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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

LIGIA MARIA ALFARO CRUZ

Allopathic & Osteopathic Physicians Pediatrics Pediatric Gastroenterology

NPI
1174964803
CMS profile
5805537
Location
JOHNSON CITY, 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 · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$980.61

39 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $980.61 39

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $35.58 2
PY2020 $163.12 8
PY2021 $280.89 14
PY2022 $276.86 17
PY2023 $630.92 28
PY2024 $821.79 33
PY2025 $980.61 39

Payment records · PY2025 (39)

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

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
QOL Medical, LLC $25.76 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1185009583 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.35 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1223843433 CMS
Xeris Pharmaceuticals, Inc. $20.73 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1250165444 CMS
Regeneron Healthcare Solutions, Inc. $29.88 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1212860172 CMS
QOL Medical, LLC $26.92 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1185009573 CMS
Novo Nordisk Inc $25.27 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1188912487 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.59 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1223871036 CMS
GENZYME CORPORATION $31.77 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1233674772 CMS
QOL Medical, LLC $22.64 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1185009559 CMS
GENZYME CORPORATION $18.99 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1233674770 CMS
Regeneron Healthcare Solutions, Inc. $31.37 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1212860170 CMS
Alexion Pharmaceuticals, Inc. $15.36 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1202917303 CMS
QOL Medical, LLC $27.52 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1185009547 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.19 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1223820500 CMS
QOL Medical, LLC $27.64 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1185009539 CMS
JAZZ PHARMACEUTICALS INC. $22.27 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1234333587 CMS
Sequel Med Tech, LLC $26.05 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1243729415 CMS
Regeneron Healthcare Solutions, Inc. $29.43 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1212860168 CMS
KYOWA KIRIN, INC. $16.58 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1222072083 CMS
QOL Medical, LLC $40.19 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1185009523 CMS
Regeneron Healthcare Solutions, Inc. $4.70 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1212860166 CMS
Dexcom, Inc. $24.88 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1250502834 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.69 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1223811382 CMS
QOL Medical, LLC $44.77 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1185009497 CMS
GENZYME CORPORATION $27.11 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1233674718 CMS
Regeneron Healthcare Solutions, Inc. $8.57 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1212860164 CMS
GENZYME CORPORATION $31.27 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1233674702 CMS
QOL Medical, LLC $41.75 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1185009483 CMS
Neurocrine BioSciences, Inc. $29.18 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1242989863 CMS
Regeneron Healthcare Solutions, Inc. $25.46 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1212860162 CMS
GENZYME CORPORATION $34.09 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1233674684 CMS
Ascendis Pharma Endocrinology Inc $17.61 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1237036256 CMS
Regeneron Healthcare Solutions, Inc. $26.23 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1212860160 CMS
QOL Medical, LLC $41.20 03/10/2025 Food and Beverage No dispute reported 06/30/2026 1185009461 CMS
Xeris Pharmaceuticals, Inc. $22.16 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1250165442 CMS
GENZYME CORPORATION $26.43 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1233674674 CMS
Neurocrine BioSciences, Inc. $37.33 02/11/2025 Food and Beverage No dispute reported 06/30/2026 1242975186 CMS
GENZYME CORPORATION $7.77 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1233674660 CMS
GENZYME CORPORATION $22.91 01/08/2025 Food and Beverage No dispute reported 06/30/2026 1233674658 CMS

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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , 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
LIGIA MARIA ALFARO CRUZ, NPI 1174964803. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1174964803.
APA 7
IndustryPayments. (2026). LIGIA MARIA ALFARO CRUZ, NPI 1174964803 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1174964803
Bluebook
LIGIA MARIA ALFARO CRUZ, NPI 1174964803, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1174964803.

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