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

RACHEL M KOWALESKI

Allopathic & Osteopathic Physicians Family Medicine

NPI
1326500927
CMS profile
11444124
Location
KNOXVILLE, TN

General Payments · PY2022–2025

$1,177.19

  • Reported across 69 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$749.06

43 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 $749.06 43

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $13.41 1
PY2023 $181.29 11
PY2024 $233.43 14
PY2025 $749.06 43

Payment records · PY2025 (43)

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

Program year 2025 202220232024 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. $13.70 02/27/2025 Food and Beverage Undisputed 06/30/2026 1227115351 CMS
Amgen Inc. $17.35 04/30/2025 Food and Beverage Undisputed 06/30/2026 1228635535 CMS
Amgen Inc. $16.09 06/10/2025 Food and Beverage Undisputed 06/30/2026 1228635531 CMS
Amgen Inc. $20.60 07/29/2025 Food and Beverage Undisputed 06/30/2026 1228635527 CMS
Amgen Inc. $16.91 09/23/2025 Food and Beverage Undisputed 06/30/2026 1228635529 CMS
Amgen Inc. $14.79 10/23/2025 Food and Beverage Undisputed 06/30/2026 1227115353 CMS
Amgen Inc. $20.84 11/24/2025 Food and Beverage Undisputed 06/30/2026 1228635533 CMS
ARS Pharmaceuticals Operations, Inc. $24.50 09/08/2025 Food and Beverage Undisputed 06/30/2026 1245881051 CMS
AstraZeneca Pharmaceuticals LP $16.18 04/14/2025 Food and Beverage Undisputed 06/30/2026 1206849515 CMS
AstraZeneca Pharmaceuticals LP $15.89 06/23/2025 Food and Beverage Undisputed 06/30/2026 1206138928 CMS
AstraZeneca Pharmaceuticals LP $16.74 08/18/2025 Food and Beverage Undisputed 06/30/2026 1206180560 CMS
AstraZeneca Pharmaceuticals LP $16.06 12/08/2025 Food and Beverage Undisputed 06/30/2026 1206241904 CMS
Dexcom, Inc. $24.27 05/06/2025 Food and Beverage Undisputed 06/30/2026 1250515342 CMS
Dexcom, Inc. $22.20 09/29/2025 Food and Beverage Undisputed 06/30/2026 1250515344 CMS
Exact Sciences Corporation $15.98 01/21/2025 Food and Beverage Undisputed 06/30/2026 1235271530 CMS
GlaxoSmithKline, LLC. $15.02 04/29/2025 Food and Beverage Undisputed 06/30/2026 1190504107 CMS
Lilly USA, LLC $14.37 06/02/2025 Food and Beverage Undisputed 06/30/2026 1186881775 CMS
Lilly USA, LLC $17.69 07/28/2025 Food and Beverage Undisputed 06/30/2026 1186892109 CMS
Lilly USA, LLC $16.32 08/26/2025 Food and Beverage Undisputed 06/30/2026 1186810459 CMS
Lilly USA, LLC $13.74 09/16/2025 Food and Beverage Undisputed 06/30/2026 1186765574 CMS
Lilly USA, LLC $18.53 10/28/2025 Food and Beverage Undisputed 06/30/2026 1186902598 CMS
Novartis Pharmaceuticals Corporation $21.79 11/17/2025 Food and Beverage Undisputed 06/30/2026 1200256421 CMS
Novartis Pharmaceuticals Corporation $22.42 12/01/2025 Food and Beverage Undisputed 06/30/2026 1200256423 CMS
Novo Nordisk Inc $19.36 01/13/2025 Food and Beverage Undisputed 06/30/2026 1188576895 CMS
Novo Nordisk Inc $18.25 02/24/2025 Food and Beverage Undisputed 06/30/2026 1188489065 CMS
Novo Nordisk Inc $17.63 03/24/2025 Food and Beverage Undisputed 06/30/2026 1188137442 CMS
Novo Nordisk Inc $18.36 04/22/2025 Food and Beverage Undisputed 06/30/2026 1188790089 CMS
Novo Nordisk Inc $22.44 04/25/2025 Food and Beverage Undisputed 06/30/2026 1188150480 CMS
Novo Nordisk Inc $18.56 05/19/2025 Food and Beverage Undisputed 06/30/2026 1188161301 CMS
Novo Nordisk Inc $17.63 06/16/2025 Food and Beverage Undisputed 06/30/2026 1188712443 CMS
Novo Nordisk Inc $17.34 07/15/2025 Food and Beverage Undisputed 06/30/2026 1188719483 CMS
Novo Nordisk Inc $16.20 08/08/2025 Food and Beverage Undisputed 06/30/2026 1188581821 CMS
Novo Nordisk Inc $8.49 10/17/2025 Food and Beverage Undisputed 06/30/2026 1188145679 CMS
Novo Nordisk Inc $14.00 10/20/2025 Food and Beverage Undisputed 06/30/2026 1188182206 CMS
Novo Nordisk Inc $13.26 10/20/2025 Food and Beverage Undisputed 06/30/2026 1188787043 CMS
Novo Nordisk Inc $14.59 10/21/2025 Food and Beverage Undisputed 06/30/2026 1188171921 CMS
Novo Nordisk Inc $14.73 11/05/2025 Food and Beverage Undisputed 06/30/2026 1188487867 CMS
Novo Nordisk Inc $14.65 11/07/2025 Food and Beverage Undisputed 06/30/2026 1188357843 CMS
PFIZER INC. $16.46 03/11/2025 Food and Beverage Undisputed 06/30/2026 1229052009 CMS
PFIZER INC. $19.55 08/04/2025 Food and Beverage Undisputed 06/30/2026 1229772010 CMS
PFIZER INC. $16.53 08/21/2025 Food and Beverage Undisputed 06/30/2026 1229736257 CMS
PFIZER INC. $19.49 11/03/2025 Food and Beverage Undisputed 06/30/2026 1230912842 CMS
PFIZER INC. $19.56 12/15/2025 Food and Beverage Undisputed 06/30/2026 1231034240 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
2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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