Covered recipient · General Payments record

TRACY STEPHANIE ESTES

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1194919506
CMS profile: 10638891
Location: WILMINGTON, DE

General Payments · PY2021–2024

$44,994.04

Reported across 331 records
CMS publication 2026-01-23

Latest program year · PY2024

$15,051.38

106 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 payment	Amount	Records
Consulting Fee	$8,141.00	4
Travel and Lodging	$3,775.26	17
Food and Beverage	$3,117.41	84
Education	$17.71	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Pharming Healthcare, Inc.	$7,264.83	28
BioCryst US Sales Co., LLC	$5,466.79	13
CSL Behring	$582.39	6
GENZYME CORPORATION	$343.95	5
Takeda Pharmaceuticals U.S.A., Inc.	$306.24	14
GlaxoSmithKline, LLC.	$290.62	14
Acerta Pharma LLC	$170.85	5
Grifols USA, LLC	$142.93	2
Genentech USA, Inc.	$108.83	3
Regeneron Healthcare Solutions, Inc.	$106.48	5
ABBVIE INC.	$77.72	4
NOVARTIS PHARMACEUTICALS CORPORATION	$69.42	3
Novo Nordisk AS	$58.97	1
PFIZER INC.	$28.34	1
Circassia Inc.	$18.21	1
Greer Laboratories, Inc.	$14.81	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,434.91	65
PY2022	$9,212.11	86
PY2023	$19,295.64	74
PY2024	$15,051.38	106

Payment records · PY2024 (106)

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

Program year 2024 2021 2022 2023 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.	$17.24	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1107080384	CMS
ABBVIE INC.	$17.88	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1107080386	CMS
ABBVIE INC.	$19.35	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1107080388	CMS
ABBVIE INC.	$23.25	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1107080390	CMS
AstraZeneca Pharmaceuticals LP	$13.46	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1105397468	CMS
AstraZeneca Pharmaceuticals LP	$108.58	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1105784336	CMS
AstraZeneca Pharmaceuticals LP	$19.00	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1105553574	CMS
AstraZeneca Pharmaceuticals LP	$14.43	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1105599335	CMS
AstraZeneca Pharmaceuticals LP	$15.38	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1105753777	CMS
BioCryst US Sales Co., LLC	$30.24	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1117472174	CMS
BioCryst US Sales Co., LLC	$25.26	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1117480620	CMS
BioCryst US Sales Co., LLC	$34.75	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1117471308	CMS
BioCryst US Sales Co., LLC	$1,077.03	10/25/2024	Travel and Lodging	Undisputed	01/23/2026	1117479420	CMS
BioCryst US Sales Co., LLC	$132.92	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1117473306	CMS
BioCryst US Sales Co., LLC	$317.43	11/01/2024	Travel and Lodging	Undisputed	01/23/2026	1117474926	CMS
BioCryst US Sales Co., LLC	$141.78	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1117476564	CMS
BioCryst US Sales Co., LLC	$71.38	11/02/2024	Food and Beverage	Undisputed	01/23/2026	1117470019	CMS
BioCryst US Sales Co., LLC	$95.69	11/02/2024	Food and Beverage	Undisputed	01/23/2026	1117475730	CMS
BioCryst US Sales Co., LLC	$77.02	11/02/2024	Food and Beverage	Undisputed	01/23/2026	1117476952	CMS
BioCryst US Sales Co., LLC	$93.53	11/29/2024	Food and Beverage	Undisputed	01/23/2026	1117470892	CMS
BioCryst US Sales Co., LLC	$208.76	11/29/2024	Travel and Lodging	Undisputed	01/23/2026	1117474928	CMS
BioCryst US Sales Co., LLC	$3,161.00	11/29/2024	Consulting Fee	Undisputed	01/23/2026	1117481064	CMS
Circassia Inc.	$18.21	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1082354165	CMS
CSL Behring	$21.66	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1134655965	CMS
CSL Behring	$480.00	06/20/2024	Consulting Fee	Undisputed	01/23/2026	1134656011	CMS
CSL Behring	$22.79	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1134655989	CMS
CSL Behring	$23.44	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1134655991	CMS
CSL Behring	$17.42	10/26/2024	Food and Beverage	Undisputed	01/23/2026	1134656009	CMS
CSL Behring	$17.08	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1134656035	CMS
Genentech USA, Inc.	$27.08	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1133193324	CMS
Genentech USA, Inc.	$56.25	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1133193329	CMS
Genentech USA, Inc.	$25.50	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1133193333	CMS
GENZYME CORPORATION	$65.00	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1139718768	CMS
GENZYME CORPORATION	$78.60	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1139718808	CMS
GENZYME CORPORATION	$140.00	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1139718824	CMS
GENZYME CORPORATION	$22.24	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1139718812	CMS
GENZYME CORPORATION	$38.11	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1139718820	CMS
GlaxoSmithKline, LLC.	$3.89	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1115909394	CMS
GlaxoSmithKline, LLC.	$2.86	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1116363457	CMS
GlaxoSmithKline, LLC.	$90.05	02/25/2024	Food and Beverage	Undisputed	01/23/2026	1116599065	CMS
GlaxoSmithKline, LLC.	$18.84	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1116665253	CMS
GlaxoSmithKline, LLC.	$18.94	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1116585153	CMS
GlaxoSmithKline, LLC.	$23.74	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1116632667	CMS
GlaxoSmithKline, LLC.	$0.62	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1116689130	CMS
GlaxoSmithKline, LLC.	$23.58	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1116693833	CMS
GlaxoSmithKline, LLC.	$20.38	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1116500709	CMS
GlaxoSmithKline, LLC.	$16.35	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1116480289	CMS
GlaxoSmithKline, LLC.	$19.77	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1115797303	CMS
GlaxoSmithKline, LLC.	$12.29	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1116597989	CMS
GlaxoSmithKline, LLC.	$21.27	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1115724182	CMS
GlaxoSmithKline, LLC.	$18.04	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1116502199	CMS
Greer Laboratories, Inc.	$14.81	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1131115004	CMS
Grifols USA, LLC	$125.00	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1124729899	CMS
Grifols USA, LLC	$17.93	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1124729897	CMS
Novartis Pharmaceuticals Corporation	$22.51	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1086940551	CMS
Novartis Pharmaceuticals Corporation	$19.75	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1086940567	CMS
Novartis Pharmaceuticals Corporation	$27.16	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1086940571	CMS
Novo Nordisk Inc	$58.97	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1100319042	CMS
PFIZER INC.	$28.34	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1131563648	CMS
Pharming Healthcare, Inc.	$27.27	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1132175717	CMS
Pharming Healthcare, Inc.	$112.50	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1132175725	CMS
Pharming Healthcare, Inc.	$2,250.00	03/28/2024	Consulting Fee	Undisputed	01/23/2026	1132175730	CMS
Pharming Healthcare, Inc.	$45.56	03/28/2024	Travel and Lodging	Undisputed	01/23/2026	1132175740	CMS
Pharming Healthcare, Inc.	$17.50	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1132175750	CMS
Pharming Healthcare, Inc.	$37.19	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1132175756	CMS
Pharming Healthcare, Inc.	$17.09	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1132175764	CMS
Pharming Healthcare, Inc.	$50.15	03/28/2024	Travel and Lodging	Undisputed	01/23/2026	1132175772	CMS
Pharming Healthcare, Inc.	$44.79	03/28/2024	Travel and Lodging	Undisputed	01/23/2026	1132175780	CMS
Pharming Healthcare, Inc.	$80.00	03/28/2024	Travel and Lodging	Undisputed	01/23/2026	1132175790	CMS
Pharming Healthcare, Inc.	$639.20	03/28/2024	Travel and Lodging	Undisputed	01/23/2026	1132175795	CMS
Pharming Healthcare, Inc.	$332.35	03/28/2024	Travel and Lodging	Undisputed	01/23/2026	1132175803	CMS
Pharming Healthcare, Inc.	$102.38	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1132175814	CMS
Pharming Healthcare, Inc.	$28.00	03/29/2024	Travel and Lodging	Undisputed	01/23/2026	1132175821	CMS
Pharming Healthcare, Inc.	$26.82	05/25/2024	Food and Beverage	Undisputed	01/23/2026	1132175829	CMS
Pharming Healthcare, Inc.	$159.14	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1132175835	CMS
Pharming Healthcare, Inc.	$2,250.00	06/19/2024	Consulting Fee	Undisputed	01/23/2026	1132175845	CMS
Pharming Healthcare, Inc.	$572.96	06/19/2024	Travel and Lodging	Undisputed	01/23/2026	1132175853	CMS
Pharming Healthcare, Inc.	$80.00	06/19/2024	Travel and Lodging	Undisputed	01/23/2026	1132175858	CMS
Pharming Healthcare, Inc.	$168.37	06/19/2024	Travel and Lodging	Undisputed	01/23/2026	1132175867	CMS
Pharming Healthcare, Inc.	$28.00	06/19/2024	Travel and Lodging	Undisputed	01/23/2026	1132175872	CMS
Pharming Healthcare, Inc.	$45.56	06/19/2024	Travel and Lodging	Undisputed	01/23/2026	1132175883	CMS
Pharming Healthcare, Inc.	$6.48	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1132175898	CMS
Pharming Healthcare, Inc.	$53.91	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1132175904	CMS
Pharming Healthcare, Inc.	$8.00	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1132175911	CMS
Pharming Healthcare, Inc.	$27.28	06/19/2024	Travel and Lodging	Undisputed	01/23/2026	1132175919	CMS
Pharming Healthcare, Inc.	$29.82	06/19/2024	Travel and Lodging	Undisputed	01/23/2026	1132175927	CMS
Pharming Healthcare, Inc.	$24.51	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1132175940	CMS
Regeneron Healthcare Solutions, Inc.	$18.65	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1114298496	CMS
Regeneron Healthcare Solutions, Inc.	$17.71	01/12/2024	Education	Undisputed	01/23/2026	1114298498	CMS
Regeneron Healthcare Solutions, Inc.	$22.83	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1114298500	CMS
Regeneron Healthcare Solutions, Inc.	$20.77	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1114298502	CMS
Regeneron Healthcare Solutions, Inc.	$26.52	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1114298504	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.31	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1137740220	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$25.52	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1137740222	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.33	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1137740224	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$12.17	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1137740226	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$9.54	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1137740228	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$55.67	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1137740230	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$10.31	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1137740232	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.00	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1137740234	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.92	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1137740236	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.91	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1137740238	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.36	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1137740240	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$33.39	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1137740242	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$5.95	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1137740244	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$27.86	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1137740246	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.

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.