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

VIVIAN LETRAN

Allopathic & Osteopathic Physicians Surgery

NPI
1184981029
CMS profile
5511290
Location
DUBLIN, CA

General Payments · PY2019–2025

$3,871.82

  • Reported across 113 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$655.74

17 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 $655.74 17

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $810.97 21
PY2020 $489.76 20
PY2021 $142.84 6
PY2022 $621.11 17
PY2023 $835.84 23
PY2024 $315.56 9
PY2025 $655.74 17

Payment records · PY2025 (17)

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

Program year 2025 201920202021202220232024 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
ADC THERAPEUTICS AMERICA, INC. $17.52 09/12/2025 Food and Beverage Undisputed 06/30/2026 1246129329 CMS
AstraZeneca Pharmaceuticals LP $34.12 05/15/2025 Food and Beverage Undisputed 06/30/2026 1206201224 CMS
AstraZeneca Pharmaceuticals LP $31.68 09/18/2025 Food and Beverage Undisputed 06/30/2026 1206850701 CMS
Avanos Medical $34.02 01/23/2025 Food and Beverage Undisputed 06/30/2026 1242577574 CMS
Davol Inc. $36.09 01/23/2025 Food and Beverage Undisputed 06/30/2026 1232212810 CMS
Davol Inc. $31.25 12/15/2025 Food and Beverage Undisputed 06/30/2026 1232212876 CMS
Eisai Inc. $20.40 09/04/2025 Food and Beverage Undisputed 06/30/2026 1244518487 CMS
Elucent Medical $24.73 10/05/2025 Food and Beverage Undisputed 06/30/2026 1223436857 CMS
Hologic Sales and Service, LLC $108.37 06/02/2025 Food and Beverage Undisputed 06/30/2026 1182575553 CMS
Incyte Corporation $23.69 10/09/2025 Food and Beverage Undisputed 06/30/2026 1226177192 CMS
Lilly USA, LLC $28.50 08/07/2025 Food and Beverage Undisputed 06/30/2026 1186955813 CMS
Novartis Pharmaceuticals Corporation $34.76 05/08/2025 Food and Beverage Undisputed 06/30/2026 1200765649 CMS
Stemline Therapeutics Inc. $30.24 10/17/2025 Food and Beverage Undisputed 06/30/2026 1244110840 CMS
Stryker Corporation $19.73 07/30/2025 Food and Beverage Undisputed 06/30/2026 1227697909 CMS
Takeda Pharmaceuticals U.S.A., Inc. $26.56 07/29/2025 Food and Beverage Undisputed 06/30/2026 1223905700 CMS
Tempus AI, Inc $22.41 10/14/2025 Food and Beverage Undisputed 06/30/2026 1250348156 CMS
Vector Surgical, LLC $131.67 05/02/2025 Food and Beverage Undisputed 06/30/2026 1163225110 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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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.