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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

DALENA M CUSTER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1184706806
CMS profile
10809748
Location
CHARLOTTE, NC

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.

General Payments · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$2,337.67

123 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,337.67 123

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $2,928.46 163
PY2022 $2,561.65 148
PY2023 $2,728.51 138
PY2024 $3,223.97 148
PY2025 $2,337.67 123

Payment records · PY2025 (123)

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

Program year 2025 2021202220232024 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
Amgen Inc. $15.60 12/18/2025 Food and Beverage No dispute reported 06/30/2026 1228900032 CMS
PFIZER INC. $1.24 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1231196154 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.40 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1225508046 CMS
PFIZER INC. $13.76 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1231182666 CMS
Lilly USA, LLC $23.80 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1187109123 CMS
ABBVIE INC. $19.23 12/12/2025 Food and Beverage No dispute reported 06/30/2026 1203411559 CMS
AstraZeneca Pharmaceuticals LP $18.92 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1207269480 CMS
Otsuka America Pharmaceutical, Inc. $22.09 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1227651684 CMS
PFIZER INC. $20.71 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1230897680 CMS
Novo Nordisk Inc $1.67 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1188662532 CMS
ABBVIE INC. $31.69 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1203411552 CMS
AstraZeneca Pharmaceuticals LP $24.22 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1207119317 CMS
Novo Nordisk Inc $16.95 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1188825137 CMS
PFIZER INC. $27.24 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1230918765 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.40 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1225508044 CMS
Amgen Inc. $12.61 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1228900043 CMS
ABBVIE INC. $18.64 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1203411547 CMS
Sumitomo Pharma America, Inc. $21.26 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1176755376 CMS
ABBVIE INC. $11.03 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1203411542 CMS
PFIZER INC. $1.68 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1230691332 CMS
PFIZER INC. $17.52 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1230801834 CMS
Novo Nordisk Inc $14.73 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1188923181 CMS
PFIZER INC. $20.11 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1230668579 CMS
PFIZER INC. $1.70 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1230802578 CMS
Amgen Inc. $11.40 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1228900038 CMS
AstraZeneca Pharmaceuticals LP $18.26 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1206901189 CMS
PFIZER INC. $15.07 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1230741333 CMS
Lilly USA, LLC $23.75 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1187020478 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.81 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1225508042 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.21 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1232055736 CMS
Amgen Inc. $13.12 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1228899987 CMS
Novo Nordisk Inc $10.65 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1188805017 CMS
ABBVIE INC. $34.33 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1203411537 CMS
ABBVIE INC. $19.42 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1203411531 CMS
PFIZER INC. $20.50 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1230329439 CMS
Amgen Inc. $15.55 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1228899992 CMS
Novartis Pharmaceuticals Corporation $20.66 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1200032695 CMS
AstraZeneca Pharmaceuticals LP $21.88 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1206275438 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.35 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1232055734 CMS
ABBVIE INC. $18.01 09/12/2025 Food and Beverage No dispute reported 06/30/2026 1203411527 CMS
AstraZeneca Pharmaceuticals LP $16.91 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1207000472 CMS
PFIZER INC. $26.83 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1230433680 CMS
Otsuka America Pharmaceutical, Inc. $22.98 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1227651680 CMS
Otsuka America Pharmaceutical, Inc. $21.01 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1227651677 CMS
Novo Nordisk Inc $19.95 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1189085532 CMS
AstraZeneca Pharmaceuticals LP $16.60 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1206316585 CMS
Novo Nordisk Inc $1.30 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1188290875 CMS
Lilly USA, LLC $22.57 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1187089641 CMS
AstraZeneca Pharmaceuticals LP $21.31 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1206371557 CMS
ABBVIE INC. $20.43 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1203411521 CMS
PFIZER INC. $23.85 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1229661416 CMS
Otsuka America Pharmaceutical, Inc. $20.65 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1227651673 CMS
Amgen Inc. $13.63 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1228900019 CMS
Lilly USA, LLC $11.59 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1187029861 CMS
Otsuka America Pharmaceutical, Inc. $16.09 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1227651669 CMS
Novo Nordisk Inc $23.51 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1188752145 CMS
AstraZeneca Pharmaceuticals LP $16.60 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1206823314 CMS
ABBVIE INC. $18.01 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1203411515 CMS
CeQur Corporation $35.09 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1228695159 CMS
PFIZER INC. $11.99 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1229652781 CMS
PFIZER INC. $1.59 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1229653765 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.90 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1225508040 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.99 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1232055731 CMS
Lilly USA, LLC $17.09 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1187097063 CMS
Novo Nordisk Inc $22.41 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1188646779 CMS
Amgen Inc. $22.59 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1228900026 CMS
AstraZeneca Pharmaceuticals LP $16.91 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1207027315 CMS
Sumitomo Pharma America, Inc. $20.05 07/07/2025 Food and Beverage No dispute reported 06/30/2026 1176755374 CMS
PFIZER INC. $22.19 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1229519001 CMS
AstraZeneca Pharmaceuticals LP $19.31 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1206243474 CMS
Novo Nordisk Inc $17.27 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1189071120 CMS
Lilly USA, LLC $12.39 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1187037457 CMS
ABBVIE INC. $18.75 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1203411508 CMS
AstraZeneca Pharmaceuticals LP $16.50 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1206728764 CMS
Lilly USA, LLC $22.41 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1187109125 CMS
Novo Nordisk Inc $5.38 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1188640115 CMS
PFIZER INC. $0.65 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1229597748 CMS
PFIZER INC. $11.32 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1229812309 CMS
Amgen Inc. $20.24 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1228900048 CMS
Novo Nordisk Inc $19.67 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1188322106 CMS
Lilly USA, LLC $17.94 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1187097065 CMS
AstraZeneca Pharmaceuticals LP $22.71 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1207041494 CMS
Lilly USA, LLC $15.93 05/16/2025 Food and Beverage No dispute reported 06/30/2026 1187121165 CMS
Lilly USA, LLC $26.05 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1187121163 CMS
Sumitomo Pharma America, Inc. $21.14 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1176755372 CMS
ABBVIE INC. $24.76 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1203411502 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.34 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1232055729 CMS
Novo Nordisk Inc $20.05 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1188976273 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.68 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1225508036 CMS
Lilly USA, LLC $15.95 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1187037453 CMS
Lilly USA, LLC $16.91 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1187037455 CMS
PFIZER INC. $4.55 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1229637279 CMS
Amgen Inc. $104.27 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1228900013 CMS
ABBVIE INC. $13.75 04/04/2025 Food and Beverage No dispute reported 06/30/2026 1203411496 CMS
AstraZeneca Pharmaceuticals LP $31.12 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1206313660 CMS
Novo Nordisk Inc $1.76 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1188952417 CMS
PFIZER INC. $22.34 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1228900156 CMS
Lilly USA, LLC $12.98 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1187029859 CMS
Novo Nordisk Inc $17.46 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1188427400 CMS
AstraZeneca Pharmaceuticals LP $19.26 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1206671615 CMS
ABBVIE INC. $32.01 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1203411489 CMS
Lilly USA, LLC $24.17 03/16/2025 Food and Beverage No dispute reported 06/30/2026 1187037451 CMS
Lilly USA, LLC $17.98 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1187097067 CMS
Amgen Inc. $17.86 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1228900006 CMS
Lilly USA, LLC $24.17 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1187029857 CMS
PFIZER INC. $22.41 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1228877616 CMS
Novartis Pharmaceuticals Corporation $22.26 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1200190326 CMS
Novo Nordisk Inc $18.25 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1188672851 CMS
Novo Nordisk Inc $2.96 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1189036223 CMS
ABBVIE INC. $19.85 02/21/2025 Food and Beverage No dispute reported 06/30/2026 1203411483 CMS
ABBVIE INC. $28.32 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1203411477 CMS
Janssen Pharmaceuticals, Inc $22.97 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1174619831 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.68 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1225508038 CMS
Sumitomo Pharma America, Inc. $18.83 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1176755370 CMS
AstraZeneca Pharmaceuticals LP $25.57 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1206727572 CMS
Amgen Inc. $15.18 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1228900000 CMS
PFIZER INC. $13.67 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1228865422 CMS
Lilly USA, LLC $13.91 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1187020476 CMS
Novo Nordisk Inc $19.62 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1188847663 CMS
AstraZeneca Pharmaceuticals LP $52.10 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1206843126 CMS
ABBVIE INC. $15.43 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1203411473 CMS
ABBVIE INC. $31.93 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1203411466 CMS
AstraZeneca Pharmaceuticals LP $16.91 01/06/2025 Food and Beverage No dispute reported 06/30/2026 1206255141 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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · 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.

Cite this record.

Plain
DALENA M CUSTER, NPI 1184706806. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1184706806.
APA 7
IndustryPayments. (2026). DALENA M CUSTER, NPI 1184706806 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1184706806
Bluebook
DALENA M CUSTER, NPI 1184706806, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1184706806.

Source: Centers for Medicare & Medicaid Services, Open Payments.