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

MELISSA REAL

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1326675414
CMS profile
11302497
Location
PASADENA, 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 · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$2,308.89

91 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 $2,308.89 91

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $23.73 1
PY2023 $629.55 22
PY2024 $2,408.57 97
PY2025 $2,308.89 91

Payment records · PY2025 (91)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 202120232024 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
Gilead Sciences, Inc. $5.18 12/19/2025 Food and Beverage No dispute reported 06/30/2026 1234602156 CMS
Madrigal Pharmaceuticals $37.83 12/18/2025 Food and Beverage No dispute reported 06/30/2026 1248375331 CMS
ABBVIE INC. $22.37 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1205595503 CMS
Gilead Sciences, Inc. $87.00 12/13/2025 Food and Beverage No dispute reported 06/30/2026 1234406016 CMS
Madrigal Pharmaceuticals $82.90 12/13/2025 Food and Beverage No dispute reported 06/30/2026 1248375329 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.21 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1232119040 CMS
Boston Scientific Corporation $45.26 12/05/2025 Food and Beverage No dispute reported 06/30/2026 1181080734 CMS
Madrigal Pharmaceuticals $7.40 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1248375327 CMS
Gilead Sciences, Inc. $26.72 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1234460566 CMS
ABBVIE INC. $14.00 11/27/2025 Food and Beverage No dispute reported 06/30/2026 1205595497 CMS
Mirum Pharmaceuticals, Inc. $22.98 11/26/2025 Food and Beverage No dispute reported 06/30/2026 1241164171 CMS
Gilead Sciences, Inc. $40.30 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1234415725 CMS
Madrigal Pharmaceuticals $131.89 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1248375325 CMS
Madrigal Pharmaceuticals $143.88 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1248375321 CMS
Madrigal Pharmaceuticals $72.19 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1248375323 CMS
TerSera Therapeutics LLC $31.47 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1244069226 CMS
Gilead Sciences, Inc. $8.63 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1234590170 CMS
Madrigal Pharmaceuticals $1.28 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1248375315 CMS
Madrigal Pharmaceuticals $4.98 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1248375317 CMS
Madrigal Pharmaceuticals $5.18 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1248375319 CMS
Mirum Pharmaceuticals, Inc. $23.08 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1241164169 CMS
Gilead Sciences, Inc. $6.67 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1234596325 CMS
Madrigal Pharmaceuticals $13.42 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1248375313 CMS
Madrigal Pharmaceuticals $30.53 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1248375311 CMS
Gilead Sciences, Inc. $25.74 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1234468177 CMS
Madrigal Pharmaceuticals $9.83 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1248375309 CMS
Madrigal Pharmaceuticals $30.78 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1248375307 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $7.25 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1232119037 CMS
ABBVIE INC. $21.78 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1205595491 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $5.99 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1232119035 CMS
Madrigal Pharmaceuticals $11.34 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1248375305 CMS
ABBVIE INC. $7.44 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1205595485 CMS
Madrigal Pharmaceuticals $23.48 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1248375303 CMS
Madrigal Pharmaceuticals $11.42 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1248375301 CMS
Gilead Sciences, Inc. $20.34 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1234524919 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.47 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1232119033 CMS
Madrigal Pharmaceuticals $8.39 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1248375299 CMS
Alnylam Pharmaceuticals Inc. $34.60 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1212790718 CMS
Madrigal Pharmaceuticals $10.32 07/23/2025 Food and Beverage No dispute reported 06/30/2026 1248375297 CMS
ABBVIE INC. $16.77 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1205595480 CMS
ABBVIE INC. $74.51 07/11/2025 Food and Beverage No dispute reported 06/30/2026 1205595476 CMS
Madrigal Pharmaceuticals $46.33 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1248375295 CMS
Madrigal Pharmaceuticals $17.56 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1248375293 CMS
ABBVIE INC. $5.43 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1205595471 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.32 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1232119030 CMS
Madrigal Pharmaceuticals $10.00 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1248375291 CMS
ABBVIE INC. $20.32 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1205595468 CMS
Madrigal Pharmaceuticals $18.25 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1248375289 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $124.90 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1232119042 CMS
Madrigal Pharmaceuticals $17.55 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1248375287 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.99 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1232119026 CMS
Boston Scientific Corporation $55.44 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1181080732 CMS
Madrigal Pharmaceuticals $35.57 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1248375285 CMS
ABBVIE INC. $13.10 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1205595462 CMS
ABBVIE INC. $20.30 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1205595454 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $4.87 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1232119028 CMS
ABBVIE INC. $9.39 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1205595447 CMS
Madrigal Pharmaceuticals $9.98 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1248375283 CMS
ABBVIE INC. $24.25 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1205595441 CMS
Madrigal Pharmaceuticals $9.72 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1248375281 CMS
Novo Nordisk Inc $22.10 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1188707737 CMS
Madrigal Pharmaceuticals $8.10 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1248375277 CMS
Madrigal Pharmaceuticals $1.29 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1248375279 CMS
Lilly USA, LLC $29.68 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1187221797 CMS
Eisai Inc. $29.77 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1244544678 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $7.21 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1232119023 CMS
ABBVIE INC. $7.85 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1205595437 CMS
Madrigal Pharmaceuticals $10.08 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1248375275 CMS
Gilead Sciences, Inc. $20.15 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1234526919 CMS
Gilead Sciences, Inc. $6.36 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1234597523 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.91 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1232119021 CMS
ABBVIE INC. $28.88 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1205595431 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.21 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1232119017 CMS
Lilly USA, LLC $32.35 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1187199330 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.36 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1232119019 CMS
Madrigal Pharmaceuticals $5.59 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1248375273 CMS
Mirum Pharmaceuticals, Inc. $23.37 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1241164167 CMS
Ipsen Biopharmaceuticals, Inc $25.70 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1208865232 CMS
Madrigal Pharmaceuticals $9.48 03/01/2025 Food and Beverage No dispute reported 06/30/2026 1248375271 CMS
Madrigal Pharmaceuticals $10.40 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1248375269 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.41 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1232119015 CMS
Gilead Sciences, Inc. $21.19 02/11/2025 Food and Beverage No dispute reported 06/30/2026 1234514873 CMS
Madrigal Pharmaceuticals $26.03 02/06/2025 Food and Beverage No dispute reported 06/30/2026 1248375267 CMS
TerSera Therapeutics LLC $18.91 02/04/2025 Food and Beverage No dispute reported 06/30/2026 1244069224 CMS
Lilly USA, LLC $29.16 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1187221795 CMS
ABBVIE INC. $20.37 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1205595425 CMS
Madrigal Pharmaceuticals $8.24 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1248375265 CMS
AstraZeneca Pharmaceuticals LP $125.00 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1206449194 CMS
Gilead Sciences, Inc. $24.18 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1234482626 CMS
ABBVIE INC. $27.53 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1205595419 CMS
Gilead Sciences, Inc. $4.96 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1234602852 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
2021, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , 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
MELISSA REAL, NPI 1326675414. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1326675414.
APA 7
IndustryPayments. (2026). MELISSA REAL, NPI 1326675414 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1326675414
Bluebook
MELISSA REAL, NPI 1326675414, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1326675414.

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