IndustryPayments
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

DEBORAH E GRAVIL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1225328040
CMS profile
10534286
Location
BOWLING GREEN, KY

General Payments · PY2021–2024

$4,638.50

  • Reported across 278 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,170.25

61 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.

Related groups: Nurse Practitioner KY All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,170.25 61

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Alnylam Pharmaceuticals Inc. $172.37 5
NOVARTIS PHARMACEUTICALS CORPORATION $143.09 11
Kiniksa Pharmaceuticals International, plc $90.70 4
Grifols USA, LLC $77.71 5
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $68.60 7
PFIZER INC. $66.37 4
Novo Nordisk AS $55.38 2
La Jolla Pharmaceutical Company $51.44 2
Acerta Pharma LLC $50.03 3
Janssen Pharmaceuticals, Inc $43.49 2
Merck Sharp & Dohme Corporation $40.10 2
Edwards Lifesciences Corporation $32.61 1
HARMONY BIOSCIENCES LLC $32.39 1
Philips Electronics North America Corporation $32.30 2
Mallinckrodt Hospital Products Inc. $30.74 1
BOSTON SCIENTIFIC CORPORATION $27.72 1
Relypsa, Inc. $25.10 1
Abbott Laboratories $22.35 1
BAXTER HEALTHCARE $21.47 1
Amgen Inc. $19.86 1
Actelion Pharmaceuticals US, Inc. $18.50 1
ABIOMED $17.48 1
United Therapeutics Corporation $16.84 1
Electromed, Inc. $13.61 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,204.44 80
PY2022 $1,480.43 80
PY2023 $783.38 57
PY2024 $1,170.25 61

Payment records · PY2024 (61)

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 $22.35 10/09/2024 Food and Beverage Undisputed 01/23/2026 1124909970 CMS
ABIOMED $17.48 02/01/2024 Food and Beverage Undisputed 01/23/2026 1142282713 CMS
Actelion Pharmaceuticals US, Inc. $18.50 05/13/2024 Food and Beverage Undisputed 01/23/2026 1078888133 CMS
Alnylam Pharmaceuticals Inc. $4.11 07/23/2024 Food and Beverage Undisputed 01/23/2026 1125836139 CMS
Alnylam Pharmaceuticals Inc. $4.82 07/24/2024 Food and Beverage Undisputed 01/23/2026 1125836141 CMS
Alnylam Pharmaceuticals Inc. $26.85 10/08/2024 Food and Beverage Undisputed 01/23/2026 1125836177 CMS
Alnylam Pharmaceuticals Inc. $116.29 11/13/2024 Food and Beverage Undisputed 01/23/2026 1125836209 CMS
Alnylam Pharmaceuticals Inc. $20.30 12/10/2024 Food and Beverage Undisputed 01/23/2026 1125836211 CMS
Amgen Inc. $19.86 07/15/2024 Food and Beverage Undisputed 01/23/2026 1115677462 CMS
AstraZeneca Pharmaceuticals LP $17.24 04/08/2024 Food and Beverage Undisputed 01/23/2026 1105387171 CMS
AstraZeneca Pharmaceuticals LP $19.53 05/06/2024 Food and Beverage Undisputed 01/23/2026 1105659072 CMS
AstraZeneca Pharmaceuticals LP $13.26 08/13/2024 Food and Beverage Undisputed 01/23/2026 1104442462 CMS
Baxter Healthcare $21.47 11/20/2024 Food and Beverage Undisputed 01/23/2026 1120629909 CMS
Boston Scientific Corporation $27.72 08/22/2024 Food and Beverage Undisputed 01/23/2026 1092488050 CMS
Edwards Lifesciences Corporation $32.61 10/23/2024 Food and Beverage Undisputed 01/23/2026 1138862531 CMS
Electromed, Inc. $13.61 11/12/2024 Food and Beverage Undisputed 01/23/2026 1137892681 CMS
Grifols USA, LLC $16.93 01/09/2024 Food and Beverage Undisputed 01/23/2026 1124736474 CMS
Grifols USA, LLC $15.17 02/12/2024 Food and Beverage Undisputed 01/23/2026 1124736472 CMS
Grifols USA, LLC $16.38 04/16/2024 Food and Beverage Undisputed 01/23/2026 1124736476 CMS
Grifols USA, LLC $15.29 11/19/2024 Food and Beverage Undisputed 01/23/2026 1124736478 CMS
Grifols USA, LLC $13.94 12/17/2024 Food and Beverage Undisputed 01/23/2026 1124736480 CMS
HARMONY BIOSCIENCES LLC $32.39 08/27/2024 Food and Beverage Undisputed 01/23/2026 1126070364 CMS
Janssen Pharmaceuticals, Inc $13.36 01/23/2024 Food and Beverage Undisputed 01/23/2026 1078024656 CMS
Janssen Pharmaceuticals, Inc $30.13 04/23/2024 Food and Beverage Undisputed 01/23/2026 1078024904 CMS
Kiniksa Pharmaceuticals International, plc $22.36 01/29/2024 Food and Beverage Undisputed 01/23/2026 1154854562 CMS
Kiniksa Pharmaceuticals International, plc $18.88 01/30/2024 Food and Beverage Undisputed 01/23/2026 1154854574 CMS
Kiniksa Pharmaceuticals International, plc $26.25 05/20/2024 Food and Beverage Undisputed 01/23/2026 1154854608 CMS
Kiniksa Pharmaceuticals International, plc $23.21 09/30/2024 Food and Beverage Undisputed 01/23/2026 1154854672 CMS
La Jolla Pharmaceutical Company $23.31 08/28/2024 Food and Beverage Undisputed 01/23/2026 1154252816 CMS
La Jolla Pharmaceutical Company $28.13 10/09/2024 Food and Beverage Undisputed 01/23/2026 1154252818 CMS
Mallinckrodt Hospital Products Inc. $30.74 11/26/2024 Food and Beverage Undisputed 01/23/2026 1145169401 CMS
Merck Sharp & Dohme LLC $20.60 05/17/2024 Food and Beverage Undisputed 01/23/2026 1141642754 CMS
Merck Sharp & Dohme LLC $19.50 07/30/2024 Food and Beverage Undisputed 01/23/2026 1141642756 CMS
Novartis Pharmaceuticals Corporation $15.94 02/27/2024 Food and Beverage Undisputed 01/23/2026 1086790423 CMS
Novartis Pharmaceuticals Corporation $10.00 04/04/2024 Food and Beverage Undisputed 01/23/2026 1086790427 CMS
Novartis Pharmaceuticals Corporation $0.87 04/04/2024 Food and Beverage Undisputed 01/23/2026 1086790429 CMS
Novartis Pharmaceuticals Corporation $15.48 04/09/2024 Food and Beverage Undisputed 01/23/2026 1086790431 CMS
Novartis Pharmaceuticals Corporation $8.44 05/09/2024 Food and Beverage Undisputed 01/23/2026 1086790435 CMS
Novartis Pharmaceuticals Corporation $16.36 05/21/2024 Food and Beverage Undisputed 01/23/2026 1086790443 CMS
Novartis Pharmaceuticals Corporation $18.41 06/18/2024 Food and Beverage Undisputed 01/23/2026 1086790445 CMS
Novartis Pharmaceuticals Corporation $7.63 09/26/2024 Food and Beverage Undisputed 01/23/2026 1086790457 CMS
Novartis Pharmaceuticals Corporation $16.80 10/15/2024 Food and Beverage Undisputed 01/23/2026 1086790459 CMS
Novartis Pharmaceuticals Corporation $16.80 11/05/2024 Food and Beverage Undisputed 01/23/2026 1086790461 CMS
Novartis Pharmaceuticals Corporation $16.36 12/10/2024 Food and Beverage Undisputed 01/23/2026 1086790473 CMS
Novo Nordisk Inc $17.94 04/25/2024 Food and Beverage Undisputed 01/23/2026 1100346950 CMS
Novo Nordisk Inc $37.44 07/11/2024 Food and Beverage Undisputed 01/23/2026 1100239264 CMS
PFIZER INC. $16.02 03/11/2024 Food and Beverage Undisputed 01/23/2026 1131238016 CMS
PFIZER INC. $16.17 06/04/2024 Food and Beverage Undisputed 01/23/2026 1131677849 CMS
PFIZER INC. $16.68 10/16/2024 Food and Beverage Undisputed 01/23/2026 1130876134 CMS
PFIZER INC. $17.50 11/19/2024 Food and Beverage Undisputed 01/23/2026 1131623843 CMS
Philips North America LLC $17.34 11/11/2024 Food and Beverage Undisputed 01/23/2026 1146898114 CMS
Philips North America LLC $14.96 12/12/2024 Food and Beverage Undisputed 01/23/2026 1146898112 CMS
United Therapeutics Corporation $16.84 10/02/2024 Food and Beverage Undisputed 01/23/2026 1149457752 CMS
Vifor Pharma, Inc. $25.10 11/19/2024 Food and Beverage Undisputed 01/23/2026 1124062218 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $9.93 07/02/2024 Food and Beverage Undisputed 01/23/2026 1080590825 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $3.95 08/30/2024 Food and Beverage Undisputed 01/23/2026 1080590851 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $7.99 09/03/2024 Food and Beverage Undisputed 01/23/2026 1080590853 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $10.78 10/02/2024 Food and Beverage Undisputed 01/23/2026 1080590869 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $11.67 10/28/2024 Food and Beverage Undisputed 01/23/2026 1080590885 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $14.36 11/07/2024 Food and Beverage Undisputed 01/23/2026 1080590891 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $9.92 12/03/2024 Food and Beverage Undisputed 01/23/2026 1080590907 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.