Covered recipient · General Payments record

KEITH D'ALTON SHIELDS

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1265972350
CMS profile: 10482659
Location: LINCOLN, RI

General Payments · PY2021–2024

$6,470.88

Reported across 325 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,920.03

94 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 payment	Amount	Records
Food and Beverage	$1,920.03	94

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$291.13	16
Novo Nordisk AS	$223.77	10
Lilly USA, LLC	$208.97	9
PFIZER INC.	$149.65	8
GlaxoSmithKline, LLC.	$148.06	8
Inspire Medical Systems, Inc.	$139.79	9
Vanda Pharmaceuticals Inc.	$111.63	3
Exact Sciences Corporation	$76.21	4
Actelion Pharmaceuticals US, Inc.	$61.64	2
Merck Sharp & Dohme Corporation	$60.98	3
Mylan Specialty L.P.	$47.31	2
DEXCOM, INC.	$46.49	2
Sumitomo Pharma America, Inc.	$45.66	2
AIMMUNE THERAPEUTICS, INC.	$40.89	2
Paratek Pharmaceuticals, Inc.	$36.81	2
Otsuka America Pharmaceutical, Inc.	$35.98	2
Lundbeck LLC	$30.97	2
ABBVIE INC.	$26.45	1
Xeris Pharmaceuticals, Inc.	$24.77	1
Janssen Pharmaceuticals, Inc	$24.16	1
Phathom Pharmaceuticals, Inc.	$21.62	1
NOVARTIS PHARMACEUTICALS CORPORATION	$20.21	1
ITI, Inc.	$16.22	1
Amgen Inc.	$15.76	1
Lucid Diagnostics Inc.	$14.90	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,121.85	63
PY2022	$1,669.61	82
PY2023	$1,759.39	86
PY2024	$1,920.03	94

Payment records · PY2024 (94)

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

Program year 2024 2021 2022 2023 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
ABBVIE INC.	$26.45	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1108189436	CMS
Actelion Pharmaceuticals US, Inc.	$38.22	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1078910943	CMS
Actelion Pharmaceuticals US, Inc.	$23.42	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1078910941	CMS
AIMMUNE THERAPEUTICS, INC.	$23.15	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1147008996	CMS
AIMMUNE THERAPEUTICS, INC.	$17.74	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1147009984	CMS
Amgen Inc.	$15.76	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1117682940	CMS
AstraZeneca Pharmaceuticals LP	$17.47	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1105550568	CMS
AstraZeneca Pharmaceuticals LP	$3.42	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1104476476	CMS
AstraZeneca Pharmaceuticals LP	$16.80	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1105704464	CMS
AstraZeneca Pharmaceuticals LP	$15.14	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1105563582	CMS
AstraZeneca Pharmaceuticals LP	$15.61	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1105469207	CMS
AstraZeneca Pharmaceuticals LP	$13.68	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1104672003	CMS
AstraZeneca Pharmaceuticals LP	$22.63	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1105639762	CMS
AstraZeneca Pharmaceuticals LP	$19.58	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1104736359	CMS
AstraZeneca Pharmaceuticals LP	$18.96	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1105643554	CMS
AstraZeneca Pharmaceuticals LP	$21.66	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1105848263	CMS
AstraZeneca Pharmaceuticals LP	$23.51	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1105303644	CMS
AstraZeneca Pharmaceuticals LP	$21.25	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1104752476	CMS
AstraZeneca Pharmaceuticals LP	$19.41	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1104291834	CMS
AstraZeneca Pharmaceuticals LP	$19.41	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1105594555	CMS
AstraZeneca Pharmaceuticals LP	$15.51	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1105340245	CMS
AstraZeneca Pharmaceuticals LP	$27.09	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1104319492	CMS
Dexcom, Inc.	$23.56	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1153370961	CMS
Dexcom, Inc.	$22.93	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1153370963	CMS
Exact Sciences Corporation	$14.01	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1114443072	CMS
Exact Sciences Corporation	$22.43	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1114443076	CMS
Exact Sciences Corporation	$19.43	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1114443079	CMS
Exact Sciences Corporation	$20.34	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1114443082	CMS
GlaxoSmithKline, LLC.	$16.08	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1116648809	CMS
GlaxoSmithKline, LLC.	$19.08	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1116443763	CMS
GlaxoSmithKline, LLC.	$16.93	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1116422859	CMS
GlaxoSmithKline, LLC.	$15.99	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1116529676	CMS
GlaxoSmithKline, LLC.	$18.96	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1116487843	CMS
GlaxoSmithKline, LLC.	$11.73	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1116692619	CMS
GlaxoSmithKline, LLC.	$32.55	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1116722971	CMS
GlaxoSmithKline, LLC.	$16.74	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1115792303	CMS
Inspire Medical Systems, Inc.	$24.79	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1148168620	CMS
Inspire Medical Systems, Inc.	$4.55	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1148168622	CMS
Inspire Medical Systems, Inc.	$6.52	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1148168624	CMS
Inspire Medical Systems, Inc.	$21.22	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1148168626	CMS
Inspire Medical Systems, Inc.	$9.85	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1148168628	CMS
Inspire Medical Systems, Inc.	$12.03	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1148168630	CMS
Inspire Medical Systems, Inc.	$21.01	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1148168632	CMS
Inspire Medical Systems, Inc.	$13.94	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1148168634	CMS
Inspire Medical Systems, Inc.	$25.88	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1148168636	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$16.22	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1143603282	CMS
Janssen Pharmaceuticals, Inc	$24.16	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1078172887	CMS
Lilly USA, LLC	$13.66	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1135747800	CMS
Lilly USA, LLC	$28.80	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1135767411	CMS
Lilly USA, LLC	$24.88	06/02/2024	Food and Beverage	Undisputed	01/23/2026	1135767879	CMS
Lilly USA, LLC	$24.98	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1135789934	CMS
Lilly USA, LLC	$24.99	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1135767409	CMS
Lilly USA, LLC	$24.23	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1135747802	CMS
Lilly USA, LLC	$22.12	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1135771792	CMS
Lilly USA, LLC	$23.98	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1135735679	CMS
Lilly USA, LLC	$21.33	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1135767407	CMS
Lucid Diagnostics Inc.	$14.90	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1152303661	CMS
Lundbeck LLC	$15.30	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1146089585	CMS
Lundbeck LLC	$15.67	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1146089587	CMS
Merck Sharp & Dohme LLC	$19.54	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1141964331	CMS
Merck Sharp & Dohme LLC	$19.14	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1141814182	CMS
Merck Sharp & Dohme LLC	$22.30	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1141814180	CMS
Mylan Specialty L.P.	$25.52	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1147318092	CMS
Mylan Specialty L.P.	$21.79	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1147369202	CMS
Novartis Pharmaceuticals Corporation	$20.21	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1087189311	CMS
Novo Nordisk Inc	$24.88	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1100315372	CMS
Novo Nordisk Inc	$24.77	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1100637418	CMS
Novo Nordisk Inc	$24.83	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1100495227	CMS
Novo Nordisk Inc	$18.86	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1100366989	CMS
Novo Nordisk Inc	$18.29	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1100459194	CMS
Novo Nordisk Inc	$19.64	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1100298167	CMS
Novo Nordisk Inc	$20.92	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1100592792	CMS
Novo Nordisk Inc	$22.84	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1100353526	CMS
Novo Nordisk Inc	$20.87	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1100329400	CMS
Novo Nordisk Inc	$27.87	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1100645407	CMS
Otsuka America Pharmaceutical, Inc.	$16.03	09/14/2024	Food and Beverage	Undisputed	01/23/2026	1119184736	CMS
Otsuka America Pharmaceutical, Inc.	$19.95	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1119184738	CMS
Paratek Pharmaceuticals, Inc.	$15.40	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1113934140	CMS
Paratek Pharmaceuticals, Inc.	$21.41	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1113934142	CMS
PFIZER INC.	$16.95	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1130944424	CMS
PFIZER INC.	$16.49	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1131048034	CMS
PFIZER INC.	$15.72	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1131286888	CMS
PFIZER INC.	$15.84	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1131390496	CMS
PFIZER INC.	$15.76	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1131369596	CMS
PFIZER INC.	$18.27	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1131686932	CMS
PFIZER INC.	$28.65	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1131524858	CMS
PFIZER INC.	$21.97	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1131052692	CMS
Phathom Pharmaceuticals, Inc.	$21.62	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1151205047	CMS
Sumitomo Pharma America, Inc.	$27.21	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1148994708	CMS
Sumitomo Pharma America, Inc.	$18.45	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1148994710	CMS
Vanda Pharmaceuticals Inc.	$44.27	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1133969596	CMS
Vanda Pharmaceuticals Inc.	$34.53	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1133969598	CMS
Vanda Pharmaceuticals Inc.	$32.83	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1133969600	CMS
Xeris Pharmaceuticals, Inc.	$24.77	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1144631185	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.