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

Covered recipient · General Payments record

ZACHARY SLOAN FLETCHER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1184184525
CMS profile
8801984
Location
FESTUS, MO

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.

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General Payments · PY2024 · Entire year

$953.53

48 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2024 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $953.53 48

By paying entity

PY2024 · entire year · sorted by reported total

Page 1 of 1; records 1–48 of 48 matching records. This page contains 48 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

ZACHARY SLOAN FLETCHER

NPI 1184184525 · CMS profile ID 8801984

Allopathic & Osteopathic Physicians / Internal Medicine

FESTUS, MO

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.

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.

General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 1; records 1–48 of 48 matching records. This page contains 48 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1184184525?year=2024&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
ZACHARY SLOAN FLETCHER, NPI 1184184525, CMS profile ID 8801984. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–48 of 48 matching records. This page contains 48 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1184184525?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
APA 7
IndustryPayments. (2026). ZACHARY SLOAN FLETCHER, NPI 1184184525, CMS profile ID 8801984. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–48 of 48 matching records. This page contains 48 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1184184525?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
Bluebook
ZACHARY SLOAN FLETCHER, NPI 1184184525, CMS profile ID 8801984, IndustryPayments, General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 1; records 1–48 of 48 matching records. This page contains 48 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff. https://industrypayments.org/provider/npi-1184184525?year=2024&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

48 matching records · $953.53 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 48 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–48 of 48.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
E.R. Squibb & Sons, L.L.C. $14.7308/01/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1101784520 CMS
E.R. Squibb & Sons, L.L.C. $15.7108/01/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1101784524 CMS
ABBVIE INC. $33.5207/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1103736537 CMS
PFIZER INC. $18.1507/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1131948034 CMS
ABBVIE INC. $33.4607/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1103736535 CMS
ABIOMED $28.5006/26/2024 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1176582429 CMS
Lilly USA, LLC $21.9406/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135506222 CMS
Exact Sciences Corporation $21.8706/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1114658928 CMS
AstraZeneca Pharmaceuticals LP $13.1606/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1104423899 CMS
Novo Nordisk Inc $17.5406/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1097251406 CMS
GENZYME CORPORATION $20.8306/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1139620281 CMS
PFIZER INC. $20.6606/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1131992275 CMS
Averitas Pharma Inc. $18.4005/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1133426127 CMS
AstraZeneca Pharmaceuticals LP $15.1605/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1105808284 CMS
Novo Nordisk Inc $13.7005/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1096591313 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.0905/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117905540 CMS
GlaxoSmithKline, LLC. $13.7305/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1116424053 CMS
PFIZER INC. $19.3005/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1131919339 CMS
Dexcom, Inc. $20.3905/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1153345198 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $19.7305/01/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143225427 CMS
ABBVIE INC. $21.3604/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1103736533 CMS
Lilly USA, LLC $26.7004/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135477590 CMS
Novartis Pharmaceuticals Corporation $16.4804/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086941395 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.2904/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1153658637 CMS
Astellas Pharma US Inc $14.5204/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1139330530 CMS
Sumitomo Pharma America, Inc. $19.4704/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148851609 CMS
Phathom Pharmaceuticals, Inc. $15.3004/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1151061567 CMS
Lilly USA, LLC $21.4203/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135506220 CMS
Amgen Inc. $25.7203/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1115626374 CMS
AstraZeneca Pharmaceuticals LP $21.4503/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1105443794 CMS
AstraZeneca Pharmaceuticals LP $22.3603/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1105788208 CMS
Edwards Lifesciences Corporation $30.5503/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1138809929 CMS
IDORSIA PHARMACEUTICALS US INC $13.2603/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1146769149 CMS
AstraZeneca Pharmaceuticals LP $18.4402/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1104690590 CMS
Janssen Pharmaceuticals, Inc $19.0402/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1078057724 CMS
GlaxoSmithKline, LLC. $16.9402/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1116555349 CMS
Lilly USA, LLC $25.3202/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135456171 CMS
Novo Nordisk Inc $18.9802/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1097405113 CMS
Lilly USA, LLC $13.3702/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135456169 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.6502/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1137548639 CMS
AstraZeneca Pharmaceuticals LP $14.0401/31/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1104303082 CMS
Lilly USA, LLC $17.7401/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135506218 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.0301/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1153622171 CMS
Astellas Pharma US Inc $16.7901/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1139279394 CMS
AstraZeneca Pharmaceuticals LP $41.6401/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1104701643 CMS
Amgen Inc. $16.5401/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117554257 CMS
Lilly USA, LLC $23.5501/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135477592 CMS
GlaxoSmithKline, LLC. $14.0101/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1116459899 CMS

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 $953.53 48
PY2025 $230.69 6

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
2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · 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.