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

Covered recipient · General Payments record

MARINE GRIGORIAN-AVAKIAN

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1205210309
CMS profile
10954164
Location
FRESNO, CA

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.

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General Payments · PY2022 · Entire year

$781.41

53 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $781.41 53

By paying entity

PY2022 · entire year · sorted by reported total

Paying entityAmountRecords
Daiichi Sankyo Inc. $197.50 20
TherapeuticsMD, Inc. $143.82 11
Myovant Sciences Inc. $139.86 8
PFIZER INC. $62.96 3
Agile Therapeutics, Inc. $56.43 3
MAYNE PHARMA INC. $46.52 2
ABBVIE INC. $44.11 2
UROVANT SCIENCES INC $43.30 2
SCYNEXIS, Inc. $29.30 1
Organon LLC $17.61 1

Page 1 of 2; records 1–50 of 53 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

MARINE GRIGORIAN-AVAKIAN

NPI 1205210309 · CMS profile ID 10954164

Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant

FRESNO, CA

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.

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.

General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 53 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1205210309?year=2022&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
MARINE GRIGORIAN-AVAKIAN, NPI 1205210309, CMS profile ID 10954164. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 53 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1205210309?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
APA 7
IndustryPayments. (2026). MARINE GRIGORIAN-AVAKIAN, NPI 1205210309, CMS profile ID 10954164. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 53 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1205210309?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
Bluebook
MARINE GRIGORIAN-AVAKIAN, NPI 1205210309, CMS profile ID 10954164, IndustryPayments, General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 53 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c. https://industrypayments.org/provider/npi-1205210309?year=2022&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2022

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

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

53 matching records · $781.41 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 53 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 53.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Myovant Sciences Inc. $21.5212/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 941262321 CMS
UROVANT SCIENCES INC $23.9212/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 931064845 CMS
Daiichi Sankyo Inc. $27.0212/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930832541 CMS
Agile Therapeutics, Inc. $13.7112/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 957203973 CMS
Myovant Sciences Inc. $8.1912/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 941262319 CMS
PFIZER INC. $23.8512/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 949552881 CMS
Organon LLC $17.6111/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1022230769 CMS
Daiichi Sankyo Inc. $8.3411/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930877047 CMS
TherapeuticsMD, Inc. $21.4311/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783937 CMS
UROVANT SCIENCES INC $19.3811/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 931064843 CMS
Daiichi Sankyo Inc. $23.9711/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930876745 CMS
Agile Therapeutics, Inc. $19.8111/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 957203323 CMS
MAYNE PHARMA INC. $24.3310/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 959932815 CMS
Myovant Sciences Inc. $18.9610/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 941262317 CMS
TherapeuticsMD, Inc. $4.9010/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783935 CMS
Daiichi Sankyo Inc. $21.8609/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930837119 CMS
Myovant Sciences Inc. $23.7709/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 941262315 CMS
TherapeuticsMD, Inc. $16.3008/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783931 CMS
TherapeuticsMD, Inc. $23.7708/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783933 CMS
Daiichi Sankyo Inc. $7.2808/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930828113 CMS
MAYNE PHARMA INC. $22.1908/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 959867373 CMS
Daiichi Sankyo Inc. $5.6908/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930857055 CMS
Daiichi Sankyo Inc. $7.6007/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930851673 CMS
Myovant Sciences Inc. $19.6407/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 941262313 CMS
Daiichi Sankyo Inc. $6.8706/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930856825 CMS
TherapeuticsMD, Inc. $17.5406/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783929 CMS
PFIZER INC. $15.4806/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 949300179 CMS
TherapeuticsMD, Inc. $2.0005/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783939 CMS
Daiichi Sankyo Inc. $21.0005/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930807607 CMS
Daiichi Sankyo Inc. $5.4505/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930827749 CMS
Daiichi Sankyo Inc. $5.2304/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930820613 CMS
TherapeuticsMD, Inc. $18.9904/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783941 CMS
SCYNEXIS, Inc. $29.3004/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 905570847 CMS
TherapeuticsMD, Inc. $6.1403/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783927 CMS
Daiichi Sankyo Inc. $8.4303/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930811725 CMS
Myovant Sciences Inc. $15.9303/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 941262311 CMS
Daiichi Sankyo Inc. $7.2703/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930812525 CMS
Daiichi Sankyo Inc. $8.8503/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930812267 CMS
Daiichi Sankyo Inc. $7.3303/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930812395 CMS
ABBVIE INC. $23.3503/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 891941509 CMS
TherapeuticsMD, Inc. $2.6703/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783943 CMS
Daiichi Sankyo Inc. $6.6303/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930813539 CMS
TherapeuticsMD, Inc. $17.2503/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783925 CMS
Daiichi Sankyo Inc. $7.2702/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930804935 CMS
Daiichi Sankyo Inc. $0.4402/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930804703 CMS
Daiichi Sankyo Inc. $5.6802/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930805459 CMS
Myovant Sciences Inc. $14.7902/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 941262309 CMS
Daiichi Sankyo Inc. $5.2902/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930807875 CMS
Agile Therapeutics, Inc. $22.9101/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 957203969 CMS
TherapeuticsMD, Inc. $12.8301/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 930783923 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,336.11 62
PY2022 $781.41 53
PY2023 $870.62 53
PY2024 $681.14 38
PY2025 $34.27 1

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 and profile matching
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.