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

CHRISTINE A SIGMAN

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1174591374
CMS profile
53309
Location
BALLWIN, MO

General Payments · PY2018–2024

$1,880.52

  • Reported across 72 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$389.00

17 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 $389.00 17

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $411.65 17
PY2019 $232.60 11
PY2020 $103.72 6
PY2021 $101.37 2
PY2022 $123.71 1
PY2023 $518.47 18
PY2024 $389.00 17

Payment records · PY2024 (17)

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

Program year 2024 201820192020202120222023 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. $20.88 05/31/2024 Food and Beverage Undisputed 01/23/2026 1106101749 CMS
ABBVIE INC. $13.88 06/22/2024 Food and Beverage Undisputed 01/23/2026 1106101751 CMS
ABBVIE INC. $31.77 10/25/2024 Food and Beverage Undisputed 01/23/2026 1106101753 CMS
ABBVIE INC. $26.95 11/15/2024 Food and Beverage Undisputed 01/23/2026 1106101755 CMS
Amgen Inc. $26.72 01/10/2024 Food and Beverage Undisputed 01/23/2026 1111708280 CMS
AstraZeneca Pharmaceuticals LP $25.15 11/08/2024 Food and Beverage Undisputed 01/23/2026 1105478213 CMS
Azurity Pharmaceuticals, Inc. $20.83 09/13/2024 Food and Beverage Undisputed 01/23/2026 1134012769 CMS
Esperion Therapeutics, Inc. $15.10 09/20/2024 Food and Beverage Undisputed 01/23/2026 1129455440 CMS
Exact Sciences Corporation $20.53 01/04/2024 Food and Beverage Undisputed 01/23/2026 1114899129 CMS
Exact Sciences Corporation $18.12 05/02/2024 Food and Beverage Undisputed 01/23/2026 1114899137 CMS
GlaxoSmithKline, LLC. $13.31 05/10/2024 Food and Beverage Undisputed 01/23/2026 1115837996 CMS
Lilly USA, LLC $63.30 05/30/2024 Food and Beverage Undisputed 01/23/2026 1136095915 CMS
Novartis Pharmaceuticals Corporation $18.49 01/05/2024 Food and Beverage Undisputed 01/23/2026 1087310269 CMS
Novartis Pharmaceuticals Corporation $23.14 10/04/2024 Food and Beverage Undisputed 01/23/2026 1087310305 CMS
Novartis Pharmaceuticals Corporation $13.38 12/13/2024 Food and Beverage Undisputed 01/23/2026 1087310313 CMS
Novo Nordisk Inc $18.06 04/26/2024 Food and Beverage Undisputed 01/23/2026 1097042066 CMS
Xeris Pharmaceuticals, Inc. $19.39 09/25/2024 Food and Beverage Undisputed 01/23/2026 1144590468 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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