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

DENISE D DUNCAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1285306456
CMS profile
11276953
Location
PALMDALE, CA

General Payments · PY2021–2023

$1,418.43

  • Reported across 64 records
  • CMS publication 2026-01-23

Latest program year · PY2023

$257.21

13 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

PY2023 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $257.21 13

By paying entity

PY2023 · sorted by reported total

Paying entityAmountRecords
iRhythm Technologies, Inc. $170.78 9
Janssen Pharmaceuticals, Inc $57.61 2
Smith & Nephew, Inc. $28.82 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $37.52 2
PY2022 $1,123.70 49
PY2023 $257.21 13

Payment records · PY2023 (13)

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

Program year 2023 20212022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
iRhythm Technologies, Inc. $4.16 03/17/2023 Food and Beverage Undisputed 01/23/2026 1059023537 CMS
iRhythm Technologies, Inc. $7.17 03/22/2023 Food and Beverage Undisputed 01/23/2026 1059023529 CMS
iRhythm Technologies, Inc. $26.64 04/15/2023 Food and Beverage Undisputed 01/23/2026 1059023525 CMS
iRhythm Technologies, Inc. $6.79 04/22/2023 Food and Beverage Undisputed 01/23/2026 1059023533 CMS
iRhythm Technologies, Inc. $15.32 08/19/2023 Food and Beverage Undisputed 01/23/2026 1059023635 CMS
iRhythm Technologies, Inc. $6.64 10/12/2023 Food and Beverage Undisputed 01/23/2026 1059023490 CMS
iRhythm Technologies, Inc. $16.26 10/24/2023 Food and Beverage Undisputed 01/23/2026 1059023479 CMS
iRhythm Technologies, Inc. $72.93 10/24/2023 Food and Beverage Undisputed 01/23/2026 1059023485 CMS
iRhythm Technologies, Inc. $14.87 11/14/2023 Food and Beverage Undisputed 01/23/2026 1059023475 CMS
Janssen Pharmaceuticals, Inc $29.42 02/09/2023 Food and Beverage Undisputed 01/23/2026 987770157 CMS
Janssen Pharmaceuticals, Inc $28.19 03/09/2023 Food and Beverage Undisputed 01/23/2026 987770151 CMS
Smith+Nephew, Inc. $13.43 08/30/2023 Food and Beverage Undisputed 01/23/2026 1053437573 CMS
Smith+Nephew, Inc. $15.39 10/05/2023 Food and Beverage Undisputed 01/23/2026 1053437577 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
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023
Generated from
OP_DTL_GNRL_PGYR2023_P01232026_01102026.csv

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