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

Covered recipient · General Payments record

MELISSA RENEE MEANS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1275029621
CMS profile
10613422
Location
PORT ORCHARD, WA

General Payments · PY2023–2025

$379.26

  • Reported across 17 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$251.25

11 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $251.25 11

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $79.12 3
Lilly USA, LLC $59.08 3
PFIZER INC. $51.42 2
Amgen Inc. $22.56 1
Merck Sharp & Dohme Corporation $20.90 1
GlaxoSmithKline, LLC. $18.17 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $76.17 3
PY2024 $51.84 3
PY2025 $251.25 11

Payment records · PY2025 (11)

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

Program year 2025 20232024 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
Amgen Inc. $22.56 12/11/2025 Food and Beverage Undisputed 06/30/2026 1228994171 CMS
GlaxoSmithKline, LLC. $18.17 05/01/2025 Food and Beverage Undisputed 06/30/2026 1191423688 CMS
Lilly USA, LLC $19.11 05/16/2025 Food and Beverage Undisputed 06/30/2026 1187227255 CMS
Lilly USA, LLC $19.40 10/16/2025 Food and Beverage Undisputed 06/30/2026 1187152639 CMS
Lilly USA, LLC $20.57 10/30/2025 Food and Beverage Undisputed 06/30/2026 1187172762 CMS
Merck Sharp & Dohme LLC $20.90 07/31/2025 Food and Beverage Undisputed 06/30/2026 1238375078 CMS
Novo Nordisk Inc $26.16 04/24/2025 Food and Beverage Undisputed 06/30/2026 1188476991 CMS
Novo Nordisk Inc $21.88 08/14/2025 Food and Beverage Undisputed 06/30/2026 1188322893 CMS
Novo Nordisk Inc $31.08 10/02/2025 Food and Beverage Undisputed 06/30/2026 1189054672 CMS
PFIZER INC. $26.09 03/06/2025 Food and Beverage Undisputed 06/30/2026 1228984505 CMS
PFIZER INC. $25.33 11/13/2025 Food and Beverage Undisputed 06/30/2026 1230729369 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
2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.