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

CAROLINE PEARSON ZIRBEL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics

NPI
1295489185
CMS profile
11362333
Location
DECATUR, GA

General Payments · PY2022–2024

$322.46

  • Reported across 16 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$267.97

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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $267.97 13

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $20.66 1
PY2023 $33.83 2
PY2024 $267.97 13

Payment records · PY2024 (13)

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

Program year 2024 20222023 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
IRONSHORE PHARMACEUTICALS INC. $20.45 05/23/2024 Food and Beverage Undisputed 01/23/2026 1146284260 CMS
IRONSHORE PHARMACEUTICALS INC. $20.28 07/05/2024 Food and Beverage Undisputed 01/23/2026 1146284346 CMS
IRONSHORE PHARMACEUTICALS INC. $22.88 10/02/2024 Food and Beverage Undisputed 01/23/2026 1146295070 CMS
IRONSHORE PHARMACEUTICALS INC. $23.31 12/18/2024 Food and Beverage Undisputed 01/23/2026 1146306821 CMS
MAYNE PHARMA COMMERCIAL LLC $19.16 03/06/2024 Food and Beverage Undisputed 01/23/2026 1154690021 CMS
Merck Sharp & Dohme LLC $17.34 04/03/2024 Food and Beverage Undisputed 01/23/2026 1141681207 CMS
Merck Sharp & Dohme LLC $16.17 06/13/2024 Food and Beverage Undisputed 01/23/2026 1141968331 CMS
Merck Sharp & Dohme LLC $19.40 12/05/2024 Food and Beverage Undisputed 01/23/2026 1141681205 CMS
SANOFI PASTEUR INC. $18.95 03/21/2024 Food and Beverage Undisputed 01/23/2026 1128756187 CMS
SANOFI-AVENTIS U.S. LLC $17.88 08/28/2024 Food and Beverage Undisputed 01/23/2026 1139974881 CMS
Seqirus USA Inc $19.90 08/22/2024 Food and Beverage Undisputed 01/23/2026 1125628186 CMS
Seqirus USA Inc $21.50 10/31/2024 Food and Beverage Undisputed 01/23/2026 1125628196 CMS
Verrica Pharmaceuticals Inc. $30.75 10/16/2024 Food and Beverage Undisputed 01/23/2026 1118398938 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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