Covered recipient · General Payments record

JOHN S NIRMALNATH

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1225210651
CMS profile: 853426
Location: ONTARIO, OH

General Payments · PY2018–2024

$7,209.82

Reported across 491 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,316.88

80 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 payment	Amount	Records
Food and Beverage	$1,316.88	80

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$257.47	16
PFIZER INC.	$195.62	17
Acerta Pharma LLC	$177.62	10
Novo Nordisk AS	$177.19	11
NOVARTIS PHARMACEUTICALS CORPORATION	$168.80	7
Phathom Pharmaceuticals, Inc.	$65.69	3
Lilly USA, LLC	$62.27	4
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$36.85	2
Sumitomo Pharma America, Inc.	$32.29	2
Bayer HealthCare Pharmaceuticals Inc.	$31.56	2
Inspire Medical Systems, Inc.	$24.60	1
Exact Sciences Corporation	$23.33	1
Axsome Therapeutics, Inc.	$16.64	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.39	1
Esperion Therapeutics, Inc.	$15.58	1
GlaxoSmithKline, LLC.	$14.98	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$799.64	63
PY2019	$1,052.54	84
PY2020	$439.69	35
PY2021	$919.55	60
PY2022	$1,377.39	82
PY2023	$1,304.13	87
PY2024	$1,316.88	80

Payment records · PY2024 (80)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
ABBVIE INC.	$4.38	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1105128735	CMS
ABBVIE INC.	$21.97	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1105128737	CMS
ABBVIE INC.	$14.01	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1105128739	CMS
ABBVIE INC.	$19.72	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1105128741	CMS
ABBVIE INC.	$10.11	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1105128743	CMS
ABBVIE INC.	$20.14	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1105128745	CMS
ABBVIE INC.	$23.17	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1105128747	CMS
ABBVIE INC.	$18.88	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1105128749	CMS
ABBVIE INC.	$14.37	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1105128751	CMS
ABBVIE INC.	$21.87	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1105128753	CMS
ABBVIE INC.	$9.92	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1105128755	CMS
ABBVIE INC.	$9.57	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1105128757	CMS
ABBVIE INC.	$20.70	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1105128759	CMS
ABBVIE INC.	$11.20	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1105128761	CMS
ABBVIE INC.	$19.78	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1105128763	CMS
ABBVIE INC.	$17.68	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1105128765	CMS
AstraZeneca Pharmaceuticals LP	$16.25	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1104535713	CMS
AstraZeneca Pharmaceuticals LP	$17.25	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1105293763	CMS
AstraZeneca Pharmaceuticals LP	$15.37	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1105854450	CMS
AstraZeneca Pharmaceuticals LP	$21.17	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1104678919	CMS
AstraZeneca Pharmaceuticals LP	$19.24	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1105782196	CMS
AstraZeneca Pharmaceuticals LP	$14.59	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1105464439	CMS
AstraZeneca Pharmaceuticals LP	$14.70	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1105697602	CMS
AstraZeneca Pharmaceuticals LP	$16.13	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1104433375	CMS
AstraZeneca Pharmaceuticals LP	$25.69	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1104554252	CMS
AstraZeneca Pharmaceuticals LP	$17.23	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1104553902	CMS
Axsome Therapeutics, Inc.	$16.64	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1148292142	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.40	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1086254490	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.16	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1086116906	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.39	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1117922765	CMS
Esperion Therapeutics, Inc.	$15.58	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1129448770	CMS
Exact Sciences Corporation	$23.33	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1114810760	CMS
GlaxoSmithKline, LLC.	$14.98	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1115729045	CMS
Inspire Medical Systems, Inc.	$24.60	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1148089195	CMS
Lilly USA, LLC	$15.19	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1135053444	CMS
Lilly USA, LLC	$15.11	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1135069295	CMS
Lilly USA, LLC	$13.42	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1135066781	CMS
Lilly USA, LLC	$18.55	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1135028584	CMS
Novartis Pharmaceuticals Corporation	$21.23	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1087031290	CMS
Novartis Pharmaceuticals Corporation	$25.85	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1087031306	CMS
Novartis Pharmaceuticals Corporation	$25.07	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1087031310	CMS
Novartis Pharmaceuticals Corporation	$19.85	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1087031314	CMS
Novartis Pharmaceuticals Corporation	$23.91	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1087031316	CMS
Novartis Pharmaceuticals Corporation	$24.83	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1087031322	CMS
Novartis Pharmaceuticals Corporation	$28.06	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1087031326	CMS
Novo Nordisk Inc	$15.78	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1096923324	CMS
Novo Nordisk Inc	$18.59	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1097573686	CMS
Novo Nordisk Inc	$12.00	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1097384835	CMS
Novo Nordisk Inc	$14.26	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1096641600	CMS
Novo Nordisk Inc	$13.72	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1096589684	CMS
Novo Nordisk Inc	$15.08	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1097115446	CMS
Novo Nordisk Inc	$14.83	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1096887938	CMS
Novo Nordisk Inc	$13.97	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1096778534	CMS
Novo Nordisk Inc	$20.54	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1097819781	CMS
Novo Nordisk Inc	$14.34	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1096919574	CMS
Novo Nordisk Inc	$24.08	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1096999982	CMS
PFIZER INC.	$16.97	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1131159609	CMS
PFIZER INC.	$4.24	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1131717836	CMS
PFIZER INC.	$18.79	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1131245782	CMS
PFIZER INC.	$2.34	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1131716636	CMS
PFIZER INC.	$12.29	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1131715056	CMS
PFIZER INC.	$9.80	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1131714229	CMS
PFIZER INC.	$20.02	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1131449287	CMS
PFIZER INC.	$1.14	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1131724986	CMS
PFIZER INC.	$16.36	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1131444330	CMS
PFIZER INC.	$20.73	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1131785088	CMS
PFIZER INC.	$2.95	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1131789041	CMS
PFIZER INC.	$11.86	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1131750218	CMS
PFIZER INC.	$14.36	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1131758462	CMS
PFIZER INC.	$4.62	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1131884237	CMS
PFIZER INC.	$16.18	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1132103205	CMS
PFIZER INC.	$3.99	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1131402699	CMS
PFIZER INC.	$18.98	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1131489160	CMS
Phathom Pharmaceuticals, Inc.	$22.94	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1151102913	CMS
Phathom Pharmaceuticals, Inc.	$21.97	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1151102915	CMS
Phathom Pharmaceuticals, Inc.	$20.78	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1151102917	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.28	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1153589954	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.57	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1153439971	CMS
Sumitomo Pharma America, Inc.	$16.88	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1148897115	CMS
Sumitomo Pharma America, Inc.	$15.41	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1148897117	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.