Covered recipient · General Payments record
ALEXANDER D ZWART
Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism
General Payments · PY2019–2025
$1,158.51
- Reported across 34 records
- CMS publication 2026-06-30
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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $157.85 | 8 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Neurocrine BioSciences, Inc. | $32.12 | 1 |
| Novo Nordisk AS | $24.64 | 1 |
| Medtronic, Inc. | $19.46 | 1 |
| Amgen Inc. | $18.13 | 1 |
| Sequel Med Tech, LLC | $16.50 | 1 |
| Lilly USA, LLC | $16.20 | 1 |
| BETA BIONICS, INC. | $15.60 | 1 |
| Astellas Pharma US Inc | $15.20 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (8)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Amgen Inc. | $18.13 | 01/08/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1228270641 | CMS |
| Astellas Pharma US Inc | $15.20 | 02/19/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1238749562 | CMS |
| BETA BIONICS, INC. | $15.60 | 06/09/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1246811516 | CMS |
| Lilly USA, LLC | $16.20 | 01/22/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1186496155 | CMS |
| Medtronic, Inc. | $19.46 | 09/25/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1219975176 | CMS |
| Neurocrine BioSciences, Inc. | $32.12 | 11/05/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1242983356 | CMS |
| Novo Nordisk Inc | $24.64 | 10/22/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1189163130 | CMS |
| Sequel Med Tech, LLC | $16.50 | 11/12/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1243758810 | 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
- 2019, 2020, 2021, 2022, 2023, 2024, 2025
- Source files
- Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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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.