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

MIRIAN G LANGER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

NPI
1174975908
CMS profile
10836134
Location
PALM COAST, FL

General Payments · PY2021–2024

$5,337.84

  • Reported across 356 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,422.30

84 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 $1,422.30 84

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,875.34 136
PY2022 $1,045.06 81
PY2023 $995.14 55
PY2024 $1,422.30 84

Payment records · PY2024 (84)

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 $13.07 01/11/2024 Food and Beverage Undisputed 01/23/2026 1124885186 CMS
Abbott Laboratories $14.15 07/22/2024 Food and Beverage Undisputed 01/23/2026 1124885188 CMS
ABBVIE INC. $15.54 03/13/2024 Food and Beverage Undisputed 01/23/2026 1107507274 CMS
ABBVIE INC. $28.44 03/27/2024 Food and Beverage Undisputed 01/23/2026 1107507276 CMS
ABBVIE INC. $32.48 05/02/2024 Food and Beverage Undisputed 01/23/2026 1107507278 CMS
ABBVIE INC. $15.55 06/12/2024 Food and Beverage Undisputed 01/23/2026 1107507280 CMS
ABBVIE INC. $20.76 07/23/2024 Food and Beverage Undisputed 01/23/2026 1107507282 CMS
Amgen Inc. $15.84 01/10/2024 Food and Beverage Undisputed 01/23/2026 1117606270 CMS
Amgen Inc. $12.96 01/23/2024 Food and Beverage Undisputed 01/23/2026 1117305385 CMS
Amgen Inc. $12.99 02/15/2024 Food and Beverage Undisputed 01/23/2026 1117606272 CMS
Amgen Inc. $18.93 02/27/2024 Food and Beverage Undisputed 01/23/2026 1117305387 CMS
Amgen Inc. $12.51 04/04/2024 Food and Beverage Undisputed 01/23/2026 1117606274 CMS
Amgen Inc. $105.46 04/11/2024 Food and Beverage Undisputed 01/23/2026 1117305393 CMS
Amgen Inc. $16.25 06/04/2024 Food and Beverage Undisputed 01/23/2026 1117606276 CMS
Amgen Inc. $12.54 08/22/2024 Food and Beverage Undisputed 01/23/2026 1117305389 CMS
Amgen Inc. $15.51 11/06/2024 Food and Beverage Undisputed 01/23/2026 1117305391 CMS
AstraZeneca Pharmaceuticals LP $15.86 08/01/2024 Food and Beverage Undisputed 01/23/2026 1105429340 CMS
AstraZeneca Pharmaceuticals LP $23.60 09/12/2024 Food and Beverage Undisputed 01/23/2026 1105750195 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.37 04/08/2024 Food and Beverage Undisputed 01/23/2026 1117904758 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.66 05/15/2024 Food and Beverage Undisputed 01/23/2026 1117904754 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.13 06/13/2024 Food and Beverage Undisputed 01/23/2026 1117904752 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.82 09/04/2024 Food and Beverage Undisputed 01/23/2026 1117904750 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.06 11/20/2024 Food and Beverage Undisputed 01/23/2026 1117904756 CMS
Daiichi Sankyo Inc. $19.97 04/25/2024 Food and Beverage Undisputed 01/23/2026 1089446636 CMS
Dexcom, Inc. $18.13 05/29/2024 Food and Beverage Undisputed 01/23/2026 1153380120 CMS
Exact Sciences Corporation $20.17 04/26/2024 Food and Beverage Undisputed 01/23/2026 1114458226 CMS
Exact Sciences Corporation $20.99 10/14/2024 Food and Beverage Undisputed 01/23/2026 1114458232 CMS
GlaxoSmithKline, LLC. $12.66 01/12/2024 Food and Beverage Undisputed 01/23/2026 1116416507 CMS
GlaxoSmithKline, LLC. $26.12 02/08/2024 Food and Beverage Undisputed 01/23/2026 1116421359 CMS
GlaxoSmithKline, LLC. $1.10 02/08/2024 Food and Beverage Undisputed 01/23/2026 1116557613 CMS
GlaxoSmithKline, LLC. $14.19 02/22/2024 Food and Beverage Undisputed 01/23/2026 1116320198 CMS
GlaxoSmithKline, LLC. $1.00 03/28/2024 Food and Beverage Undisputed 01/23/2026 1116041859 CMS
GlaxoSmithKline, LLC. $23.89 03/28/2024 Food and Beverage Undisputed 01/23/2026 1116192214 CMS
GlaxoSmithKline, LLC. $13.35 04/18/2024 Food and Beverage Undisputed 01/23/2026 1115869082 CMS
GlaxoSmithKline, LLC. $0.97 05/09/2024 Food and Beverage Undisputed 01/23/2026 1116439891 CMS
GlaxoSmithKline, LLC. $25.14 05/09/2024 Food and Beverage Undisputed 01/23/2026 1116536476 CMS
GlaxoSmithKline, LLC. $13.90 05/30/2024 Food and Beverage Undisputed 01/23/2026 1116434392 CMS
GlaxoSmithKline, LLC. $0.85 06/06/2024 Food and Beverage Undisputed 01/23/2026 1116437383 CMS
GlaxoSmithKline, LLC. $23.66 06/06/2024 Food and Beverage Undisputed 01/23/2026 1116478055 CMS
GlaxoSmithKline, LLC. $12.43 06/28/2024 Food and Beverage Undisputed 01/23/2026 1116569071 CMS
GlaxoSmithKline, LLC. $32.32 07/18/2024 Food and Beverage Undisputed 01/23/2026 1115892504 CMS
GlaxoSmithKline, LLC. $1.11 07/18/2024 Food and Beverage Undisputed 01/23/2026 1116286767 CMS
GlaxoSmithKline, LLC. $13.35 08/08/2024 Food and Beverage Undisputed 01/23/2026 1115844953 CMS
GlaxoSmithKline, LLC. $24.83 08/15/2024 Food and Beverage Undisputed 01/23/2026 1116263292 CMS
GlaxoSmithKline, LLC. $0.85 08/15/2024 Food and Beverage Undisputed 01/23/2026 1116611773 CMS
GlaxoSmithKline, LLC. $13.24 09/05/2024 Food and Beverage Undisputed 01/23/2026 1116346764 CMS
GlaxoSmithKline, LLC. $24.82 09/26/2024 Food and Beverage Undisputed 01/23/2026 1116220748 CMS
GlaxoSmithKline, LLC. $1.38 09/26/2024 Food and Beverage Undisputed 01/23/2026 1116398836 CMS
GlaxoSmithKline, LLC. $14.26 10/17/2024 Food and Beverage Undisputed 01/23/2026 1116436311 CMS
GlaxoSmithKline, LLC. $13.35 11/14/2024 Food and Beverage Undisputed 01/23/2026 1116506775 CMS
GlaxoSmithKline, LLC. $0.90 11/21/2024 Food and Beverage Undisputed 01/23/2026 1116158229 CMS
GlaxoSmithKline, LLC. $24.25 11/21/2024 Food and Beverage Undisputed 01/23/2026 1116467886 CMS
Janssen Pharmaceuticals, Inc $23.27 08/07/2024 Food and Beverage Undisputed 01/23/2026 1077973878 CMS
Janssen Pharmaceuticals, Inc $19.08 12/05/2024 Food and Beverage Undisputed 01/23/2026 1077973886 CMS
Lilly USA, LLC $24.11 01/29/2024 Food and Beverage Undisputed 01/23/2026 1135848100 CMS
Lilly USA, LLC $16.86 02/19/2024 Food and Beverage Undisputed 01/23/2026 1135906636 CMS
Lilly USA, LLC $18.06 03/25/2024 Food and Beverage Undisputed 01/23/2026 1135848104 CMS
Lilly USA, LLC $19.92 07/11/2024 Food and Beverage Undisputed 01/23/2026 1135902650 CMS
Lilly USA, LLC $19.85 09/10/2024 Food and Beverage Undisputed 01/23/2026 1135837961 CMS
Medtronic, Inc. $15.39 10/16/2024 Food and Beverage Undisputed 01/23/2026 1116914539 CMS
Merck Sharp & Dohme LLC $17.32 09/24/2024 Food and Beverage Undisputed 01/23/2026 1141706368 CMS
Mylan Specialty L.P. $24.03 04/17/2024 Food and Beverage Undisputed 01/23/2026 1147305030 CMS
Mylan Specialty L.P. $24.02 05/15/2024 Food and Beverage Undisputed 01/23/2026 1147298590 CMS
Novo Nordisk Inc $12.43 01/17/2024 Food and Beverage Undisputed 01/23/2026 1100490097 CMS
Novo Nordisk Inc $2.86 01/25/2024 Food and Beverage Undisputed 01/23/2026 1100612449 CMS
Novo Nordisk Inc $3.19 02/02/2024 Food and Beverage Undisputed 01/23/2026 1100494365 CMS
Novo Nordisk Inc $8.15 02/13/2024 Food and Beverage Undisputed 01/23/2026 1100640346 CMS
Novo Nordisk Inc $18.92 02/22/2024 Food and Beverage Undisputed 01/23/2026 1100293276 CMS
Novo Nordisk Inc $19.42 03/11/2024 Food and Beverage Undisputed 01/23/2026 1100433439 CMS
Novo Nordisk Inc $2.68 03/25/2024 Food and Beverage Undisputed 01/23/2026 1100649379 CMS
Novo Nordisk Inc $14.49 04/03/2024 Food and Beverage Undisputed 01/23/2026 1100593148 CMS
Novo Nordisk Inc $13.26 04/23/2024 Food and Beverage Undisputed 01/23/2026 1100378229 CMS
Novo Nordisk Inc $7.16 05/08/2024 Food and Beverage Undisputed 01/23/2026 1100287666 CMS
Novo Nordisk Inc $17.66 05/22/2024 Food and Beverage Undisputed 01/23/2026 1100634751 CMS
Novo Nordisk Inc $14.76 06/24/2024 Food and Beverage Undisputed 01/23/2026 1100563906 CMS
Novo Nordisk Inc $12.55 07/30/2024 Food and Beverage Undisputed 01/23/2026 1100419682 CMS
Novo Nordisk Inc $15.77 09/13/2024 Food and Beverage Undisputed 01/23/2026 1100503103 CMS
Novo Nordisk Inc $21.07 09/30/2024 Food and Beverage Undisputed 01/23/2026 1100395028 CMS
Novo Nordisk Inc $6.06 10/22/2024 Food and Beverage Undisputed 01/23/2026 1100469954 CMS
Novo Nordisk Inc $22.70 10/28/2024 Food and Beverage Undisputed 01/23/2026 1100641892 CMS
Novo Nordisk Inc $17.31 11/25/2024 Food and Beverage Undisputed 01/23/2026 1100261463 CMS
Otsuka America Pharmaceutical, Inc. $28.26 11/18/2024 Food and Beverage Undisputed 01/23/2026 1119118471 CMS
Phathom Pharmaceuticals, Inc. $22.24 08/22/2024 Food and Beverage Undisputed 01/23/2026 1151181856 CMS
Ultragenyx Pharmaceutical Inc. $16.79 07/31/2024 Food and Beverage Undisputed 01/23/2026 1153284645 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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