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

ANN M PIERCE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1174933667
CMS profile
10953917
Location
SAINT LOUIS, MO

General Payments · PY2021–2024

$9,338.22

  • Reported across 533 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,245.81

67 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 $1,146.82 66
Education $98.99 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $2,166.37 136
PY2022 $2,671.38 156
PY2023 $3,254.66 174
PY2024 $1,245.81 67

Payment records · PY2024 (67)

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
Actelion Pharmaceuticals US, Inc. $17.88 06/03/2024 Food and Beverage Undisputed 01/23/2026 1078895691 CMS
Actelion Pharmaceuticals US, Inc. $98.99 07/01/2024 Education Undisputed 01/23/2026 1078895693 CMS
Actelion Pharmaceuticals US, Inc. $20.84 07/15/2024 Food and Beverage Undisputed 01/23/2026 1078895713 CMS
Actelion Pharmaceuticals US, Inc. $22.60 11/11/2024 Food and Beverage Undisputed 01/23/2026 1078895741 CMS
Amgen Inc. $18.17 02/20/2024 Food and Beverage Undisputed 01/23/2026 1116019130 CMS
Amgen Inc. $29.21 07/25/2024 Food and Beverage Undisputed 01/23/2026 1116019124 CMS
AstraZeneca Pharmaceuticals LP $22.54 01/05/2024 Food and Beverage Undisputed 01/23/2026 1104302354 CMS
AstraZeneca Pharmaceuticals LP $16.19 01/09/2024 Food and Beverage Undisputed 01/23/2026 1105565216 CMS
AstraZeneca Pharmaceuticals LP $22.70 01/29/2024 Food and Beverage Undisputed 01/23/2026 1105337436 CMS
AstraZeneca Pharmaceuticals LP $23.83 02/01/2024 Food and Beverage Undisputed 01/23/2026 1104438187 CMS
AstraZeneca Pharmaceuticals LP $14.68 02/07/2024 Food and Beverage Undisputed 01/23/2026 1105450459 CMS
AstraZeneca Pharmaceuticals LP $18.87 02/26/2024 Food and Beverage Undisputed 01/23/2026 1105311446 CMS
AstraZeneca Pharmaceuticals LP $19.89 02/29/2024 Food and Beverage Undisputed 01/23/2026 1104774358 CMS
AstraZeneca Pharmaceuticals LP $20.08 03/04/2024 Food and Beverage Undisputed 01/23/2026 1104555166 CMS
AstraZeneca Pharmaceuticals LP $16.69 03/25/2024 Food and Beverage Undisputed 01/23/2026 1105731635 CMS
AstraZeneca Pharmaceuticals LP $14.59 04/03/2024 Food and Beverage Undisputed 01/23/2026 1105444214 CMS
AstraZeneca Pharmaceuticals LP $15.44 04/10/2024 Food and Beverage Undisputed 01/23/2026 1105450449 CMS
AstraZeneca Pharmaceuticals LP $15.51 04/22/2024 Food and Beverage Undisputed 01/23/2026 1104234095 CMS
AstraZeneca Pharmaceuticals LP $19.22 04/25/2024 Food and Beverage Undisputed 01/23/2026 1105596329 CMS
AstraZeneca Pharmaceuticals LP $20.51 04/26/2024 Food and Beverage Undisputed 01/23/2026 1105648572 CMS
Avadel CNS Pharmaceuticals, LLC $21.37 02/28/2024 Food and Beverage Undisputed 01/23/2026 1123395030 CMS
Avadel CNS Pharmaceuticals, LLC $25.00 04/09/2024 Food and Beverage Undisputed 01/23/2026 1123395032 CMS
Axsome Therapeutics, Inc. $17.65 01/10/2024 Food and Beverage Undisputed 01/23/2026 1148336629 CMS
Axsome Therapeutics, Inc. $14.91 03/12/2024 Food and Beverage Undisputed 01/23/2026 1148336631 CMS
Axsome Therapeutics, Inc. $23.05 05/08/2024 Food and Beverage Undisputed 01/23/2026 1148336633 CMS
Axsome Therapeutics, Inc. $18.35 05/15/2024 Food and Beverage Undisputed 01/23/2026 1148336635 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.86 07/02/2024 Food and Beverage Undisputed 01/23/2026 1086342077 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.84 07/23/2024 Food and Beverage Undisputed 01/23/2026 1086287744 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.53 01/26/2024 Food and Beverage Undisputed 01/23/2026 1117904546 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.01 04/01/2024 Food and Beverage Undisputed 01/23/2026 1117904548 CMS
Electromed, Inc. $11.61 02/02/2024 Food and Beverage Undisputed 01/23/2026 1137909767 CMS
Electromed, Inc. $4.00 03/08/2024 Food and Beverage Undisputed 01/23/2026 1137909776 CMS
Electromed, Inc. $10.85 03/13/2024 Food and Beverage Undisputed 01/23/2026 1137909771 CMS
Electromed, Inc. $12.25 04/16/2024 Food and Beverage Undisputed 01/23/2026 1137909780 CMS
Electromed, Inc. $2.45 06/10/2024 Food and Beverage Undisputed 01/23/2026 1137909784 CMS
Electromed, Inc. $5.02 06/10/2024 Food and Beverage Undisputed 01/23/2026 1137909788 CMS
GENZYME CORPORATION $32.69 03/13/2024 Food and Beverage Undisputed 01/23/2026 1139872075 CMS
GlaxoSmithKline, LLC. $14.00 01/23/2024 Food and Beverage Undisputed 01/23/2026 1116592101 CMS
GlaxoSmithKline, LLC. $16.75 01/25/2024 Food and Beverage Undisputed 01/23/2026 1116510879 CMS
GlaxoSmithKline, LLC. $13.62 02/01/2024 Food and Beverage Undisputed 01/23/2026 1115917123 CMS
GlaxoSmithKline, LLC. $0.34 02/15/2024 Food and Beverage Undisputed 01/23/2026 1116595333 CMS
GlaxoSmithKline, LLC. $13.49 02/15/2024 Food and Beverage Undisputed 01/23/2026 1116659871 CMS
GlaxoSmithKline, LLC. $16.22 02/22/2024 Food and Beverage Undisputed 01/23/2026 1116268591 CMS
GlaxoSmithKline, LLC. $7.90 02/27/2024 Food and Beverage Undisputed 01/23/2026 1116033621 CMS
GlaxoSmithKline, LLC. $0.39 03/14/2024 Food and Beverage Undisputed 01/23/2026 1116540189 CMS
GlaxoSmithKline, LLC. $13.46 03/14/2024 Food and Beverage Undisputed 01/23/2026 1116657325 CMS
GlaxoSmithKline, LLC. $20.21 03/22/2024 Food and Beverage Undisputed 01/23/2026 1116446528 CMS
GlaxoSmithKline, LLC. $17.08 04/16/2024 Food and Beverage Undisputed 01/23/2026 1116357668 CMS
GlaxoSmithKline, LLC. $0.34 04/17/2024 Food and Beverage Undisputed 01/23/2026 1116611679 CMS
GlaxoSmithKline, LLC. $13.63 04/18/2024 Food and Beverage Undisputed 01/23/2026 1116322950 CMS
GlaxoSmithKline, LLC. $4.54 04/30/2024 Food and Beverage Undisputed 01/23/2026 1116517004 CMS
Grifols USA, LLC $24.11 01/15/2024 Food and Beverage Undisputed 01/23/2026 1124736620 CMS
Grifols USA, LLC $19.54 02/05/2024 Food and Beverage Undisputed 01/23/2026 1124736622 CMS
Grifols USA, LLC $16.86 02/27/2024 Food and Beverage Undisputed 01/23/2026 1124748023 CMS
Grifols USA, LLC $18.58 03/12/2024 Food and Beverage Undisputed 01/23/2026 1124736624 CMS
HARMONY BIOSCIENCES LLC $16.06 04/23/2024 Food and Beverage Undisputed 01/23/2026 1126075662 CMS
JAZZ PHARMACEUTICALS INC. $35.01 02/15/2024 Food and Beverage Undisputed 01/23/2026 1151297640 CMS
Merck Sharp & Dohme LLC $17.33 06/24/2024 Food and Beverage Undisputed 01/23/2026 1141605728 CMS
Mylan Specialty L.P. $18.18 03/19/2024 Food and Beverage Undisputed 01/23/2026 1147338375 CMS
Mylan Specialty L.P. $23.81 04/24/2024 Food and Beverage Undisputed 01/23/2026 1147345325 CMS
Novartis Pharmaceuticals Corporation $23.29 02/06/2024 Food and Beverage Undisputed 01/23/2026 1087172599 CMS
Novartis Pharmaceuticals Corporation $15.80 03/29/2024 Food and Beverage Undisputed 01/23/2026 1087172609 CMS
Regeneron Healthcare Solutions, Inc. $26.99 02/06/2024 Food and Beverage Undisputed 01/23/2026 1114356994 CMS
Takeda Pharmaceuticals U.S.A., Inc. $28.40 01/08/2024 Food and Beverage Undisputed 01/23/2026 1137807881 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.45 03/06/2024 Food and Beverage Undisputed 01/23/2026 1137807883 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.40 04/05/2024 Food and Beverage Undisputed 01/23/2026 1137807885 CMS
United Therapeutics Corporation $17.16 06/18/2024 Food and Beverage Undisputed 01/23/2026 1149468900 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

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