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

MICHAEL D TWORKOWSKI

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1174939425
CMS profile
6394119
Location
WILLIAMSVILLE, NY

General Payments · PY2021–2024

$4,213.18

  • Reported across 148 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,177.99

24 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 $1,177.99 24

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Nevro Corp. $617.42 9
Abbott Laboratories $232.39 4
Saluda Medical Americas, Inc. $156.85 2
SCILEX PHARMACEUTICALS INC. $91.64 5
IBSA Pharma Inc. $37.93 2
SPR Therapeutics, Inc $25.11 1
Curonix LLC $16.65 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,500.18 69
PY2022 $943.02 40
PY2023 $591.99 15
PY2024 $1,177.99 24

Payment records · PY2024 (24)

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
Abbott Laboratories $80.36 07/05/2024 Food and Beverage Undisputed 01/23/2026 1134595725 CMS
Abbott Laboratories $114.85 07/23/2024 Food and Beverage Undisputed 01/23/2026 1134595723 CMS
Abbott Laboratories $13.80 07/24/2024 Food and Beverage Undisputed 01/23/2026 1124885010 CMS
Abbott Laboratories $23.38 10/29/2024 Food and Beverage Undisputed 01/23/2026 1124885012 CMS
Curonix LLC $16.65 03/14/2024 Food and Beverage Undisputed 01/23/2026 1132918599 CMS
IBSA Pharma Inc. $18.38 04/23/2024 Food and Beverage Undisputed 01/23/2026 1142977540 CMS
IBSA Pharma Inc. $19.55 10/01/2024 Food and Beverage Undisputed 01/23/2026 1142975422 CMS
Nevro Corp. $10.00 01/11/2024 Food and Beverage Undisputed 01/23/2026 1130742542 CMS
Nevro Corp. $129.75 01/11/2024 Food and Beverage Undisputed 01/23/2026 1130742544 CMS
Nevro Corp. $10.00 01/11/2024 Food and Beverage Undisputed 01/23/2026 1130742610 CMS
Nevro Corp. $28.02 02/27/2024 Food and Beverage Undisputed 01/23/2026 1130742546 CMS
Nevro Corp. $21.50 04/25/2024 Food and Beverage Undisputed 01/23/2026 1130742540 CMS
Nevro Corp. $135.91 05/30/2024 Food and Beverage Undisputed 01/23/2026 1130742538 CMS
Nevro Corp. $120.70 07/18/2024 Food and Beverage Undisputed 01/23/2026 1130742532 CMS
Nevro Corp. $45.84 07/18/2024 Food and Beverage Undisputed 01/23/2026 1130742534 CMS
Nevro Corp. $115.70 09/26/2024 Food and Beverage Undisputed 01/23/2026 1130742536 CMS
Saluda Medical Americas, Inc. $16.90 07/02/2024 Food and Beverage Undisputed 01/23/2026 1082191938 CMS
Saluda Medical Americas, Inc. $139.95 11/19/2024 Food and Beverage Undisputed 01/23/2026 1144772481 CMS
SCILEX PHARMACEUTICALS INC. $20.24 01/23/2024 Food and Beverage Undisputed 01/23/2026 1136219084 CMS
SCILEX PHARMACEUTICALS INC. $15.57 04/16/2024 Food and Beverage Undisputed 01/23/2026 1136237314 CMS
SCILEX PHARMACEUTICALS INC. $16.57 05/14/2024 Food and Beverage Undisputed 01/23/2026 1136244182 CMS
SCILEX PHARMACEUTICALS INC. $17.94 07/23/2024 Food and Beverage Undisputed 01/23/2026 1136258557 CMS
SCILEX PHARMACEUTICALS INC. $21.32 10/22/2024 Food and Beverage Undisputed 01/23/2026 1136279116 CMS
SPR Therapeutics, Inc $25.11 02/29/2024 Food and Beverage Undisputed 01/23/2026 1104927176 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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