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

GRETCHEN A LEFFLER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1255457677
CMS profile
10771293
Location
KALAMAZOO, MI

General Payments · PY2021–2024

$1,055.10

  • Reported across 56 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$494.22

22 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 paymentAmountRecords
Food and Beverage $494.22 22

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $162.83 10
Amgen Inc. $149.56 3
DEXCOM, INC. $49.87 2
Abbott Laboratories $45.47 2
ABBVIE INC. $39.34 2
Lilly USA, LLC $27.12 2
Astellas Pharma US Inc $20.03 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $125.61 8
PY2022 $152.06 9
PY2023 $283.21 17
PY2024 $494.22 22

Payment records · PY2024 (22)

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 $22.76 06/11/2024 Food and Beverage Undisputed 01/23/2026 1124926165 CMS
Abbott Laboratories $22.71 12/09/2024 Food and Beverage Undisputed 01/23/2026 1124926169 CMS
ABBVIE INC. $19.83 06/12/2024 Food and Beverage Undisputed 01/23/2026 1107524751 CMS
ABBVIE INC. $19.51 09/04/2024 Food and Beverage Undisputed 01/23/2026 1107524753 CMS
Amgen Inc. $23.12 02/06/2024 Food and Beverage Undisputed 01/23/2026 1117609330 CMS
Amgen Inc. $21.04 04/10/2024 Food and Beverage Undisputed 01/23/2026 1117609332 CMS
Amgen Inc. $105.40 04/11/2024 Food and Beverage Undisputed 01/23/2026 1115862541 CMS
Astellas Pharma US Inc $20.03 01/10/2024 Food and Beverage Undisputed 01/23/2026 1139466708 CMS
Dexcom, Inc. $27.84 06/26/2024 Food and Beverage Undisputed 01/23/2026 1153361924 CMS
Dexcom, Inc. $22.03 08/28/2024 Food and Beverage Undisputed 01/23/2026 1153361926 CMS
Lilly USA, LLC $13.94 02/29/2024 Food and Beverage Undisputed 01/23/2026 1135693678 CMS
Lilly USA, LLC $13.18 09/19/2024 Food and Beverage Undisputed 01/23/2026 1135639740 CMS
Novo Nordisk Inc $7.74 02/22/2024 Food and Beverage Undisputed 01/23/2026 1100620208 CMS
Novo Nordisk Inc $16.07 03/19/2024 Food and Beverage Undisputed 01/23/2026 1100226238 CMS
Novo Nordisk Inc $21.06 04/17/2024 Food and Beverage Undisputed 01/23/2026 1100638184 CMS
Novo Nordisk Inc $14.24 07/10/2024 Food and Beverage Undisputed 01/23/2026 1100475183 CMS
Novo Nordisk Inc $15.43 07/31/2024 Food and Beverage Undisputed 01/23/2026 1100483103 CMS
Novo Nordisk Inc $2.40 08/09/2024 Food and Beverage Undisputed 01/23/2026 1100279166 CMS
Novo Nordisk Inc $29.60 09/25/2024 Food and Beverage Undisputed 01/23/2026 1100300075 CMS
Novo Nordisk Inc $25.91 10/09/2024 Food and Beverage Undisputed 01/23/2026 1100564162 CMS
Novo Nordisk Inc $6.47 11/08/2024 Food and Beverage Undisputed 01/23/2026 1100311495 CMS
Novo Nordisk Inc $23.91 12/18/2024 Food and Beverage Undisputed 01/23/2026 1100385121 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.