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

GARY A GRAMM

Allopathic & Osteopathic Physicians Family Medicine

NPI
1235143736
CMS profile
192572
Location
LOOMIS, CA

General Payments · PY2018–2023

$3,272.15

  • Reported across 177 records
  • CMS publication 2026-01-23

Latest program year · PY2023

$409.90

20 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

PY2023 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $409.90 20

By paying entity

PY2023 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $411.31 25
PY2019 $599.98 34
PY2020 $499.64 27
PY2021 $701.84 37
PY2022 $649.48 34
PY2023 $409.90 20

Payment records · PY2023 (20)

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

Program year 2023 20182019202020212022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $18.95 01/10/2023 Food and Beverage Undisputed 01/23/2026 997378069 CMS
ABBVIE INC. $11.21 02/22/2023 Food and Beverage Undisputed 01/23/2026 997378071 CMS
ABBVIE INC. $24.56 03/03/2023 Food and Beverage Undisputed 01/23/2026 997378073 CMS
ABBVIE INC. $25.91 05/10/2023 Food and Beverage Undisputed 01/23/2026 997378075 CMS
ABBVIE INC. $34.73 06/09/2023 Food and Beverage Undisputed 01/23/2026 997378077 CMS
ABBVIE INC. $16.25 06/17/2023 Food and Beverage Undisputed 01/23/2026 997378079 CMS
ABBVIE INC. $25.43 07/19/2023 Food and Beverage Undisputed 01/23/2026 997378081 CMS
AstraZeneca Pharmaceuticals LP $15.08 02/28/2023 Food and Beverage Undisputed 01/23/2026 1014666673 CMS
AstraZeneca Pharmaceuticals LP $14.60 03/23/2023 Food and Beverage Undisputed 01/23/2026 1011416433 CMS
AstraZeneca Pharmaceuticals LP $18.07 05/04/2023 Food and Beverage Undisputed 01/23/2026 1011999595 CMS
AstraZeneca Pharmaceuticals LP $18.63 07/13/2023 Food and Beverage Undisputed 01/23/2026 1014733305 CMS
AstraZeneca Pharmaceuticals LP $19.28 08/17/2023 Food and Beverage Undisputed 01/23/2026 1011941821 CMS
Bayer Healthcare Pharmaceuticals Inc. $31.13 04/12/2023 Food and Beverage Undisputed 01/23/2026 1000194631 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.22 08/29/2023 Food and Beverage Undisputed 01/23/2026 1000186695 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.58 05/11/2023 Food and Beverage Undisputed 01/23/2026 996608629 CMS
Boston Scientific Corporation $14.87 04/20/2023 Food and Beverage Undisputed 01/23/2026 1022344451 CMS
E.R. Squibb & Sons, L.L.C. $22.03 05/15/2023 Food and Beverage Undisputed 01/23/2026 1015217447 CMS
Exact Sciences Corporation $19.14 03/28/2023 Food and Beverage Undisputed 01/23/2026 1026513233 CMS
Novartis Pharmaceuticals Corporation $16.92 03/02/2023 Food and Beverage Undisputed 01/23/2026 992282793 CMS
Novo Nordisk Inc $16.31 02/23/2023 Food and Beverage Undisputed 01/23/2026 1001716733 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
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023
Generated from
OP_DTL_GNRL_PGYR2023_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.