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 · PY2023 · Entire year

$870.62

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

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $870.62 53

By paying entity

PY2023 · entire year · sorted by reported total

Payment records · PY2023

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

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

53 matching records · $870.62 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
SHIELD THERAPEUTICS INC $21.3912/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261153994033 CMS
Shield Therapeutics Inc $21.3912/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261045862635 CMS
Evofem Biosciences, Inc. $20.5912/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026976105245 CMS
MAYNE PHARMA COMMERCIAL LLC $25.9212/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911349 CMS
Daiichi Sankyo Inc. $29.2612/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261006577921 CMS
Hologic Sales and Service, LLC $16.3911/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024819371 CMS
ABBVIE INC. $12.0911/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261005387075 CMS
MAYNE PHARMA COMMERCIAL LLC $21.3411/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911347 CMS
MAYNE PHARMA COMMERCIAL LLC $6.8111/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911345 CMS
MAYNE PHARMA COMMERCIAL LLC $6.4511/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911343 CMS
Sumitomo Pharma America, Inc. $24.1411/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261031137291 CMS
ABBVIE INC. $27.1310/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261005387071 CMS
MAYNE PHARMA COMMERCIAL LLC $19.1510/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911337 CMS
Evofem Biosciences, Inc. $15.4210/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026976105237 CMS
Astellas Pharma US Inc $18.0009/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261034552295 CMS
Shield Therapeutics Inc $20.9609/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261045821541 CMS
PFIZER INC. $18.9409/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261049792997 CMS
Daiichi Sankyo Inc. $28.6208/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261006468027 CMS
Sumitomo Pharma America, Inc. $19.8008/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261031137293 CMS
MAYNE PHARMA COMMERCIAL LLC $6.7508/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911339 CMS
MAYNE PHARMA COMMERCIAL LLC $5.8908/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911341 CMS
ABBVIE INC. $21.9008/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261005387067 CMS
MAYNE PHARMA COMMERCIAL LLC $6.5407/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911351 CMS
MAYNE PHARMA COMMERCIAL LLC $18.5407/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911353 CMS
Agile Therapeutics, Inc. $23.9607/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261051459003 CMS
ABBVIE INC. $20.1107/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261005387063 CMS
MAYNE PHARMA COMMERCIAL LLC $20.4106/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911327 CMS
ABBVIE INC. $23.6306/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261005387059 CMS
MAYNE PHARMA COMMERCIAL LLC $4.5006/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911321 CMS
Astellas Pharma US Inc $21.0906/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261034220873 CMS
Evofem Biosciences, Inc. $18.9106/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026976105241 CMS
PFIZER INC. $22.6906/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261049373629 CMS
MAYNE PHARMA COMMERCIAL LLC $5.6306/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911323 CMS
Sumitomo Pharma America, Inc. $18.5906/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261031137287 CMS
Organon LLC $19.1305/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261046693679 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.0005/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261005400973 CMS
MAYNE PHARMA COMMERCIAL LLC $6.0705/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911319 CMS
Daiichi Sankyo Inc. $23.6604/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261006354443 CMS
MAYNE PHARMA COMMERCIAL LLC $4.7003/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911317 CMS
MAYNE PHARMA COMMERCIAL LLC $0.5903/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911333 CMS
PFIZER INC. $16.6903/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261049790897 CMS
MAYNE PHARMA COMMERCIAL LLC $1.3003/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911335 CMS
Sumitomo Pharma America, Inc. $19.7803/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261031137283 CMS
ABBVIE INC. $25.0303/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261005387057 CMS
MAYNE PHARMA COMMERCIAL LLC $6.5203/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911329 CMS
MAYNE PHARMA COMMERCIAL LLC $2.5403/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911331 CMS
ABBVIE INC. $13.1203/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261005387053 CMS
Kowa Pharmaceuticals America, Inc. $13.3202/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261003898575 CMS
Organon LLC $5.5402/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261046693669 CMS
MAYNE PHARMA COMMERCIAL LLC $18.5202/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261060911325 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.

Cite this record.

Plain
MARINE GRIGORIAN-AVAKIAN, NPI 1205210309. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1205210309.
APA 7
IndustryPayments. (2026). MARINE GRIGORIAN-AVAKIAN, NPI 1205210309 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1205210309
Bluebook
MARINE GRIGORIAN-AVAKIAN, NPI 1205210309, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1205210309.

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