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

EPHRAIM B GAMMADA

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1174501027
CMS profile
143421
Location
WINCHESTER, TN

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

$1,893.08

75 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 $1,849.96 73
Education $43.12 2

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
PY2025 $1,893.08 75

Payment records · PY2025 (75)

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
Axsome Therapeutics, Inc. $19.14 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1235670529 CMS
AstraZeneca Pharmaceuticals LP $19.04 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1206319559 CMS
Amgen Inc. $20.21 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1228636213 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $25.55 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1241315715 CMS
ABBVIE INC. $28.81 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1201896063 CMS
Merck Sharp & Dohme LLC $30.16 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1238214040 CMS
ABBVIE INC. $123.31 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1201896061 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $17.35 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1241315713 CMS
ABBVIE INC. $25.13 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1201896059 CMS
Axsome Therapeutics, Inc. $27.62 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1235560821 CMS
AstraZeneca Pharmaceuticals LP $20.03 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1206948289 CMS
Amgen Inc. $22.05 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1228636209 CMS
Lilly USA, LLC $19.73 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1186597938 CMS
Lilly USA, LLC $0.56 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1186648447 CMS
Amgen Inc. $14.38 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1227080199 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $34.11 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1241315711 CMS
Merck Sharp & Dohme LLC $27.27 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1238261085 CMS
Xeris Pharmaceuticals, Inc. $20.42 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1250156382 CMS
AstraZeneca Pharmaceuticals LP $16.47 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1206441108 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.30 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1225544846 CMS
AstraZeneca Pharmaceuticals LP $20.15 09/12/2025 Food and Beverage No dispute reported 06/30/2026 1206389906 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $23.25 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1241315709 CMS
Lilly USA, LLC $20.03 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1186561954 CMS
ABBVIE INC. $17.67 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1201896057 CMS
Sumitomo Pharma America, Inc. $24.00 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1176654455 CMS
Novartis Pharmaceuticals Corporation $38.55 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1200328884 CMS
ABBVIE INC. $28.99 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1201896055 CMS
AstraZeneca Pharmaceuticals LP $18.49 08/09/2025 Food and Beverage No dispute reported 06/30/2026 1207257010 CMS
Merck Sharp & Dohme LLC $26.04 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1238316560 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $29.49 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1241315707 CMS
Lilly USA, LLC $20.03 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1186597936 CMS
Lilly USA, LLC $0.69 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1186608324 CMS
Amgen Inc. $17.56 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1228636207 CMS
DePuy Synthes Sales Inc. $20.89 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1174214280 CMS
ABBVIE INC. $26.82 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1201896053 CMS
Axsome Therapeutics, Inc. $23.75 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1235430528 CMS
Novartis Pharmaceuticals Corporation $19.44 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1200328864 CMS
AstraZeneca Pharmaceuticals LP $14.26 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1207279107 CMS
EVOKE PHARMA, INC. $16.39 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1243915095 CMS
ABBVIE INC. $17.64 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1201896051 CMS
Amgen Inc. $14.41 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1227080201 CMS
AstraZeneca Pharmaceuticals LP $17.48 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1206346951 CMS
ABBVIE INC. $2.46 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1201896049 CMS
Xeris Pharmaceuticals, Inc. $17.70 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1250156380 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.73 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1225544842 CMS
Bayer Healthcare Pharmaceuticals Inc. $123.16 05/16/2025 Food and Beverage No dispute reported 06/30/2026 1225544848 CMS
AstraZeneca Pharmaceuticals LP $17.48 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1206381887 CMS
Novo Nordisk Inc $20.11 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1188775483 CMS
Merck Sharp & Dohme LLC $33.82 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1238089521 CMS
Axsome Therapeutics, Inc. $30.40 04/27/2025 Food and Beverage No dispute reported 06/30/2026 1235735803 CMS
AstraZeneca Pharmaceuticals LP $18.90 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1206546947 CMS
Lilly USA, LLC $20.03 04/16/2025 Food and Beverage No dispute reported 06/30/2026 1186608322 CMS
PFIZER INC. $21.38 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1228935283 CMS
AstraZeneca Pharmaceuticals LP $17.24 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1207166155 CMS
Xeris Pharmaceuticals, Inc. $45.09 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1250156378 CMS
Medtronic, Inc. $19.71 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1219950455 CMS
Lilly USA, LLC $14.27 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1186561956 CMS
Lilly USA, LLC $14.27 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1186648449 CMS
Lilly USA, LLC $18.45 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1186585876 CMS
PFIZER INC. $20.21 03/07/2025 Food and Beverage No dispute reported 06/30/2026 1231250029 CMS
Amgen Inc. $17.34 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1228636211 CMS
ABBVIE INC. $3.70 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1201896047 CMS
Novo Nordisk Inc $32.27 03/04/2025 Education No dispute reported 06/30/2026 1188795383 CMS
Novo Nordisk Inc $24.31 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1188912580 CMS
ABBVIE INC. $123.86 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1201896045 CMS
Merck Sharp & Dohme LLC $10.85 02/26/2025 Education No dispute reported 06/30/2026 1238030544 CMS
Merck Sharp & Dohme LLC $27.07 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1238079313 CMS
Lilly USA, LLC $11.98 02/21/2025 Food and Beverage No dispute reported 06/30/2026 1186621728 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.53 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1225544844 CMS
Xeris Pharmaceuticals, Inc. $17.72 02/14/2025 Food and Beverage No dispute reported 06/30/2026 1250156376 CMS
Novartis Pharmaceuticals Corporation $21.04 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1200328858 CMS
AstraZeneca Pharmaceuticals LP $19.18 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1206424071 CMS
AstraZeneca Pharmaceuticals LP $63.48 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1206497876 CMS
ABBVIE INC. $19.12 01/26/2025 Food and Beverage No dispute reported 06/30/2026 1201896043 CMS
Merck Sharp & Dohme LLC $20.56 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1238316534 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
EPHRAIM B GAMMADA, NPI 1174501027. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1174501027.
APA 7
IndustryPayments. (2026). EPHRAIM B GAMMADA, NPI 1174501027 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1174501027
Bluebook
EPHRAIM B GAMMADA, NPI 1174501027, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1174501027.

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