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

ESTEBAN GARCES

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1295176998
CMS profile
10798028
Location
JACKSONVILLE BEACH, FL

General Payments · PY2021–2024

$1,401.21

  • Reported across 75 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$343.78

18 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 paymentAmountRecords
Food and Beverage $333.78 14
Education $10.00 4

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Axsome Therapeutics, Inc. $159.28 6
ABBVIE INC. $71.12 5
Exact Sciences Corporation $51.93 3
Lilly USA, LLC $16.22 1
Acella Pharmaceuticals, LLC $16.12 1
Exeltis, USA Inc. $15.42 1
IBSA Pharma Inc. $13.69 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $252.46 15
PY2022 $427.37 20
PY2023 $377.60 22
PY2024 $343.78 18

Payment records · PY2024 (18)

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

Program year 2024 202120222023 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. $13.73 01/29/2024 Food and Beverage Undisputed 01/23/2026 1107147672 CMS
ABBVIE INC. $15.07 03/25/2024 Food and Beverage Undisputed 01/23/2026 1107147674 CMS
ABBVIE INC. $13.33 04/15/2024 Food and Beverage Undisputed 01/23/2026 1107147676 CMS
ABBVIE INC. $15.70 06/05/2024 Food and Beverage Undisputed 01/23/2026 1107147678 CMS
ABBVIE INC. $13.29 11/11/2024 Food and Beverage Undisputed 01/23/2026 1107147680 CMS
Acella Pharmaceuticals, LLC $16.12 09/08/2024 Food and Beverage Undisputed 01/23/2026 1126637646 CMS
Axsome Therapeutics, Inc. $1.54 01/24/2024 Education Undisputed 01/23/2026 1148358984 CMS
Axsome Therapeutics, Inc. $2.82 05/13/2024 Education Undisputed 01/23/2026 1148358988 CMS
Axsome Therapeutics, Inc. $2.82 06/10/2024 Education Undisputed 01/23/2026 1148358986 CMS
Axsome Therapeutics, Inc. $28.41 06/10/2024 Food and Beverage Undisputed 01/23/2026 1148358992 CMS
Axsome Therapeutics, Inc. $2.82 09/24/2024 Education Undisputed 01/23/2026 1148358990 CMS
Axsome Therapeutics, Inc. $120.87 12/03/2024 Food and Beverage Undisputed 01/23/2026 1148358994 CMS
Exact Sciences Corporation $14.05 01/22/2024 Food and Beverage Undisputed 01/23/2026 1114667748 CMS
Exact Sciences Corporation $14.33 04/03/2024 Food and Beverage Undisputed 01/23/2026 1114667754 CMS
Exact Sciences Corporation $23.55 10/15/2024 Food and Beverage Undisputed 01/23/2026 1114667759 CMS
Exeltis, USA Inc. $15.42 11/04/2024 Food and Beverage Undisputed 01/23/2026 1150012469 CMS
IBSA Pharma Inc. $13.69 10/21/2024 Food and Beverage Undisputed 01/23/2026 1142974918 CMS
Lilly USA, LLC $16.22 02/05/2024 Food and Beverage Undisputed 01/23/2026 1135670574 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.