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

Covered recipient · General Payments record

MELISSA PAKUSCH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1184460297
CMS profile
11593650
Location
PENFIELD, NY

General Payments · PY2024–2025

$876.98

  • Reported across 38 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$585.05

24 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $585.05 24

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $291.93 14
PY2025 $585.05 24

Payment records · PY2025 (24)

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

Program year 2025 2024 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
ABBVIE INC. $22.45 04/09/2025 Food and Beverage Undisputed 06/30/2026 1205286651 CMS
ABBVIE INC. $28.83 09/30/2025 Food and Beverage Undisputed 06/30/2026 1205286659 CMS
Astellas Pharma US Inc $41.77 10/23/2025 Food and Beverage Undisputed 06/30/2026 1238627028 CMS
Astellas Pharma US Inc $27.27 11/20/2025 Food and Beverage Undisputed 06/30/2026 1238577193 CMS
Astellas Pharma US Inc $34.41 12/16/2025 Food and Beverage Undisputed 06/30/2026 1238600812 CMS
Biogen, Inc. $27.14 08/26/2025 Food and Beverage Undisputed 06/30/2026 1208432226 CMS
Biogen, Inc. $28.72 11/13/2025 Food and Beverage Undisputed 06/30/2026 1208411290 CMS
Boston Scientific Corporation $19.19 02/25/2025 Food and Beverage Undisputed 06/30/2026 1181601951 CMS
Exeltis, USA Inc. $25.97 01/10/2025 Food and Beverage Undisputed 06/30/2026 1218219429 CMS
Exeltis, USA Inc. $21.00 04/10/2025 Food and Beverage Undisputed 06/30/2026 1218219431 CMS
Exeltis, USA Inc. $25.73 05/21/2025 Food and Beverage Undisputed 06/30/2026 1218219433 CMS
Exeltis, USA Inc. $15.57 08/07/2025 Food and Beverage Undisputed 06/30/2026 1218219435 CMS
Exeltis, USA Inc. $21.33 10/21/2025 Food and Beverage Undisputed 06/30/2026 1218219437 CMS
Hologic Sales and Service, LLC $17.96 08/20/2025 Food and Beverage Undisputed 06/30/2026 1182622919 CMS
Laborie Medical Technologies Corp. $25.48 01/14/2025 Food and Beverage Undisputed 06/30/2026 1250409466 CMS
MAYNE PHARMA COMMERCIAL LLC $7.57 01/24/2025 Food and Beverage Undisputed 06/30/2026 1254268634 CMS
MAYNE PHARMA COMMERCIAL LLC $34.42 06/26/2025 Food and Beverage Undisputed 06/30/2026 1254268740 CMS
MAYNE PHARMA COMMERCIAL LLC $28.92 09/23/2025 Food and Beverage Undisputed 06/30/2026 1254268562 CMS
MILLICENT US INC $21.10 06/17/2025 Food and Beverage Undisputed 06/30/2026 1235212785 CMS
Organon LLC $24.89 10/30/2025 Food and Beverage Undisputed 06/30/2026 1237667866 CMS
PFIZER INC. $20.76 01/16/2025 Food and Beverage Undisputed 06/30/2026 1228846782 CMS
PFIZER INC. $19.77 04/22/2025 Food and Beverage Undisputed 06/30/2026 1228905539 CMS
PFIZER INC. $21.28 09/16/2025 Food and Beverage Undisputed 06/30/2026 1230336511 CMS
PFIZER INC. $23.52 11/11/2025 Food and Beverage Undisputed 06/30/2026 1230730651 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
2024, 2025
Source files
Dataset page · Bulk file · PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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