTER, TN

General Payments · PY2018–2024

$11,914.28

Reported across 462 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,568.08

83 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 payment	Amount	Records
Food and Beverage	$2,568.08	83

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$572.93	11
Janssen Pharmaceuticals, Inc	$325.75	9
Lilly USA, LLC	$257.36	9
ABBVIE INC.	$215.74	7
Axsome Therapeutics, Inc.	$191.10	2
Novo Nordisk AS	$163.25	3
Amgen Inc.	$155.45	9
Sumitomo Pharma America, Inc.	$122.55	5
Xeris Pharmaceuticals, Inc.	$88.68	5
Bayer HealthCare Pharmaceuticals Inc.	$72.18	3
Esperion Therapeutics, Inc.	$54.78	3
Vanda Pharmaceuticals Inc.	$50.53	2
Lundbeck LLC	$44.05	2
Medtronic, Inc.	$38.10	2
PFIZER INC.	$34.48	2
Phathom Pharmaceuticals, Inc.	$30.35	2
Merck Sharp & Dohme Corporation	$30.23	1
SHIELD THERAPEUTICS INC	$26.21	1
Zimmer Biomet Holdings, Inc.	$24.06	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.14	1
EISAI INC.	$19.32	1
NOVARTIS PHARMACEUTICALS CORPORATION	$14.82	1
GlaxoSmithKline, LLC.	$14.02	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,336.20	53
PY2019	$1,963.91	69
PY2020	$1,178.32	48
PY2021	$1,390.86	60
PY2022	$1,789.05	75
PY2023	$1,687.86	74
PY2024	$2,568.08	83

Payment records · PY2024 (83)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
ABBVIE INC.	$20.57	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1103769012	CMS
ABBVIE INC.	$19.50	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1103769014	CMS
ABBVIE INC.	$83.93	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1103769016	CMS
ABBVIE INC.	$26.22	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1103769018	CMS
ABBVIE INC.	$21.04	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1103769020	CMS
ABBVIE INC.	$21.62	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1103769022	CMS
ABBVIE INC.	$22.86	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1103769024	CMS
Amgen Inc.	$20.60	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1117256837	CMS
Amgen Inc.	$17.01	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1111579871	CMS
Amgen Inc.	$19.26	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1117256839	CMS
Amgen Inc.	$17.75	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1117256841	CMS
Amgen Inc.	$15.12	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1111579873	CMS
Amgen Inc.	$17.25	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1117256843	CMS
Amgen Inc.	$12.47	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1111579875	CMS
Amgen Inc.	$19.85	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1117256845	CMS
Amgen Inc.	$16.14	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1117256847	CMS
AstraZeneca Pharmaceuticals LP	$14.29	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1105386795	CMS
AstraZeneca Pharmaceuticals LP	$125.03	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1104282763	CMS
AstraZeneca Pharmaceuticals LP	$79.81	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1104772484	CMS
AstraZeneca Pharmaceuticals LP	$124.95	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1105583272	CMS
AstraZeneca Pharmaceuticals LP	$15.93	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1105579824	CMS
AstraZeneca Pharmaceuticals LP	$14.55	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1104705433	CMS
AstraZeneca Pharmaceuticals LP	$125.00	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1105527547	CMS
AstraZeneca Pharmaceuticals LP	$18.09	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1104761162	CMS
AstraZeneca Pharmaceuticals LP	$18.61	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1105616113	CMS
AstraZeneca Pharmaceuticals LP	$18.95	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1105843175	CMS
AstraZeneca Pharmaceuticals LP	$17.72	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1104562904	CMS
Axsome Therapeutics, Inc.	$124.98	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1148279170	CMS
Axsome Therapeutics, Inc.	$66.12	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1148279172	CMS
Bayer Healthcare Pharmaceuticals Inc.	$34.30	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1086193446	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.57	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1086198822	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.31	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1086140781	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.14	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1117901634	CMS
Eisai Inc.	$19.32	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1110744051	CMS
Esperion Therapeutics, Inc.	$17.49	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1129435426	CMS
Esperion Therapeutics, Inc.	$17.49	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1129435428	CMS
Esperion Therapeutics, Inc.	$19.80	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1129435430	CMS
GlaxoSmithKline, LLC.	$14.02	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1115821564	CMS
Janssen Pharmaceuticals, Inc	$7.86	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1078189463	CMS
Janssen Pharmaceuticals, Inc	$83.70	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1078189453	CMS
Janssen Pharmaceuticals, Inc	$17.95	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1078189451	CMS
Janssen Pharmaceuticals, Inc	$24.69	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1078189457	CMS
Janssen Pharmaceuticals, Inc	$13.60	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1078189431	CMS
Janssen Pharmaceuticals, Inc	$19.34	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1078189477	CMS
Janssen Pharmaceuticals, Inc	$127.87	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1078189427	CMS
Janssen Pharmaceuticals, Inc	$14.41	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1078189443	CMS
Janssen Pharmaceuticals, Inc	$16.33	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1078189473	CMS
Lilly USA, LLC	$11.26	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1136165598	CMS
Lilly USA, LLC	$17.37	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1134972134	CMS
Lilly USA, LLC	$19.27	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1136166334	CMS
Lilly USA, LLC	$124.70	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1134972643	CMS
Lilly USA, LLC	$14.18	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1134972645	CMS
Lilly USA, LLC	$17.57	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1136165596	CMS
Lilly USA, LLC	$17.16	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1136165600	CMS
Lilly USA, LLC	$17.12	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1134966299	CMS
Lilly USA, LLC	$18.73	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1134972136	CMS
Lundbeck LLC	$20.36	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1145917141	CMS
Lundbeck LLC	$23.69	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1145917143	CMS
Medtronic, Inc.	$14.10	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1117094478	CMS
Medtronic, Inc.	$24.00	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1117094480	CMS
Merck Sharp & Dohme LLC	$30.23	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1141714900	CMS
Novartis Pharmaceuticals Corporation	$14.82	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1086910247	CMS
Novo Nordisk Inc	$17.79	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1096615168	CMS
Novo Nordisk Inc	$20.46	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1097534339	CMS
Novo Nordisk Inc	$125.00	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1097151047	CMS
PFIZER INC.	$14.54	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1132003418	CMS
PFIZER INC.	$19.94	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1131039116	CMS
Phathom Pharmaceuticals, Inc.	$16.49	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1151063935	CMS
Phathom Pharmaceuticals, Inc.	$13.86	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1151063937	CMS
SHIELD THERAPEUTICS INC	$26.21	06/08/2024	Food and Beverage	Undisputed	01/23/2026	1150134115	CMS
Sumitomo Pharma America, Inc.	$23.35	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1148853727	CMS
Sumitomo Pharma America, Inc.	$19.35	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1148853729	CMS
Sumitomo Pharma America, Inc.	$25.80	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1148853731	CMS
Sumitomo Pharma America, Inc.	$26.40	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1148853733	CMS
Sumitomo Pharma America, Inc.	$27.65	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1148853735	CMS
Vanda Pharmaceuticals Inc.	$25.21	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1133902907	CMS
Vanda Pharmaceuticals Inc.	$25.32	09/14/2024	Food and Beverage	Undisputed	01/23/2026	1133902909	CMS
Xeris Pharmaceuticals, Inc.	$19.69	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1144593998	CMS
Xeris Pharmaceuticals, Inc.	$16.97	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1144594000	CMS
Xeris Pharmaceuticals, Inc.	$17.77	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1144594002	CMS
Xeris Pharmaceuticals, Inc.	$16.73	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1144594004	CMS
Xeris Pharmaceuticals, Inc.	$17.52	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1144594006	CMS
Zimmer Biomet Holdings, Inc.	$24.06	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1155005243	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.