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

LANCE R KECK

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1174793590
CMS profile
10559989
Location
TACOMA, WA

General Payments · PY2021–2024

$119,527.73

  • Reported across 326 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$30,823.83

75 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
Education $20,700.00 18
Travel and Lodging $9,952.36 51
Food and Beverage $171.47 6

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $30,764.36 73
Getinge USA Sales, LLC $59.47 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $29,206.79 84
PY2022 $26,893.94 79
PY2023 $32,603.17 88
PY2024 $30,823.83 75

Payment records · PY2024 (75)

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

Program year 2024 202120222023 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
Getinge USA Sales, LLC $30.88 06/12/2024 Food and Beverage Undisputed 01/23/2026 1150256615 CMS
Getinge USA Sales, LLC $28.59 10/09/2024 Food and Beverage Undisputed 01/23/2026 1150256613 CMS
INTUITIVE SURGICAL, INC. $25.00 01/09/2024 Travel and Lodging Undisputed 01/23/2026 1137129602 CMS
INTUITIVE SURGICAL, INC. $300.99 01/09/2024 Travel and Lodging Undisputed 01/23/2026 1137140987 CMS
INTUITIVE SURGICAL, INC. $280.84 01/26/2024 Travel and Lodging Undisputed 01/23/2026 1137208367 CMS
INTUITIVE SURGICAL, INC. $167.42 01/29/2024 Travel and Lodging Undisputed 01/23/2026 1137230963 CMS
INTUITIVE SURGICAL, INC. $140.14 01/30/2024 Travel and Lodging Undisputed 01/23/2026 1137120918 CMS
INTUITIVE SURGICAL, INC. $2,000.00 02/02/2024 Education Undisputed 01/23/2026 1137125627 CMS
INTUITIVE SURGICAL, INC. $300.00 02/02/2024 Education Undisputed 01/23/2026 1137165886 CMS
INTUITIVE SURGICAL, INC. $586.68 02/22/2024 Travel and Lodging Undisputed 01/23/2026 1137216991 CMS
INTUITIVE SURGICAL, INC. $25.00 02/22/2024 Travel and Lodging Undisputed 01/23/2026 1137240199 CMS
INTUITIVE SURGICAL, INC. $28.00 03/06/2024 Food and Beverage Undisputed 01/23/2026 1137099394 CMS
INTUITIVE SURGICAL, INC. $360.74 03/06/2024 Travel and Lodging Undisputed 01/23/2026 1137172522 CMS
INTUITIVE SURGICAL, INC. $88.90 03/06/2024 Travel and Lodging Undisputed 01/23/2026 1137206027 CMS
INTUITIVE SURGICAL, INC. $93.35 03/08/2024 Travel and Lodging Undisputed 01/23/2026 1137264149 CMS
INTUITIVE SURGICAL, INC. $74.25 03/11/2024 Travel and Lodging Undisputed 01/23/2026 1137250967 CMS
INTUITIVE SURGICAL, INC. $25.00 03/12/2024 Travel and Lodging Undisputed 01/23/2026 1137219407 CMS
INTUITIVE SURGICAL, INC. $491.73 03/12/2024 Travel and Lodging Undisputed 01/23/2026 1137245544 CMS
INTUITIVE SURGICAL, INC. $2,000.00 03/13/2024 Education Undisputed 01/23/2026 1137107526 CMS
INTUITIVE SURGICAL, INC. $300.00 03/13/2024 Education Undisputed 01/23/2026 1137186213 CMS
INTUITIVE SURGICAL, INC. $325.91 03/27/2024 Travel and Lodging Undisputed 01/23/2026 1137211799 CMS
INTUITIVE SURGICAL, INC. $300.00 04/03/2024 Education Undisputed 01/23/2026 1137129817 CMS
INTUITIVE SURGICAL, INC. $140.14 04/03/2024 Travel and Lodging Undisputed 01/23/2026 1137136884 CMS
INTUITIVE SURGICAL, INC. $2,000.00 04/03/2024 Education Undisputed 01/23/2026 1137172760 CMS
INTUITIVE SURGICAL, INC. $25.00 04/29/2024 Travel and Lodging Undisputed 01/23/2026 1137097984 CMS
INTUITIVE SURGICAL, INC. $298.18 04/29/2024 Travel and Lodging Undisputed 01/23/2026 1137168841 CMS
INTUITIVE SURGICAL, INC. $52.51 05/10/2024 Travel and Lodging Undisputed 01/23/2026 1137090948 CMS
INTUITIVE SURGICAL, INC. $25.00 05/10/2024 Travel and Lodging Undisputed 01/23/2026 1137255437 CMS
INTUITIVE SURGICAL, INC. $170.39 05/13/2024 Travel and Lodging Undisputed 01/23/2026 1137106574 CMS
INTUITIVE SURGICAL, INC. $300.00 05/17/2024 Education Undisputed 01/23/2026 1137173292 CMS
INTUITIVE SURGICAL, INC. $2,000.00 05/17/2024 Education Undisputed 01/23/2026 1137191658 CMS
INTUITIVE SURGICAL, INC. $140.14 05/20/2024 Travel and Lodging Undisputed 01/23/2026 1137179936 CMS
INTUITIVE SURGICAL, INC. $30.00 07/24/2024 Travel and Lodging Undisputed 01/23/2026 1137085678 CMS
INTUITIVE SURGICAL, INC. $506.78 07/24/2024 Travel and Lodging Undisputed 01/23/2026 1137157699 CMS
INTUITIVE SURGICAL, INC. $466.68 08/12/2024 Travel and Lodging Undisputed 01/23/2026 1137075116 CMS
INTUITIVE SURGICAL, INC. $30.00 08/12/2024 Travel and Lodging Undisputed 01/23/2026 1137119951 CMS
INTUITIVE SURGICAL, INC. $267.09 08/21/2024 Travel and Lodging Undisputed 01/23/2026 1137145493 CMS
INTUITIVE SURGICAL, INC. $28.00 08/26/2024 Food and Beverage Undisputed 01/23/2026 1137129198 CMS
INTUITIVE SURGICAL, INC. $300.00 08/28/2024 Education Undisputed 01/23/2026 1137176549 CMS
INTUITIVE SURGICAL, INC. $2,000.00 08/28/2024 Education Undisputed 01/23/2026 1137228749 CMS
INTUITIVE SURGICAL, INC. $173.17 09/05/2024 Travel and Lodging Undisputed 01/23/2026 1137231474 CMS
INTUITIVE SURGICAL, INC. $30.00 09/20/2024 Travel and Lodging Undisputed 01/23/2026 1137134340 CMS
INTUITIVE SURGICAL, INC. $480.84 09/20/2024 Travel and Lodging Undisputed 01/23/2026 1137222610 CMS
INTUITIVE SURGICAL, INC. $276.11 09/25/2024 Travel and Lodging Undisputed 01/23/2026 1137087644 CMS
INTUITIVE SURGICAL, INC. $184.80 09/30/2024 Travel and Lodging Undisputed 01/23/2026 1137166118 CMS
INTUITIVE SURGICAL, INC. $30.00 09/30/2024 Travel and Lodging Undisputed 01/23/2026 1137241844 CMS
INTUITIVE SURGICAL, INC. $98.35 10/04/2024 Travel and Lodging Undisputed 01/23/2026 1137070359 CMS
INTUITIVE SURGICAL, INC. $28.00 10/04/2024 Food and Beverage Undisputed 01/23/2026 1137260555 CMS
INTUITIVE SURGICAL, INC. $93.35 10/05/2024 Travel and Lodging Undisputed 01/23/2026 1137294625 CMS
INTUITIVE SURGICAL, INC. $300.00 10/09/2024 Education Undisputed 01/23/2026 1137165104 CMS
INTUITIVE SURGICAL, INC. $2,000.00 10/09/2024 Education Undisputed 01/23/2026 1137238743 CMS
INTUITIVE SURGICAL, INC. $515.24 10/11/2024 Travel and Lodging Undisputed 01/23/2026 1137202026 CMS
INTUITIVE SURGICAL, INC. $30.00 10/11/2024 Travel and Lodging Undisputed 01/23/2026 1137202706 CMS
INTUITIVE SURGICAL, INC. $173.17 10/15/2024 Travel and Lodging Undisputed 01/23/2026 1137119712 CMS
INTUITIVE SURGICAL, INC. $422.48 10/23/2024 Travel and Lodging Undisputed 01/23/2026 1137187337 CMS
INTUITIVE SURGICAL, INC. $28.00 10/23/2024 Food and Beverage Undisputed 01/23/2026 1137202998 CMS
INTUITIVE SURGICAL, INC. $74.25 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1137158897 CMS
INTUITIVE SURGICAL, INC. $300.00 11/01/2024 Education Undisputed 01/23/2026 1137215663 CMS
INTUITIVE SURGICAL, INC. $2,000.00 11/01/2024 Education Undisputed 01/23/2026 1137245406 CMS
INTUITIVE SURGICAL, INC. $19.00 11/27/2024 Travel and Lodging Undisputed 01/23/2026 1137122053 CMS
INTUITIVE SURGICAL, INC. $432.52 11/27/2024 Travel and Lodging Undisputed 01/23/2026 1137127132 CMS
INTUITIVE SURGICAL, INC. $19.00 12/02/2024 Travel and Lodging Undisputed 01/23/2026 1137099470 CMS
INTUITIVE SURGICAL, INC. $86.58 12/02/2024 Travel and Lodging Undisputed 01/23/2026 1137164336 CMS
INTUITIVE SURGICAL, INC. $412.98 12/03/2024 Travel and Lodging Undisputed 01/23/2026 1137173840 CMS
INTUITIVE SURGICAL, INC. $30.00 12/03/2024 Travel and Lodging Undisputed 01/23/2026 1137208197 CMS
INTUITIVE SURGICAL, INC. $208.71 12/06/2024 Travel and Lodging Undisputed 01/23/2026 1137299447 CMS
INTUITIVE SURGICAL, INC. $300.00 12/11/2024 Education Undisputed 01/23/2026 1137148344 CMS
INTUITIVE SURGICAL, INC. $2,000.00 12/11/2024 Education Undisputed 01/23/2026 1137256461 CMS
INTUITIVE SURGICAL, INC. $152.36 12/16/2024 Travel and Lodging Undisputed 01/23/2026 1137162103 CMS
INTUITIVE SURGICAL, INC. $300.00 12/18/2024 Education Undisputed 01/23/2026 1137239357 CMS
INTUITIVE SURGICAL, INC. $2,000.00 12/18/2024 Education Undisputed 01/23/2026 1137275309 CMS
INTUITIVE SURGICAL, INC. $140.14 12/23/2024 Travel and Lodging Undisputed 01/23/2026 1137205025 CMS
INTUITIVE SURGICAL, INC. $167.42 12/23/2024 Travel and Lodging Undisputed 01/23/2026 1137210119 CMS
INTUITIVE SURGICAL, INC. $534.03 12/31/2024 Travel and Lodging Undisputed 01/23/2026 1137074762 CMS
INTUITIVE SURGICAL, INC. $30.00 12/31/2024 Travel and Lodging Undisputed 01/23/2026 1137086631 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.

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