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

LANCE R KECK

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1174793590
CMS profile
10559989
Location
TACOMA, WA

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.

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General Payments · PY2024 · Entire year

$30,823.83

75 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.

Provider summaries generated . 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

PY2024 · entire year · 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 · entire year · sorted by reported total

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

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

75 matching records · $30,823.83 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 75 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 75.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
INTUITIVE SURGICAL, INC. $534.0312/31/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137074762 CMS
INTUITIVE SURGICAL, INC. $30.0012/31/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137086631 CMS
INTUITIVE SURGICAL, INC. $140.1412/23/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137205025 CMS
INTUITIVE SURGICAL, INC. $167.4212/23/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137210119 CMS
INTUITIVE SURGICAL, INC. $300.0012/18/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137239357 CMS
INTUITIVE SURGICAL, INC. $2,000.0012/18/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137275309 CMS
INTUITIVE SURGICAL, INC. $152.3612/16/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137162103 CMS
INTUITIVE SURGICAL, INC. $300.0012/11/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137148344 CMS
INTUITIVE SURGICAL, INC. $2,000.0012/11/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137256461 CMS
INTUITIVE SURGICAL, INC. $208.7112/06/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137299447 CMS
INTUITIVE SURGICAL, INC. $412.9812/03/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137173840 CMS
INTUITIVE SURGICAL, INC. $30.0012/03/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137208197 CMS
INTUITIVE SURGICAL, INC. $19.0012/02/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137099470 CMS
INTUITIVE SURGICAL, INC. $86.5812/02/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137164336 CMS
INTUITIVE SURGICAL, INC. $19.0011/27/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137122053 CMS
INTUITIVE SURGICAL, INC. $432.5211/27/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137127132 CMS
INTUITIVE SURGICAL, INC. $300.0011/01/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137215663 CMS
INTUITIVE SURGICAL, INC. $2,000.0011/01/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137245406 CMS
INTUITIVE SURGICAL, INC. $74.2510/24/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137158897 CMS
INTUITIVE SURGICAL, INC. $422.4810/23/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137187337 CMS
INTUITIVE SURGICAL, INC. $28.0010/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137202998 CMS
INTUITIVE SURGICAL, INC. $173.1710/15/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137119712 CMS
INTUITIVE SURGICAL, INC. $515.2410/11/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137202026 CMS
INTUITIVE SURGICAL, INC. $30.0010/11/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137202706 CMS
Getinge USA Sales, LLC $28.5910/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261150256613 CMS
INTUITIVE SURGICAL, INC. $300.0010/09/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137165104 CMS
INTUITIVE SURGICAL, INC. $2,000.0010/09/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137238743 CMS
INTUITIVE SURGICAL, INC. $93.3510/05/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137294625 CMS
INTUITIVE SURGICAL, INC. $98.3510/04/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137070359 CMS
INTUITIVE SURGICAL, INC. $28.0010/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137260555 CMS
INTUITIVE SURGICAL, INC. $184.8009/30/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137166118 CMS
INTUITIVE SURGICAL, INC. $30.0009/30/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137241844 CMS
INTUITIVE SURGICAL, INC. $276.1109/25/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137087644 CMS
INTUITIVE SURGICAL, INC. $30.0009/20/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137134340 CMS
INTUITIVE SURGICAL, INC. $480.8409/20/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137222610 CMS
INTUITIVE SURGICAL, INC. $173.1709/05/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137231474 CMS
INTUITIVE SURGICAL, INC. $300.0008/28/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137176549 CMS
INTUITIVE SURGICAL, INC. $2,000.0008/28/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137228749 CMS
INTUITIVE SURGICAL, INC. $28.0008/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137129198 CMS
INTUITIVE SURGICAL, INC. $267.0908/21/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137145493 CMS
INTUITIVE SURGICAL, INC. $466.6808/12/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137075116 CMS
INTUITIVE SURGICAL, INC. $30.0008/12/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137119951 CMS
INTUITIVE SURGICAL, INC. $30.0007/24/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137085678 CMS
INTUITIVE SURGICAL, INC. $506.7807/24/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137157699 CMS
Getinge USA Sales, LLC $30.8806/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261150256615 CMS
INTUITIVE SURGICAL, INC. $140.1405/20/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137179936 CMS
INTUITIVE SURGICAL, INC. $300.0005/17/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137173292 CMS
INTUITIVE SURGICAL, INC. $2,000.0005/17/2024 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137191658 CMS
INTUITIVE SURGICAL, INC. $170.3905/13/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137106574 CMS
INTUITIVE SURGICAL, INC. $52.5105/10/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261137090948 CMS

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
PY2025 $42,579.16 90

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
LANCE R KECK, NPI 1174793590. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1174793590.
APA 7
IndustryPayments. (2026). LANCE R KECK, NPI 1174793590 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1174793590
Bluebook
LANCE R KECK, NPI 1174793590, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1174793590.

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