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

ZACHARY C SHEPPARD

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1205244753
CMS profile
10651810
Location
SPRING, TX

General Payments · PY2021–2024

$2,237.88

  • Reported across 69 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,784.23

52 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 $1,784.23 52

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $455.43 12
Novo Nordisk AS $260.12 9
DEXCOM, INC. $181.73 3
Amgen Inc. $174.11 3
Medtronic, Inc. $159.47 1
GlaxoSmithKline, LLC. $156.98 9
Phathom Pharmaceuticals, Inc. $148.75 3
Exact Sciences Corporation $92.92 4
Lilly USA, LLC $70.45 4
ABBVIE INC. $37.08 2
Abbott Laboratories $24.05 1
PFIZER INC. $23.14 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $146.20 6
PY2022 $98.27 5
PY2023 $209.18 6
PY2024 $1,784.23 52

Payment records · PY2024 (52)

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
Abbott Laboratories $24.05 05/02/2024 Food and Beverage Undisputed 01/23/2026 1124898117 CMS
ABBVIE INC. $22.59 08/15/2024 Food and Beverage Undisputed 01/23/2026 1108187757 CMS
ABBVIE INC. $14.49 09/04/2024 Food and Beverage Undisputed 01/23/2026 1108187759 CMS
Amgen Inc. $22.18 06/17/2024 Food and Beverage Undisputed 01/23/2026 1117682564 CMS
Amgen Inc. $125.00 06/20/2024 Food and Beverage Undisputed 01/23/2026 1117682568 CMS
Amgen Inc. $26.93 08/08/2024 Food and Beverage Undisputed 01/23/2026 1117682566 CMS
AstraZeneca Pharmaceuticals LP $125.00 01/24/2024 Food and Beverage Undisputed 01/23/2026 1105881428 CMS
AstraZeneca Pharmaceuticals LP $42.14 01/29/2024 Food and Beverage Undisputed 01/23/2026 1104235237 CMS
AstraZeneca Pharmaceuticals LP $125.01 01/31/2024 Food and Beverage Undisputed 01/23/2026 1104721441 CMS
AstraZeneca Pharmaceuticals LP $21.10 03/21/2024 Food and Beverage Undisputed 01/23/2026 1105393620 CMS
AstraZeneca Pharmaceuticals LP $16.78 04/03/2024 Food and Beverage Undisputed 01/23/2026 1105862968 CMS
AstraZeneca Pharmaceuticals LP $20.51 04/17/2024 Food and Beverage Undisputed 01/23/2026 1105564434 CMS
AstraZeneca Pharmaceuticals LP $17.34 06/12/2024 Food and Beverage Undisputed 01/23/2026 1104711579 CMS
AstraZeneca Pharmaceuticals LP $14.48 08/22/2024 Food and Beverage Undisputed 01/23/2026 1104632873 CMS
AstraZeneca Pharmaceuticals LP $24.42 09/10/2024 Food and Beverage Undisputed 01/23/2026 1104200485 CMS
AstraZeneca Pharmaceuticals LP $17.99 10/07/2024 Food and Beverage Undisputed 01/23/2026 1105829841 CMS
AstraZeneca Pharmaceuticals LP $15.91 10/24/2024 Food and Beverage Undisputed 01/23/2026 1105733241 CMS
AstraZeneca Pharmaceuticals LP $14.75 11/12/2024 Food and Beverage Undisputed 01/23/2026 1105502796 CMS
Dexcom, Inc. $20.23 05/28/2024 Food and Beverage Undisputed 01/23/2026 1153392236 CMS
Dexcom, Inc. $142.44 10/01/2024 Food and Beverage Undisputed 01/23/2026 1153392240 CMS
Dexcom, Inc. $19.06 11/21/2024 Food and Beverage Undisputed 01/23/2026 1153392238 CMS
Exact Sciences Corporation $18.63 01/29/2024 Food and Beverage Undisputed 01/23/2026 1114434721 CMS
Exact Sciences Corporation $21.16 08/01/2024 Food and Beverage Undisputed 01/23/2026 1114434725 CMS
Exact Sciences Corporation $24.97 10/21/2024 Food and Beverage Undisputed 01/23/2026 1114434728 CMS
Exact Sciences Corporation $28.16 11/25/2024 Food and Beverage Undisputed 01/23/2026 1114434732 CMS
GlaxoSmithKline, LLC. $20.95 03/05/2024 Food and Beverage Undisputed 01/23/2026 1116447988 CMS
GlaxoSmithKline, LLC. $13.61 03/12/2024 Food and Beverage Undisputed 01/23/2026 1116624549 CMS
GlaxoSmithKline, LLC. $16.16 05/27/2024 Food and Beverage Undisputed 01/23/2026 1116388296 CMS
GlaxoSmithKline, LLC. $22.37 07/03/2024 Food and Beverage Undisputed 01/23/2026 1116409901 CMS
GlaxoSmithKline, LLC. $10.76 07/31/2024 Food and Beverage Undisputed 01/23/2026 1115910306 CMS
GlaxoSmithKline, LLC. $20.92 08/22/2024 Food and Beverage Undisputed 01/23/2026 1116531664 CMS
GlaxoSmithKline, LLC. $10.72 09/16/2024 Food and Beverage Undisputed 01/23/2026 1116305293 CMS
GlaxoSmithKline, LLC. $19.31 11/07/2024 Food and Beverage Undisputed 01/23/2026 1116369801 CMS
GlaxoSmithKline, LLC. $22.18 11/20/2024 Food and Beverage Undisputed 01/23/2026 1116695575 CMS
Lilly USA, LLC $13.92 05/02/2024 Food and Beverage Undisputed 01/23/2026 1135991874 CMS
Lilly USA, LLC $20.00 06/19/2024 Food and Beverage Undisputed 01/23/2026 1135994068 CMS
Lilly USA, LLC $21.23 08/28/2024 Food and Beverage Undisputed 01/23/2026 1135988062 CMS
Lilly USA, LLC $15.30 10/24/2024 Food and Beverage Undisputed 01/23/2026 1135978246 CMS
Medtronic, Inc. $159.47 09/05/2024 Food and Beverage Undisputed 01/23/2026 1116917488 CMS
Novo Nordisk Inc $18.28 02/21/2024 Food and Beverage Undisputed 01/23/2026 1100652541 CMS
Novo Nordisk Inc $13.69 03/08/2024 Food and Beverage Undisputed 01/23/2026 1100286996 CMS
Novo Nordisk Inc $124.98 04/11/2024 Food and Beverage Undisputed 01/23/2026 1100558735 CMS
Novo Nordisk Inc $18.39 05/29/2024 Food and Beverage Undisputed 01/23/2026 1100599755 CMS
Novo Nordisk Inc $17.03 06/26/2024 Food and Beverage Undisputed 01/23/2026 1100464998 CMS
Novo Nordisk Inc $20.90 09/30/2024 Food and Beverage Undisputed 01/23/2026 1100397052 CMS
Novo Nordisk Inc $17.31 10/09/2024 Food and Beverage Undisputed 01/23/2026 1100270873 CMS
Novo Nordisk Inc $18.04 10/31/2024 Food and Beverage Undisputed 01/23/2026 1100299339 CMS
Novo Nordisk Inc $11.50 12/05/2024 Food and Beverage Undisputed 01/23/2026 1100233156 CMS
PFIZER INC. $23.14 10/14/2024 Food and Beverage Undisputed 01/23/2026 1132124201 CMS
Phathom Pharmaceuticals, Inc. $19.93 08/12/2024 Food and Beverage Undisputed 01/23/2026 1151204935 CMS
Phathom Pharmaceuticals, Inc. $124.99 08/20/2024 Food and Beverage Undisputed 01/23/2026 1151204937 CMS
Phathom Pharmaceuticals, Inc. $3.83 11/12/2024 Food and Beverage Undisputed 01/23/2026 1151204939 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.