Covered recipient · General Payments record

HEATHER LYNN GIRARD

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI: 1174986335
CMS profile: 10717554
Location: SAINT LOUIS, MO

General Payments · PY2021–2024

$5,800.78

Reported across 249 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,888.66

107 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 payment	Amount	Records
Food and Beverage	$2,795.66	106
Education	$93.00	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$354.70	13
NOVARTIS PHARMACEUTICALS CORPORATION	$250.58	11
PFIZER INC.	$193.65	3
E.R. Squibb & Sons, L.L.C.	$166.95	3
Bayer HealthCare Pharmaceuticals Inc.	$164.06	3
Takeda Pharmaceuticals U.S.A., Inc.	$152.48	5
Merck Sharp & Dohme Corporation	$147.50	6
Daiichi Sankyo Inc.	$134.85	2
Janssen Biotech, Inc.	$127.27	6
Regeneron Healthcare Solutions, Inc.	$119.74	4
ABBVIE INC.	$100.94	4
EMD Serono, Inc.	$89.20	4
EISAI INC.	$87.15	4
Exelixis Inc.	$83.70	3
Genentech USA, Inc.	$75.64	3
Incyte Corporation	$60.10	4
Karyopharm Therapeutics Inc.	$57.92	2
TAIHO ONCOLOGY, INC.	$54.62	3
TerSera Therapeutics LLC	$51.00	2
Lilly USA, LLC	$42.29	2
PUMA BIOTECHNOLOGY, INC.	$37.91	2
Ipsen Biopharmaceuticals, Inc	$26.13	1
MENARINI SILICON BIOSYSTEMS, INC.	$23.78	1
Blueprint Medicines Corporation	$23.77	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.06	1
JAZZ PHARMACEUTICALS INC.	$22.63	1
SERVIER PHARMACEUTICALS LLC	$19.92	1
Novocure Inc.	$19.45	1
Octapharma USA, Inc.	$19.28	1
Mirati Therapeutics, Inc.	$18.52	1
Genentech, Inc.	$17.76	1
Gilead Sciences, Inc.	$17.10	1
Spectrum Pharmaceuticals Inc.	$16.53	1
Melinta Therapeutics, Inc.	$16.28	1
Pharmacosmos Therapeutics Inc.	$15.97	1
Emmaus Medical, Inc.	$15.51	1
GENZYME CORPORATION	$14.66	1
Sumitomo Pharma America, Inc.	$14.26	1
Molnlycke Health Care US, LLC	$11.80	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$149.04	3
PY2022	$793.10	39
PY2023	$1,969.98	100
PY2024	$2,888.66	107

Payment records · PY2024 (107)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2021 2022 2023 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
ABBVIE INC.	$30.61	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1107175552	CMS
ABBVIE INC.	$20.24	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1107175554	CMS
ABBVIE INC.	$19.24	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1107175556	CMS
ABBVIE INC.	$30.85	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1107175558	CMS
AstraZeneca Pharmaceuticals LP	$20.43	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1104386899	CMS
AstraZeneca Pharmaceuticals LP	$22.23	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1105647970	CMS
AstraZeneca Pharmaceuticals LP	$22.13	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1104208715	CMS
AstraZeneca Pharmaceuticals LP	$21.50	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1105575530	CMS
AstraZeneca Pharmaceuticals LP	$15.31	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1105886309	CMS
AstraZeneca Pharmaceuticals LP	$23.12	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1105399883	CMS
AstraZeneca Pharmaceuticals LP	$20.18	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1105882991	CMS
AstraZeneca Pharmaceuticals LP	$20.61	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1104421515	CMS
AstraZeneca Pharmaceuticals LP	$16.99	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1105664122	CMS
AstraZeneca Pharmaceuticals LP	$27.03	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1105470777	CMS
AstraZeneca Pharmaceuticals LP	$15.11	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1104237367	CMS
AstraZeneca Pharmaceuticals LP	$109.85	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1104239965	CMS
AstraZeneca Pharmaceuticals LP	$20.21	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1104610876	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.66	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1086323008	CMS
Bayer Healthcare Pharmaceuticals Inc.	$125.55	03/16/2024	Food and Beverage	Undisputed	01/23/2026	1086275860	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.85	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1086354374	CMS
Blueprint Medicines Corporation	$23.77	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1147450874	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.06	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1117904794	CMS
Daiichi Sankyo Inc.	$109.86	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1089426297	CMS
Daiichi Sankyo Inc.	$24.99	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1089426295	CMS
E.R. Squibb & Sons, L.L.C.	$122.50	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1101728705	CMS
E.R. Squibb & Sons, L.L.C.	$26.25	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1101728738	CMS
E.R. Squibb & Sons, L.L.C.	$18.20	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1101728782	CMS
Eisai Inc.	$31.60	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1110803118	CMS
Eisai Inc.	$14.80	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1110803120	CMS
Eisai Inc.	$16.52	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1110803122	CMS
Eisai Inc.	$24.23	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1110803124	CMS
EMD Serono, Inc.	$26.42	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1120227032	CMS
EMD Serono, Inc.	$20.44	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1120272226	CMS
EMD Serono, Inc.	$21.13	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1120262462	CMS
EMD Serono, Inc.	$21.21	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1120262758	CMS
Emmaus Medical, Inc.	$15.51	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1073840008	CMS
Exelixis Inc.	$27.05	03/17/2024	Food and Beverage	Undisputed	01/23/2026	1138570223	CMS
Exelixis Inc.	$23.59	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1138570221	CMS
Exelixis Inc.	$33.06	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1138570225	CMS
Genentech USA, Inc.	$25.00	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1133160794	CMS
Genentech USA, Inc.	$25.65	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1133160790	CMS
Genentech USA, Inc.	$24.99	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1133160798	CMS
Genentech, Inc.	$17.76	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1133160786	CMS
GENZYME CORPORATION	$14.66	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1139838969	CMS
Gilead Sciences, Inc.	$17.10	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1133663594	CMS
Incyte Corporation	$15.33	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1141212239	CMS
Incyte Corporation	$13.16	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1141213682	CMS
Incyte Corporation	$15.78	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1141290168	CMS
Incyte Corporation	$15.83	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1141292108	CMS
Ipsen Biopharmaceuticals, Inc	$26.13	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1091981064	CMS
Janssen Biotech, Inc.	$16.69	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1078795198	CMS
Janssen Biotech, Inc.	$15.12	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1078792598	CMS
Janssen Biotech, Inc.	$23.07	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1078792992	CMS
Janssen Biotech, Inc.	$20.40	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1078795233	CMS
Janssen Biotech, Inc.	$27.67	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1078796297	CMS
Janssen Biotech, Inc.	$24.32	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1078794753	CMS
JAZZ PHARMACEUTICALS INC.	$22.63	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1151297656	CMS
Karyopharm Therapeutics Inc.	$28.07	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1145539522	CMS
Karyopharm Therapeutics Inc.	$29.85	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1145539524	CMS
Lilly USA, LLC	$20.03	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1135678247	CMS
Lilly USA, LLC	$22.26	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1135678245	CMS
Melinta Therapeutics, LLC	$16.28	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1140480736	CMS
Menarini Silicon Biosystems, Inc.	$23.78	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1100676228	CMS
Merck Sharp & Dohme LLC	$24.51	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1141831885	CMS
Merck Sharp & Dohme LLC	$18.73	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1141584486	CMS
Merck Sharp & Dohme LLC	$28.64	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1141584516	CMS
Merck Sharp & Dohme LLC	$28.74	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1141584490	CMS
Merck Sharp & Dohme LLC	$22.74	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1141831883	CMS
Merck Sharp & Dohme LLC	$24.14	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1141584488	CMS
Mirati Therapeutics, Inc.	$18.52	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1117175827	CMS
Molnlycke Health Care US, LLC	$11.80	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1099943552	CMS
Novartis Pharmaceuticals Corporation	$18.04	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1086790673	CMS
Novartis Pharmaceuticals Corporation	$19.93	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1086790675	CMS
Novartis Pharmaceuticals Corporation	$22.53	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1086790677	CMS
Novartis Pharmaceuticals Corporation	$21.78	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1086790679	CMS
Novartis Pharmaceuticals Corporation	$27.11	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1086790681	CMS
Novartis Pharmaceuticals Corporation	$25.42	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1086790683	CMS
Novartis Pharmaceuticals Corporation	$14.35	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1086790687	CMS
Novartis Pharmaceuticals Corporation	$23.84	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1086790685	CMS
Novartis Pharmaceuticals Corporation	$26.66	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1086790693	CMS
Novartis Pharmaceuticals Corporation	$23.80	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1086790689	CMS
Novartis Pharmaceuticals Corporation	$27.12	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1086790691	CMS
Novocure Inc.	$19.45	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1123335626	CMS
Octapharma USA, Inc.	$19.28	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1142321982	CMS
PFIZER INC.	$93.00	03/11/2024	Education	Undisputed	01/23/2026	1131484406	CMS
PFIZER INC.	$83.14	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1131484402	CMS
PFIZER INC.	$17.51	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1131348178	CMS
Pharmacosmos Therapeutics Inc.	$15.97	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1154829349	CMS
PUMA BIOTECHNOLOGY, INC.	$18.22	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1113840982	CMS
PUMA BIOTECHNOLOGY, INC.	$19.69	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1113848350	CMS
Regeneron Healthcare Solutions, Inc.	$32.71	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1114306410	CMS
Regeneron Healthcare Solutions, Inc.	$27.71	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1114306412	CMS
Regeneron Healthcare Solutions, Inc.	$20.28	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1114306414	CMS
Regeneron Healthcare Solutions, Inc.	$39.04	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1114306416	CMS
SERVIER PHARMACEUTICALS LLC	$19.92	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1147266280	CMS
Spectrum Pharmaceuticals Inc.	$16.53	03/02/2024	Food and Beverage	Undisputed	01/23/2026	1150655077	CMS
Sumitomo Pharma America, Inc.	$14.26	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1148962818	CMS
TAIHO ONCOLOGY, INC.	$17.42	03/23/2024	Food and Beverage	Undisputed	01/23/2026	1137940820	CMS
TAIHO ONCOLOGY, INC.	$20.08	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1137941504	CMS
TAIHO ONCOLOGY, INC.	$17.12	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1137942919	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.53	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1144975877	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$26.02	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1144975879	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.38	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1144975881	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.19	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1144975883	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$71.36	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1144975885	CMS
TerSera Therapeutics LLC	$28.27	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1144721219	CMS
TerSera Therapeutics LLC	$22.73	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1144721221	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.

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.