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Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

DAVID GUERRERO

Allopathic & Osteopathic Physicians Family Medicine

NPI
1265561849
CMS profile
193958
Location
SAN ANTONIO, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,188.70

82 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,188.70 82

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $247.59 18
Novo Nordisk AS $213.18 14
Bayer HealthCare Pharmaceuticals Inc. $167.92 13
Otsuka America Pharmaceutical, Inc. $162.59 16
Acerta Pharma LLC $92.11 5
Lundbeck LLC $67.71 3
DEXCOM, INC. $58.57 3
Salix Pharmaceuticals, a division of Bausch Health US, LLC $57.53 4
Exact Sciences Corporation $45.28 2
Astellas Pharma US Inc $31.94 2
Inspire Medical Systems, Inc. $26.99 1
GlaxoSmithKline, LLC. $17.29 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,150.60 86
PY2020 $1,249.71 86
PY2021 $1,280.27 86
PY2022 $798.54 60
PY2023 $1,165.78 68
PY2024 $1,089.41 60
PY2025 $1,188.70 82

Payment records · PY2025 (82)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Novo Nordisk Inc $18.43 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1188165083 CMS
Otsuka America Pharmaceutical, Inc. $14.08 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1227337547 CMS
Exact Sciences Corporation $24.11 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1235263860 CMS
Bayer Healthcare Pharmaceuticals Inc. $2.48 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1225560717 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.40 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1225560719 CMS
Bayer Healthcare Pharmaceuticals Inc. $0.30 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1225560721 CMS
GlaxoSmithKline, LLC. $17.29 11/28/2025 Food and Beverage No dispute reported 06/30/2026 1190614456 CMS
Otsuka America Pharmaceutical, Inc. $12.60 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1227337545 CMS
AstraZeneca Pharmaceuticals LP $18.34 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1206521235 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.98 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1225560709 CMS
Otsuka America Pharmaceutical, Inc. $12.48 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1227337543 CMS
Lilly USA, LLC $19.46 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1186650521 CMS
Bayer Healthcare Pharmaceuticals Inc. $4.00 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1225560707 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.76 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1225560711 CMS
Bayer Healthcare Pharmaceuticals Inc. $0.17 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1225560713 CMS
Lilly USA, LLC $124.98 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1186637213 CMS
Lundbeck LLC $17.17 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1251800926 CMS
Exact Sciences Corporation $21.17 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1235263858 CMS
Novo Nordisk Inc $10.84 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1188167975 CMS
Astellas Pharma US Inc $16.91 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1238683791 CMS
Novo Nordisk Inc $12.60 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1188187090 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.12 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1225560715 CMS
Otsuka America Pharmaceutical, Inc. $8.87 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1227337541 CMS
Novo Nordisk Inc $18.70 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1188595396 CMS
Lilly USA, LLC $4.97 09/12/2025 Food and Beverage No dispute reported 06/30/2026 1186580448 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $13.82 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1231855900 CMS
Otsuka America Pharmaceutical, Inc. $13.61 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1227337539 CMS
Lilly USA, LLC $3.31 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1186650523 CMS
Lilly USA, LLC $0.13 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1186650525 CMS
Bayer Healthcare Pharmaceuticals Inc. $1.30 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1225560703 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.84 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1225560705 CMS
Lilly USA, LLC $20.53 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1186625195 CMS
Otsuka America Pharmaceutical, Inc. $7.33 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1227337537 CMS
Lilly USA, LLC $3.70 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1186637211 CMS
AstraZeneca Pharmaceuticals LP $18.83 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1206219076 CMS
Inspire Medical Systems, Inc. $26.99 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1251470518 CMS
Lilly USA, LLC $0.35 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1186570390 CMS
Lilly USA, LLC $11.64 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1186613240 CMS
Lilly USA, LLC $3.59 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1186625197 CMS
Novo Nordisk Inc $20.37 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1188398888 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.86 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1231855895 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.11 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1225560699 CMS
Otsuka America Pharmaceutical, Inc. $9.09 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1227337535 CMS
Otsuka America Pharmaceutical, Inc. $16.16 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1227337533 CMS
Lilly USA, LLC $3.63 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1186613242 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.73 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1225560697 CMS
Lundbeck LLC $26.54 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1251800924 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.73 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1225560701 CMS
Novo Nordisk Inc $19.41 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1188524930 CMS
Lilly USA, LLC $0.74 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1186587974 CMS
Lilly USA, LLC $7.61 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1186625193 CMS
Otsuka America Pharmaceutical, Inc. $12.65 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1227337531 CMS
Otsuka America Pharmaceutical, Inc. $5.49 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1227337529 CMS
Dexcom, Inc. $20.20 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1250480324 CMS
AstraZeneca Pharmaceuticals LP $18.36 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1206626500 CMS
Lilly USA, LLC $4.17 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1186587976 CMS
Astellas Pharma US Inc $15.03 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1238775730 CMS
Novo Nordisk Inc $5.41 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1188381803 CMS
Otsuka America Pharmaceutical, Inc. $13.12 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1227337527 CMS
Otsuka America Pharmaceutical, Inc. $5.59 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1227337525 CMS
Lilly USA, LLC $3.71 04/04/2025 Food and Beverage No dispute reported 06/30/2026 1186580446 CMS
Novo Nordisk Inc $14.29 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1188160114 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.16 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1231855889 CMS
Dexcom, Inc. $15.90 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1250480320 CMS
Novo Nordisk Inc $16.60 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1188542412 CMS
Otsuka America Pharmaceutical, Inc. $5.74 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1227337523 CMS
Novo Nordisk Inc $9.22 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1188192176 CMS
Novo Nordisk Inc $19.70 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1188141396 CMS
Lilly USA, LLC $5.84 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1186587970 CMS
Lilly USA, LLC $10.50 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1186587972 CMS
Otsuka America Pharmaceutical, Inc. $13.24 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1227337521 CMS
Dexcom, Inc. $22.47 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1250480322 CMS
Otsuka America Pharmaceutical, Inc. $6.60 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1227337519 CMS
Novo Nordisk Inc $20.90 02/14/2025 Food and Beverage No dispute reported 06/30/2026 1188602679 CMS
Lilly USA, LLC $18.73 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1186625191 CMS
Novo Nordisk Inc $18.26 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1188153787 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $13.69 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1231855885 CMS
AstraZeneca Pharmaceuticals LP $17.82 01/25/2025 Food and Beverage No dispute reported 06/30/2026 1206184700 CMS
AstraZeneca Pharmaceuticals LP $18.76 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1206586409 CMS
Otsuka America Pharmaceutical, Inc. $5.94 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1227337517 CMS
Lundbeck LLC $24.00 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1251800922 CMS
Novo Nordisk Inc $8.45 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1188153391 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

Cite this record.

Permalink https://industrypayments.org/provider/npi-1265561849

Plain
DAVID GUERRERO, NPI 1265561849. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1265561849.
APA 7
IndustryPayments. (2026). DAVID GUERRERO, NPI 1265561849 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1265561849
Bluebook
DAVID GUERRERO, NPI 1265561849, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1265561849.

Source: Centers for Medicare & Medicaid Services, Open Payments.