Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

FRED SESTI

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1174618516
CMS profile
11045898
Location
JACKSON, 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 · PY2025

$891.66

34 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Data mirrored . 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 ↗

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $791.71 33
Education $99.95 1

By paying entity

PY2025 · sorted by reported total

Payment records · PY2025 (34)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ARRAY BIOPHARMA INC $15.62 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1231058404 CMS
PUMA BIOTECHNOLOGY, INC. $16.86 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1251751168 CMS
GlaxoSmithKline, LLC. $22.03 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1190362442 CMS
GlaxoSmithKline, LLC. $22.03 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1190466523 CMS
Amgen Inc. $13.79 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1228887633 CMS
GlaxoSmithKline, LLC. $19.69 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1190480873 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.55 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1222895569 CMS
Lilly USA, LLC $24.40 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1187130069 CMS
ARRAY BIOPHARMA INC $19.66 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1230473128 CMS
Merck Sharp & Dohme LLC $29.53 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1238098154 CMS
E.R. Squibb & Sons, L.L.C. $14.76 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1184535046 CMS
Novartis Pharmaceuticals Corporation $29.56 07/23/2025 Food and Beverage No dispute reported 06/30/2026 1200479519 CMS
Novartis Pharmaceuticals Corporation $20.28 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1200479517 CMS
SpringWorks Therapeutics, Inc. $18.58 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1232176085 CMS
Karyopharm Therapeutics Inc. $22.77 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1246654415 CMS
GlaxoSmithKline, LLC. $21.06 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1190394976 CMS
PFIZER INC. $18.08 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1229994172 CMS
Janssen Biotech, Inc. $23.18 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1174843209 CMS
Lilly USA, LLC $22.44 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1187025114 CMS
SpringWorks Therapeutics, Inc. $24.61 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1232176083 CMS
BeOne Medicines USA, Inc. $24.14 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1202896096 CMS
SANOFI-AVENTIS U.S. LLC $125.00 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1233368430 CMS
Amgen Inc. $13.60 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1228887639 CMS
SANOFI-AVENTIS U.S. LLC $99.95 04/09/2025 Education No dispute reported 06/30/2026 1233368408 CMS
Novartis Pharmaceuticals Corporation $26.75 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1200479515 CMS
GlaxoSmithKline, LLC. $21.97 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1190986167 CMS
Lilly USA, LLC $22.45 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1187119909 CMS
E.R. Squibb & Sons, L.L.C. $15.05 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1184534982 CMS
ABBVIE INC. $16.35 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1203357229 CMS
Amgen Inc. $17.57 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1228887649 CMS
Merck Sharp & Dohme LLC $23.26 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1238280765 CMS
Daiichi Sankyo Inc. $29.37 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1197072527 CMS
Astellas Pharma US Inc $25.96 01/08/2025 Food and Beverage No dispute reported 06/30/2026 1238721142 CMS
Exelixis Inc. $14.76 01/02/2025 Food and Beverage No dispute reported 06/30/2026 1218814375 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $527.51 45
PY2022 $476.10 34
PY2023 $792.10 61
PY2024 $652.10 28
PY2025 $891.66 34

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, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · 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
FRED SESTI, NPI 1174618516. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1174618516.
APA 7
IndustryPayments. (2026). FRED SESTI, NPI 1174618516 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1174618516
Bluebook
FRED SESTI, NPI 1174618516, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1174618516.

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