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

IRMA Y CASTRO

Allopathic & Osteopathic Physicians Family Medicine

NPI
1285652669
CMS profile
58552
Location
FRESNO, CA

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

$1,722.03

54 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 $1,694.76 53
Education $27.27 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $2,918.63 144
PY2020 $1,677.59 93
PY2021 $3,198.64 159
PY2022 $1,925.50 93
PY2023 $1,993.26 76
PY2024 $1,766.16 53
PY2025 $1,722.03 54

Payment records · PY2025 (54)

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
Amgen Inc. $19.74 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1228299984 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $116.60 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1223038501 CMS
Amgen Inc. $9.64 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1227105684 CMS
Amgen Inc. $15.29 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1228299986 CMS
Amgen Inc. $136.01 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1228299990 CMS
Abbott Laboratories $27.62 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1240986470 CMS
Amgen Inc. $18.09 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1228299988 CMS
Tactile Systems Technology Inc $21.89 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1180547674 CMS
Lilly USA, LLC $24.68 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1186595902 CMS
Amgen Inc. $6.90 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1227105682 CMS
Amgen Inc. $6.90 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1227105686 CMS
AstraZeneca Pharmaceuticals LP $121.84 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1206663426 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.54 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1225489051 CMS
AstraZeneca Pharmaceuticals LP $24.98 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1207129846 CMS
Novo Nordisk Inc $16.79 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1188510811 CMS
Lilly USA, LLC $22.75 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1186640701 CMS
Amgen Inc. $10.36 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1227105680 CMS
Lilly USA, LLC $121.93 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1186616892 CMS
Sumitomo Pharma America, Inc. $26.95 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1176619207 CMS
Novo Nordisk Inc $22.87 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1188251227 CMS
Lilly USA, LLC $22.75 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1186652267 CMS
E.R. Squibb & Sons, L.L.C. $27.27 07/14/2025 Education No dispute reported 06/30/2026 1184836191 CMS
AstraZeneca Pharmaceuticals LP $17.03 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1206850831 CMS
GlaxoSmithKline, LLC. $13.76 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1191031381 CMS
Amgen Inc. $9.19 05/23/2025 Food and Beverage No dispute reported 06/30/2026 1227105678 CMS
Novo Nordisk Inc $7.00 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1188214156 CMS
Amgen Inc. $12.31 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1227105690 CMS
Novo Nordisk Inc $7.75 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1188198170 CMS
Radius Health, Inc. $29.82 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1249510834 CMS
Novo Nordisk Inc $19.34 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1188713638 CMS
AstraZeneca Pharmaceuticals LP $28.27 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1206826389 CMS
Novo Nordisk Inc $9.60 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1188192814 CMS
Exact Sciences Corporation $25.55 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1235266280 CMS
Tactile Systems Technology Inc $16.33 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1180547672 CMS
AstraZeneca Pharmaceuticals LP $25.71 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1206658138 CMS
Lilly USA, LLC $21.84 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1186652265 CMS
Amgen Inc. $11.76 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1227105692 CMS
Lilly USA, LLC $111.15 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1186616894 CMS
Novo Nordisk Inc $32.59 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1188824409 CMS
Amgen Inc. $10.53 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1227105676 CMS
GlaxoSmithKline, LLC. $26.45 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1190734422 CMS
Novo Nordisk Inc $7.07 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1188606940 CMS
Lilly USA, LLC $122.06 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1186658049 CMS
AstraZeneca Pharmaceuticals LP $20.12 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1207199120 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.64 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1225489049 CMS
Novo Nordisk Inc $7.35 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1188388182 CMS
Novo Nordisk Inc $17.18 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1188153563 CMS
AstraZeneca Pharmaceuticals LP $26.79 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1206415523 CMS
Novo Nordisk Inc $7.50 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1188438935 CMS
Amgen Inc. $11.67 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1227105688 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.01 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1223038499 CMS
Xeris Pharmaceuticals, Inc. $139.50 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1250159704 CMS
Novo Nordisk Inc $6.75 01/10/2025 Food and Beverage No dispute reported 06/30/2026 1188266165 CMS
Radius Health, Inc. $30.02 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1249510832 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.

Plain
IRMA Y CASTRO, NPI 1285652669. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1285652669.
APA 7
IndustryPayments. (2026). IRMA Y CASTRO, NPI 1285652669 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1285652669
Bluebook
IRMA Y CASTRO, NPI 1285652669, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1285652669.

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