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

Covered recipient · General Payments record

KRYSTEL JOY P RONCALES

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1215692413
CMS profile
11269095
Location
COLORADO SPRINGS, CO

General Payments · PY2022–2025

$2,356.29

  • Reported across 106 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$812.50

35 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $812.50 35

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $526.35 26
PY2023 $485.53 25
PY2024 $531.91 20
PY2025 $812.50 35

Payment records · PY2025 (35)

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

Program year 2025 202220232024 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
Alexion Pharmaceuticals, Inc. $21.30 03/18/2025 Food and Beverage Undisputed 06/30/2026 1202931498 CMS
Apellis Pharmaceuticals, Inc. $19.55 07/15/2025 Food and Beverage Undisputed 06/30/2026 1253209993 CMS
AstraZeneca Pharmaceuticals LP $15.86 01/14/2025 Food and Beverage Undisputed 06/30/2026 1206671054 CMS
AstraZeneca Pharmaceuticals LP $18.08 04/10/2025 Food and Beverage Undisputed 06/30/2026 1206315767 CMS
AstraZeneca Pharmaceuticals LP $16.67 06/24/2025 Food and Beverage Undisputed 06/30/2026 1207299420 CMS
AstraZeneca Pharmaceuticals LP $18.04 09/22/2025 Food and Beverage Undisputed 06/30/2026 1206929963 CMS
AstraZeneca Pharmaceuticals LP $29.56 12/23/2025 Food and Beverage Undisputed 06/30/2026 1206727738 CMS
Aurinia Pharma U.S., Inc. $21.44 08/11/2025 Food and Beverage Undisputed 06/30/2026 1249412990 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.15 02/18/2025 Food and Beverage Undisputed 06/30/2026 1225751066 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.57 04/30/2025 Food and Beverage Undisputed 06/30/2026 1225751070 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.23 11/04/2025 Food and Beverage Undisputed 06/30/2026 1225751074 CMS
Calliditas Therapeutics US Inc. $27.63 03/25/2025 Food and Beverage Undisputed 06/30/2026 1235016865 CMS
Calliditas Therapeutics US Inc. $28.40 07/29/2025 Food and Beverage Undisputed 06/30/2026 1235016867 CMS
Calliditas Therapeutics US Inc. $23.93 09/09/2025 Food and Beverage Undisputed 06/30/2026 1235016869 CMS
Fresenius USA Marketing, Inc. $24.32 11/06/2025 Food and Beverage Undisputed 06/30/2026 1244806245 CMS
Fresenius USA Marketing, Inc. $13.75 11/17/2025 Food and Beverage Undisputed 06/30/2026 1244806243 CMS
Lilly USA, LLC $25.55 07/17/2025 Food and Beverage Undisputed 06/30/2026 1187169422 CMS
Lilly USA, LLC $23.96 11/16/2025 Food and Beverage Undisputed 06/30/2026 1187187795 CMS
Mallinckrodt Hospital Products Inc. $19.96 09/02/2025 Food and Beverage Undisputed 06/30/2026 1212026344 CMS
Novartis Pharmaceuticals Corporation $23.24 01/28/2025 Food and Beverage Undisputed 06/30/2026 1200548638 CMS
Novartis Pharmaceuticals Corporation $19.82 05/06/2025 Food and Beverage Undisputed 06/30/2026 1200548654 CMS
Novartis Pharmaceuticals Corporation $24.75 07/22/2025 Food and Beverage Undisputed 06/30/2026 1200423872 CMS
Novartis Pharmaceuticals Corporation $21.86 11/24/2025 Food and Beverage Undisputed 06/30/2026 1200423874 CMS
Novo Nordisk Inc $29.05 06/17/2025 Food and Beverage Undisputed 06/30/2026 1188551023 CMS
Novo Nordisk Inc $27.75 07/24/2025 Food and Beverage Undisputed 06/30/2026 1188316544 CMS
Novo Nordisk Inc $29.95 09/16/2025 Food and Beverage Undisputed 06/30/2026 1188656506 CMS
Otsuka America Pharmaceutical, Inc. $28.22 05/20/2025 Food and Beverage Undisputed 06/30/2026 1227946957 CMS
Otsuka America Pharmaceutical, Inc. $28.50 10/08/2025 Food and Beverage Undisputed 06/30/2026 1227946962 CMS
Otsuka America Pharmaceutical, Inc. $21.77 12/02/2025 Food and Beverage Undisputed 06/30/2026 1227946970 CMS
Otsuka Pharmaceutical Development & Commercialization, Inc. $25.92 11/10/2025 Food and Beverage Undisputed 06/30/2026 1225332355 CMS
SCPHARMACEUTICALS INC. $18.97 06/12/2025 Food and Beverage Undisputed 06/30/2026 1228188999 CMS
Travere Therapeutics, Inc. $18.38 01/21/2025 Food and Beverage Undisputed 06/30/2026 1244416986 CMS
Travere Therapeutics, Inc. $29.71 04/24/2025 Food and Beverage Undisputed 06/30/2026 1244416990 CMS
Travere Therapeutics, Inc. $22.76 08/12/2025 Food and Beverage Undisputed 06/30/2026 1244416988 CMS
Vifor Pharma, Inc. $34.90 08/18/2025 Food and Beverage Undisputed 06/30/2026 1172035032 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
2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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