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

ZACHARY C RICH

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1255608295
CMS profile
11191625
Location
CAMBRIDGE, OH

General Payments · PY2021–2024

$677.55

  • Reported across 36 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$302.01

16 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 $302.01 16

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Exact Sciences Corporation $101.69 4
Novo Nordisk AS $61.27 4
Phathom Pharmaceuticals, Inc. $30.45 2
PFIZER INC. $27.41 2
Merck Sharp & Dohme Corporation $22.90 1
SANOFI PASTEUR INC. $22.57 1
DEXCOM, INC. $20.61 1
Lilly USA, LLC $15.11 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $80.45 5
PY2022 $11.81 1
PY2023 $283.28 14
PY2024 $302.01 16

Payment records · PY2024 (16)

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
Dexcom, Inc. $20.61 09/04/2024 Food and Beverage Undisputed 01/23/2026 1153392234 CMS
Exact Sciences Corporation $28.60 03/21/2024 Food and Beverage Undisputed 01/23/2026 1114434468 CMS
Exact Sciences Corporation $25.17 07/10/2024 Food and Beverage Undisputed 01/23/2026 1114434471 CMS
Exact Sciences Corporation $23.22 08/27/2024 Food and Beverage Undisputed 01/23/2026 1114434475 CMS
Exact Sciences Corporation $24.70 10/02/2024 Food and Beverage Undisputed 01/23/2026 1114434478 CMS
Lilly USA, LLC $15.11 04/23/2024 Food and Beverage Undisputed 01/23/2026 1135978242 CMS
Merck Sharp & Dohme LLC $22.90 10/09/2024 Food and Beverage Undisputed 01/23/2026 1141886305 CMS
Novo Nordisk Inc $14.84 01/08/2024 Food and Beverage Undisputed 01/23/2026 1100556559 CMS
Novo Nordisk Inc $18.44 04/03/2024 Food and Beverage Undisputed 01/23/2026 1100519717 CMS
Novo Nordisk Inc $14.31 07/08/2024 Food and Beverage Undisputed 01/23/2026 1100625312 CMS
Novo Nordisk Inc $13.68 10/15/2024 Food and Beverage Undisputed 01/23/2026 1100588161 CMS
PFIZER INC. $13.73 09/25/2024 Food and Beverage Undisputed 01/23/2026 1131977027 CMS
PFIZER INC. $13.68 10/22/2024 Food and Beverage Undisputed 01/23/2026 1130891147 CMS
Phathom Pharmaceuticals, Inc. $14.30 03/27/2024 Food and Beverage Undisputed 01/23/2026 1151200179 CMS
Phathom Pharmaceuticals, Inc. $16.15 10/23/2024 Food and Beverage Undisputed 01/23/2026 1151200181 CMS
SANOFI PASTEUR INC. $22.57 03/06/2024 Food and Beverage Undisputed 01/23/2026 1128749607 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

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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.