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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

AFE DANIELLE NKESE ALEXIS

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1215464565
CMS profile
11525094
Location
ROANOKE RAPIDS, NC

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.

General Payments · PY2023–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$4,547.49

40 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $3,416.37 6
Food and Beverage $1,131.12 34

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $225.27 2
PY2024 $1,086.77 39
PY2025 $4,547.49 40

Payment records · PY2025 (40)

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

Program year 2025 20232024 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
Insmed, Inc. $29.92 12/23/2025 Food and Beverage No dispute reported 06/30/2026 1186298704 CMS
Insmed, Inc. $21.00 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1186292502 CMS
Avadel CNS Pharmaceuticals, LLC $22.36 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1208530830 CMS
GlaxoSmithKline, LLC. $23.67 11/02/2025 Food and Beverage No dispute reported 06/30/2026 1190387262 CMS
Insmed, Inc. $21.30 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1186299640 CMS
Inspire Medical Systems, Inc. $43.29 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1251444191 CMS
AstraZeneca Pharmaceuticals LP $22.99 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1206853562 CMS
AstraZeneca Pharmaceuticals LP $23.87 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1206550745 CMS
AstraZeneca Pharmaceuticals LP $135.00 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1207126051 CMS
Viatris Specialty LLC $14.88 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1238473207 CMS
Avadel CNS Pharmaceuticals, LLC $27.37 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1208530828 CMS
AstraZeneca Pharmaceuticals LP $21.59 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1206287124 CMS
GlaxoSmithKline, LLC. $25.19 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1190433387 CMS
AstraZeneca Pharmaceuticals LP $19.25 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1206171235 CMS
Medical Device Business Services, Inc. $32.36 06/14/2025 Food and Beverage No dispute reported 06/30/2026 1173950971 CMS
Medical Device Business Services, Inc. $37.46 06/14/2025 Food and Beverage No dispute reported 06/30/2026 1173950976 CMS
Medical Device Business Services, Inc. $29.31 06/14/2025 Food and Beverage No dispute reported 06/30/2026 1173950982 CMS
Medical Device Business Services, Inc. $438.05 06/13/2025 Travel and Lodging No dispute reported 06/30/2026 1173950946 CMS
Medical Device Business Services, Inc. $636.60 06/13/2025 Travel and Lodging No dispute reported 06/30/2026 1173950954 CMS
Medical Device Business Services, Inc. $680.58 06/13/2025 Travel and Lodging No dispute reported 06/30/2026 1173950965 CMS
Medical Device Business Services, Inc. $37.67 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1173950990 CMS
Medical Device Business Services, Inc. $22.67 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1173950995 CMS
Insmed, Inc. $16.40 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1186267804 CMS
AstraZeneca Pharmaceuticals LP $119.97 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1206403373 CMS
GENZYME CORPORATION $28.29 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1233636856 CMS
AstraZeneca Pharmaceuticals LP $20.38 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1207315960 CMS
Viatris Specialty LLC $14.42 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1238481489 CMS
Insmed, Inc. $18.29 04/18/2025 Food and Beverage No dispute reported 06/30/2026 1186257672 CMS
GlaxoSmithKline, LLC. $19.87 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1191253799 CMS
AstraZeneca Pharmaceuticals LP $67.57 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1206402239 CMS
AstraZeneca Pharmaceuticals LP $20.63 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1207033885 CMS
Avadel CNS Pharmaceuticals, LLC $24.57 04/04/2025 Food and Beverage No dispute reported 06/30/2026 1208530826 CMS
AstraZeneca Pharmaceuticals LP $22.92 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1206272590 CMS
Medical Device Business Services, Inc. $210.04 03/17/2025 Travel and Lodging No dispute reported 06/30/2026 1173950941 CMS
Medical Device Business Services, Inc. $86.94 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1173950959 CMS
Medical Device Business Services, Inc. $905.85 03/17/2025 Travel and Lodging No dispute reported 06/30/2026 1173951002 CMS
Medical Device Business Services, Inc. $545.25 03/17/2025 Travel and Lodging No dispute reported 06/30/2026 1173951008 CMS
Insmed, Inc. $22.82 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1186311116 CMS
GENZYME CORPORATION $18.97 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1233636840 CMS
AstraZeneca Pharmaceuticals LP $17.93 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1206475441 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
2023, 2024, 2025
Source files
Dataset page · Bulk file · 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
AFE DANIELLE NKESE ALEXIS, NPI 1215464565. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1215464565.
APA 7
IndustryPayments. (2026). AFE DANIELLE NKESE ALEXIS, NPI 1215464565 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1215464565
Bluebook
AFE DANIELLE NKESE ALEXIS, NPI 1215464565, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1215464565.

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