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

BRIANA R METZLER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1184967978
CMS profile
11150977
Location
LYONS FALLS, NY

General Payments · PY2021–2024

$4,347.58

  • Reported across 215 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,514.20

73 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 $1,446.25 72
Education $67.95 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $294.73 18
Astellas Pharma US Inc $264.57 10
Novo Nordisk AS $232.18 12
Acerta Pharma LLC $198.90 10
Lilly USA, LLC $184.60 9
Alexion Pharmaceuticals, Inc. $96.56 1
PFIZER INC. $73.35 4
GlaxoSmithKline, LLC. $50.60 3
ITI, Inc. $41.08 2
Exact Sciences Corporation $34.06 2
Amgen Inc. $23.28 1
Daiichi Sankyo Inc. $20.29 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $180.67 9
PY2022 $1,428.85 68
PY2023 $1,223.86 65
PY2024 $1,514.20 73

Payment records · PY2024 (73)

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

Program year 2024 202120222023 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. $8.36 01/16/2024 Food and Beverage Undisputed 01/23/2026 1107654780 CMS
ABBVIE INC. $22.33 02/08/2024 Food and Beverage Undisputed 01/23/2026 1107654782 CMS
ABBVIE INC. $21.72 02/29/2024 Food and Beverage Undisputed 01/23/2026 1107654784 CMS
ABBVIE INC. $13.84 03/14/2024 Food and Beverage Undisputed 01/23/2026 1107654786 CMS
ABBVIE INC. $7.45 04/09/2024 Food and Beverage Undisputed 01/23/2026 1107654788 CMS
ABBVIE INC. $16.31 04/11/2024 Food and Beverage Undisputed 01/23/2026 1107654790 CMS
ABBVIE INC. $16.03 04/30/2024 Food and Beverage Undisputed 01/23/2026 1107654792 CMS
ABBVIE INC. $19.33 05/16/2024 Food and Beverage Undisputed 01/23/2026 1107654794 CMS
ABBVIE INC. $19.70 06/04/2024 Food and Beverage Undisputed 01/23/2026 1107654796 CMS
ABBVIE INC. $13.27 06/07/2024 Food and Beverage Undisputed 01/23/2026 1107654798 CMS
ABBVIE INC. $16.78 06/20/2024 Food and Beverage Undisputed 01/23/2026 1107654800 CMS
ABBVIE INC. $14.64 07/16/2024 Food and Beverage Undisputed 01/23/2026 1107654802 CMS
ABBVIE INC. $6.85 08/01/2024 Food and Beverage Undisputed 01/23/2026 1107654804 CMS
ABBVIE INC. $10.99 08/13/2024 Food and Beverage Undisputed 01/23/2026 1107654806 CMS
ABBVIE INC. $25.64 10/08/2024 Food and Beverage Undisputed 01/23/2026 1107654808 CMS
ABBVIE INC. $20.31 11/05/2024 Food and Beverage Undisputed 01/23/2026 1107654810 CMS
ABBVIE INC. $34.09 11/19/2024 Food and Beverage Undisputed 01/23/2026 1107654812 CMS
ABBVIE INC. $7.09 12/10/2024 Food and Beverage Undisputed 01/23/2026 1107654814 CMS
Alexion Pharmaceuticals, Inc. $96.56 04/09/2024 Food and Beverage Undisputed 01/23/2026 1094025399 CMS
Amgen Inc. $23.28 06/13/2024 Food and Beverage Undisputed 01/23/2026 1115929588 CMS
Astellas Pharma US Inc $24.27 01/23/2024 Food and Beverage Undisputed 01/23/2026 1139477436 CMS
Astellas Pharma US Inc $31.40 02/13/2024 Food and Beverage Undisputed 01/23/2026 1139477202 CMS
Astellas Pharma US Inc $21.96 02/27/2024 Food and Beverage Undisputed 01/23/2026 1139490020 CMS
Astellas Pharma US Inc $21.83 03/28/2024 Food and Beverage Undisputed 01/23/2026 1139493900 CMS
Astellas Pharma US Inc $20.50 05/14/2024 Food and Beverage Undisputed 01/23/2026 1139499780 CMS
Astellas Pharma US Inc $22.67 07/16/2024 Food and Beverage Undisputed 01/23/2026 1139532464 CMS
Astellas Pharma US Inc $15.13 08/27/2024 Food and Beverage Undisputed 01/23/2026 1139522208 CMS
Astellas Pharma US Inc $67.95 09/12/2024 Education Undisputed 01/23/2026 1139540174 CMS
Astellas Pharma US Inc $22.85 10/01/2024 Food and Beverage Undisputed 01/23/2026 1139535586 CMS
Astellas Pharma US Inc $16.01 11/12/2024 Food and Beverage Undisputed 01/23/2026 1139547197 CMS
AstraZeneca Pharmaceuticals LP $18.71 01/30/2024 Food and Beverage Undisputed 01/23/2026 1104314050 CMS
AstraZeneca Pharmaceuticals LP $45.28 03/05/2024 Food and Beverage Undisputed 01/23/2026 1104657475 CMS
AstraZeneca Pharmaceuticals LP $15.44 05/09/2024 Food and Beverage Undisputed 01/23/2026 1105568623 CMS
AstraZeneca Pharmaceuticals LP $15.77 05/28/2024 Food and Beverage Undisputed 01/23/2026 1105643550 CMS
AstraZeneca Pharmaceuticals LP $17.54 06/25/2024 Food and Beverage Undisputed 01/23/2026 1104245349 CMS
AstraZeneca Pharmaceuticals LP $17.10 07/23/2024 Food and Beverage Undisputed 01/23/2026 1104621764 CMS
AstraZeneca Pharmaceuticals LP $16.02 08/06/2024 Food and Beverage Undisputed 01/23/2026 1105815675 CMS
AstraZeneca Pharmaceuticals LP $16.98 09/24/2024 Food and Beverage Undisputed 01/23/2026 1105475531 CMS
AstraZeneca Pharmaceuticals LP $16.24 10/22/2024 Food and Beverage Undisputed 01/23/2026 1104591490 CMS
AstraZeneca Pharmaceuticals LP $19.82 11/14/2024 Food and Beverage Undisputed 01/23/2026 1105588918 CMS
Daiichi Sankyo Inc. $20.29 08/29/2024 Food and Beverage Undisputed 01/23/2026 1089456740 CMS
Exact Sciences Corporation $17.22 01/09/2024 Food and Beverage Undisputed 01/23/2026 1114546911 CMS
Exact Sciences Corporation $16.84 04/09/2024 Food and Beverage Undisputed 01/23/2026 1114546915 CMS
GlaxoSmithKline, LLC. $16.67 02/06/2024 Food and Beverage Undisputed 01/23/2026 1116256143 CMS
GlaxoSmithKline, LLC. $18.52 04/18/2024 Food and Beverage Undisputed 01/23/2026 1116591173 CMS
GlaxoSmithKline, LLC. $15.41 06/11/2024 Food and Beverage Undisputed 01/23/2026 1116316818 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.32 06/06/2024 Food and Beverage Undisputed 01/23/2026 1143551013 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.76 10/15/2024 Food and Beverage Undisputed 01/23/2026 1143551017 CMS
Lilly USA, LLC $15.25 01/11/2024 Food and Beverage Undisputed 01/23/2026 1135580684 CMS
Lilly USA, LLC $17.20 02/01/2024 Food and Beverage Undisputed 01/23/2026 1135580686 CMS
Lilly USA, LLC $18.62 02/20/2024 Food and Beverage Undisputed 01/23/2026 1135606379 CMS
Lilly USA, LLC $21.04 03/07/2024 Food and Beverage Undisputed 01/23/2026 1135590209 CMS
Lilly USA, LLC $29.85 04/25/2024 Food and Beverage Undisputed 01/23/2026 1135568500 CMS
Lilly USA, LLC $20.08 05/23/2024 Food and Beverage Undisputed 01/23/2026 1135568502 CMS
Lilly USA, LLC $22.93 07/18/2024 Food and Beverage Undisputed 01/23/2026 1135575858 CMS
Lilly USA, LLC $22.09 08/15/2024 Food and Beverage Undisputed 01/23/2026 1135575860 CMS
Lilly USA, LLC $17.54 10/17/2024 Food and Beverage Undisputed 01/23/2026 1135590207 CMS
Novo Nordisk Inc $22.54 01/02/2024 Food and Beverage Undisputed 01/23/2026 1100227936 CMS
Novo Nordisk Inc $18.45 01/17/2024 Food and Beverage Undisputed 01/23/2026 1100530731 CMS
Novo Nordisk Inc $16.70 02/13/2024 Food and Beverage Undisputed 01/23/2026 1100337905 CMS
Novo Nordisk Inc $23.06 03/26/2024 Food and Beverage Undisputed 01/23/2026 1100623552 CMS
Novo Nordisk Inc $17.08 04/23/2024 Food and Beverage Undisputed 01/23/2026 1100355896 CMS
Novo Nordisk Inc $21.12 05/21/2024 Food and Beverage Undisputed 01/23/2026 1100243569 CMS
Novo Nordisk Inc $20.51 05/30/2024 Food and Beverage Undisputed 01/23/2026 1100553533 CMS
Novo Nordisk Inc $19.54 07/30/2024 Food and Beverage Undisputed 01/23/2026 1100229564 CMS
Novo Nordisk Inc $17.24 09/10/2024 Food and Beverage Undisputed 01/23/2026 1100600509 CMS
Novo Nordisk Inc $16.85 09/12/2024 Food and Beverage Undisputed 01/23/2026 1100459616 CMS
Novo Nordisk Inc $17.57 10/31/2024 Food and Beverage Undisputed 01/23/2026 1100499237 CMS
Novo Nordisk Inc $21.52 11/22/2024 Food and Beverage Undisputed 01/23/2026 1100342168 CMS
PFIZER INC. $18.98 01/04/2024 Food and Beverage Undisputed 01/23/2026 1131626328 CMS
PFIZER INC. $17.17 02/22/2024 Food and Beverage Undisputed 01/23/2026 1131158564 CMS
PFIZER INC. $23.02 03/21/2024 Food and Beverage Undisputed 01/23/2026 1131291051 CMS
PFIZER INC. $14.18 07/25/2024 Food and Beverage Undisputed 01/23/2026 1132011610 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.

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