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

ZACHARY SLOAN FLETCHER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1184184525
CMS profile
8801984
Location
FESTUS, MO

General Payments · PY2020–2024

$2,244.02

  • Reported across 123 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$925.03

47 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 $925.03 47

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2020 $18.83 1
PY2021 $50.66 2
PY2022 $281.79 16
PY2023 $967.71 57
PY2024 $925.03 47

Payment records · PY2024 (47)

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

Program year 2024 2020202120222023 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. $21.36 04/30/2024 Food and Beverage Undisputed 01/23/2026 1103736533 CMS
ABBVIE INC. $33.46 07/10/2024 Food and Beverage Undisputed 01/23/2026 1103736535 CMS
ABBVIE INC. $33.52 07/29/2024 Food and Beverage Undisputed 01/23/2026 1103736537 CMS
Amgen Inc. $16.54 01/11/2024 Food and Beverage Undisputed 01/23/2026 1117554257 CMS
Amgen Inc. $25.72 03/19/2024 Food and Beverage Undisputed 01/23/2026 1115626374 CMS
Astellas Pharma US Inc $16.79 01/18/2024 Food and Beverage Undisputed 01/23/2026 1139279394 CMS
Astellas Pharma US Inc $14.52 04/16/2024 Food and Beverage Undisputed 01/23/2026 1139330530 CMS
AstraZeneca Pharmaceuticals LP $41.64 01/17/2024 Food and Beverage Undisputed 01/23/2026 1104701643 CMS
AstraZeneca Pharmaceuticals LP $14.04 01/31/2024 Food and Beverage Undisputed 01/23/2026 1104303082 CMS
AstraZeneca Pharmaceuticals LP $18.44 02/29/2024 Food and Beverage Undisputed 01/23/2026 1104690590 CMS
AstraZeneca Pharmaceuticals LP $22.36 03/15/2024 Food and Beverage Undisputed 01/23/2026 1105788208 CMS
AstraZeneca Pharmaceuticals LP $21.45 03/19/2024 Food and Beverage Undisputed 01/23/2026 1105443794 CMS
AstraZeneca Pharmaceuticals LP $15.16 05/23/2024 Food and Beverage Undisputed 01/23/2026 1105808284 CMS
AstraZeneca Pharmaceuticals LP $13.16 06/18/2024 Food and Beverage Undisputed 01/23/2026 1104423899 CMS
Averitas Pharma Inc. $18.40 05/28/2024 Food and Beverage Undisputed 01/23/2026 1133426127 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.09 05/09/2024 Food and Beverage Undisputed 01/23/2026 1117905540 CMS
Dexcom, Inc. $20.39 05/02/2024 Food and Beverage Undisputed 01/23/2026 1153345198 CMS
E.R. Squibb & Sons, L.L.C. $14.73 08/01/2024 Food and Beverage Undisputed 01/23/2026 1101784520 CMS
E.R. Squibb & Sons, L.L.C. $15.71 08/01/2024 Food and Beverage Undisputed 01/23/2026 1101784524 CMS
Edwards Lifesciences Corporation $30.55 03/12/2024 Food and Beverage Undisputed 01/23/2026 1138809929 CMS
Exact Sciences Corporation $21.87 06/19/2024 Food and Beverage Undisputed 01/23/2026 1114658928 CMS
GENZYME CORPORATION $20.83 06/11/2024 Food and Beverage Undisputed 01/23/2026 1139620281 CMS
GlaxoSmithKline, LLC. $14.01 01/02/2024 Food and Beverage Undisputed 01/23/2026 1116459899 CMS
GlaxoSmithKline, LLC. $16.94 02/21/2024 Food and Beverage Undisputed 01/23/2026 1116555349 CMS
GlaxoSmithKline, LLC. $13.73 05/08/2024 Food and Beverage Undisputed 01/23/2026 1116424053 CMS
IDORSIA PHARMACEUTICALS US INC $13.26 03/06/2024 Food and Beverage Undisputed 01/23/2026 1146769149 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $19.73 05/01/2024 Food and Beverage Undisputed 01/23/2026 1143225427 CMS
Janssen Pharmaceuticals, Inc $19.04 02/29/2024 Food and Beverage Undisputed 01/23/2026 1078057724 CMS
Lilly USA, LLC $23.55 01/04/2024 Food and Beverage Undisputed 01/23/2026 1135477592 CMS
Lilly USA, LLC $17.74 01/25/2024 Food and Beverage Undisputed 01/23/2026 1135506218 CMS
Lilly USA, LLC $13.37 02/06/2024 Food and Beverage Undisputed 01/23/2026 1135456169 CMS
Lilly USA, LLC $25.32 02/21/2024 Food and Beverage Undisputed 01/23/2026 1135456171 CMS
Lilly USA, LLC $21.42 03/21/2024 Food and Beverage Undisputed 01/23/2026 1135506220 CMS
Lilly USA, LLC $26.70 04/25/2024 Food and Beverage Undisputed 01/23/2026 1135477590 CMS
Lilly USA, LLC $21.94 06/25/2024 Food and Beverage Undisputed 01/23/2026 1135506222 CMS
Novartis Pharmaceuticals Corporation $16.48 04/17/2024 Food and Beverage Undisputed 01/23/2026 1086941395 CMS
Novo Nordisk Inc $18.98 02/13/2024 Food and Beverage Undisputed 01/23/2026 1097405113 CMS
Novo Nordisk Inc $13.70 05/21/2024 Food and Beverage Undisputed 01/23/2026 1096591313 CMS
Novo Nordisk Inc $17.54 06/13/2024 Food and Beverage Undisputed 01/23/2026 1097251406 CMS
PFIZER INC. $19.30 05/07/2024 Food and Beverage Undisputed 01/23/2026 1131919339 CMS
PFIZER INC. $20.66 06/07/2024 Food and Beverage Undisputed 01/23/2026 1131992275 CMS
PFIZER INC. $18.15 07/26/2024 Food and Beverage Undisputed 01/23/2026 1131948034 CMS
Phathom Pharmaceuticals, Inc. $15.30 04/04/2024 Food and Beverage Undisputed 01/23/2026 1151061567 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.03 01/24/2024 Food and Beverage Undisputed 01/23/2026 1153622171 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.29 04/17/2024 Food and Beverage Undisputed 01/23/2026 1153658637 CMS
Sumitomo Pharma America, Inc. $19.47 04/09/2024 Food and Beverage Undisputed 01/23/2026 1148851609 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.65 02/06/2024 Food and Beverage Undisputed 01/23/2026 1137548639 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
2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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