Covered recipient · General Payments record

RYAN JAMES SHEPHARD

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1326722703
CMS profile: 11521233
Location: AURORA, CO

General Payments · PY2023–2024

$3,803.21

Reported across 161 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,013.43

119 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 payment	Amount	Records
Food and Beverage	$3,013.43	119

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$976.72	26
Amgen Inc.	$379.20	15
Lilly USA, LLC	$261.07	9
ABBVIE INC.	$208.12	10
Bayer HealthCare Pharmaceuticals Inc.	$205.24	7
PFIZER INC.	$171.64	9
Novo Nordisk AS	$159.74	9
Astellas Pharma US Inc	$140.92	7
NOVARTIS PHARMACEUTICALS CORPORATION	$78.41	4
Indivior Inc.	$52.76	3
AIMMUNE THERAPEUTICS, INC.	$48.60	2
Abbott Laboratories	$44.08	2
Otsuka America Pharmaceutical, Inc.	$43.97	3
ITI, Inc.	$41.60	2
GlaxoSmithKline, LLC.	$32.97	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$29.82	2
Gilead Sciences, Inc.	$28.30	2
Madrigal Pharmaceuticals	$25.14	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$24.37	1
Lundbeck LLC	$22.10	1
Phathom Pharmaceuticals, Inc.	$20.95	1
Exact Sciences Corporation	$17.71	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$789.78	42
PY2024	$3,013.43	119

Payment records · PY2024 (119)

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

Program year 2024 2023 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
Abbott Laboratories	$22.04	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1124992882	CMS
Abbott Laboratories	$22.04	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1124992884	CMS
ABBVIE INC.	$23.27	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1108187083	CMS
ABBVIE INC.	$25.72	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1108187085	CMS
ABBVIE INC.	$10.11	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1108187087	CMS
ABBVIE INC.	$33.05	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1108187089	CMS
ABBVIE INC.	$15.43	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1108187091	CMS
ABBVIE INC.	$20.82	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1108187093	CMS
ABBVIE INC.	$26.62	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1108187095	CMS
ABBVIE INC.	$24.55	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1108187097	CMS
ABBVIE INC.	$16.83	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1108187099	CMS
ABBVIE INC.	$11.72	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1108187101	CMS
AIMMUNE THERAPEUTICS, INC.	$24.02	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1147015883	CMS
AIMMUNE THERAPEUTICS, INC.	$24.58	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1146997810	CMS
Amgen Inc.	$20.83	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1117682462	CMS
Amgen Inc.	$14.50	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1117381392	CMS
Amgen Inc.	$22.93	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1117381400	CMS
Amgen Inc.	$19.78	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1117682464	CMS
Amgen Inc.	$25.96	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1117381402	CMS
Amgen Inc.	$22.94	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1117381394	CMS
Amgen Inc.	$24.82	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1117682466	CMS
Amgen Inc.	$22.75	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1117682468	CMS
Amgen Inc.	$117.47	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1117682478	CMS
Amgen Inc.	$16.86	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1117381396	CMS
Amgen Inc.	$10.21	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1117682470	CMS
Amgen Inc.	$15.97	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1117682472	CMS
Amgen Inc.	$16.26	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1117381398	CMS
Amgen Inc.	$14.94	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1117682474	CMS
Amgen Inc.	$12.98	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1117682476	CMS
Astellas Pharma US Inc	$16.35	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1139468482	CMS
Astellas Pharma US Inc	$16.45	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1139491128	CMS
Astellas Pharma US Inc	$19.91	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1139494542	CMS
Astellas Pharma US Inc	$23.67	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1139501580	CMS
Astellas Pharma US Inc	$23.56	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1139533838	CMS
Astellas Pharma US Inc	$20.16	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1139541306	CMS
Astellas Pharma US Inc	$20.82	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1139555305	CMS
AstraZeneca Pharmaceuticals LP	$15.45	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1104455246	CMS
AstraZeneca Pharmaceuticals LP	$16.65	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1104425819	CMS
AstraZeneca Pharmaceuticals LP	$23.23	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1105774142	CMS
AstraZeneca Pharmaceuticals LP	$16.76	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1105728357	CMS
AstraZeneca Pharmaceuticals LP	$16.15	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1105249808	CMS
AstraZeneca Pharmaceuticals LP	$115.73	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1104452564	CMS
AstraZeneca Pharmaceuticals LP	$13.89	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1105776414	CMS
AstraZeneca Pharmaceuticals LP	$17.15	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1104350850	CMS
AstraZeneca Pharmaceuticals LP	$14.73	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1104302414	CMS
AstraZeneca Pharmaceuticals LP	$16.10	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1105731039	CMS
AstraZeneca Pharmaceuticals LP	$15.03	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1104458756	CMS
AstraZeneca Pharmaceuticals LP	$17.57	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1104574136	CMS
AstraZeneca Pharmaceuticals LP	$17.98	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1105654156	CMS
AstraZeneca Pharmaceuticals LP	$14.73	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1104709571	CMS
AstraZeneca Pharmaceuticals LP	$120.89	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1104278883	CMS
AstraZeneca Pharmaceuticals LP	$18.07	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1105632472	CMS
AstraZeneca Pharmaceuticals LP	$16.75	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1104453156	CMS
AstraZeneca Pharmaceuticals LP	$120.89	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1104564132	CMS
AstraZeneca Pharmaceuticals LP	$14.85	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1104517014	CMS
AstraZeneca Pharmaceuticals LP	$16.36	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1104669237	CMS
AstraZeneca Pharmaceuticals LP	$16.93	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1105576480	CMS
AstraZeneca Pharmaceuticals LP	$17.89	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1104471706	CMS
AstraZeneca Pharmaceuticals LP	$45.07	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1104483334	CMS
AstraZeneca Pharmaceuticals LP	$120.89	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1105815767	CMS
AstraZeneca Pharmaceuticals LP	$14.68	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1104468156	CMS
AstraZeneca Pharmaceuticals LP	$122.30	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1104463968	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.43	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1086318928	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.92	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1086326466	CMS
Bayer Healthcare Pharmaceuticals Inc.	$0.35	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1086100441	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.36	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1086361857	CMS
Bayer Healthcare Pharmaceuticals Inc.	$120.38	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1086322060	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.00	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1086339333	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.80	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1086353806	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$24.37	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1117966787	CMS
Exact Sciences Corporation	$17.71	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1114475792	CMS
Gilead Sciences, Inc.	$13.70	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1133721503	CMS
Gilead Sciences, Inc.	$14.60	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1133721505	CMS
GlaxoSmithKline, LLC.	$15.78	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1115888628	CMS
GlaxoSmithKline, LLC.	$17.19	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1115963958	CMS
Indivior Inc.	$17.01	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1144570976	CMS
Indivior Inc.	$17.97	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1144570978	CMS
Indivior Inc.	$17.78	11/17/2024	Food and Beverage	Undisputed	01/23/2026	1144570980	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$15.26	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1143603024	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$26.34	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1143603026	CMS
Lilly USA, LLC	$21.02	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1135883678	CMS
Lilly USA, LLC	$15.66	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1135939806	CMS
Lilly USA, LLC	$21.77	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1135956011	CMS
Lilly USA, LLC	$107.08	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1135935222	CMS
Lilly USA, LLC	$19.56	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1135901898	CMS
Lilly USA, LLC	$23.59	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1135926136	CMS
Lilly USA, LLC	$13.50	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1135939808	CMS
Lilly USA, LLC	$17.69	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1135883682	CMS
Lilly USA, LLC	$21.20	09/21/2024	Food and Beverage	Undisputed	01/23/2026	1135926138	CMS
Lundbeck LLC	$22.10	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1146089501	CMS
Madrigal Pharmaceuticals	$25.14	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1144198781	CMS
Novartis Pharmaceuticals Corporation	$20.16	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1087333285	CMS
Novartis Pharmaceuticals Corporation	$15.62	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1087333287	CMS
Novartis Pharmaceuticals Corporation	$21.31	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1087333291	CMS
Novartis Pharmaceuticals Corporation	$21.32	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1087333293	CMS
Novo Nordisk Inc	$17.05	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1100299445	CMS
Novo Nordisk Inc	$24.71	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1100529523	CMS
Novo Nordisk Inc	$17.73	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1100344882	CMS
Novo Nordisk Inc	$13.48	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1100632145	CMS
Novo Nordisk Inc	$15.23	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1100581340	CMS
Novo Nordisk Inc	$16.88	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1100642935	CMS
Novo Nordisk Inc	$17.56	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1100622390	CMS
Novo Nordisk Inc	$16.06	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1100635309	CMS
Novo Nordisk Inc	$21.04	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1100254056	CMS
Otsuka America Pharmaceutical, Inc.	$16.14	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1119184558	CMS
Otsuka America Pharmaceutical, Inc.	$13.59	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1119184560	CMS
Otsuka America Pharmaceutical, Inc.	$14.24	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1119184562	CMS
PFIZER INC.	$16.71	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1131329005	CMS
PFIZER INC.	$17.16	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131690351	CMS
PFIZER INC.	$22.84	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1131617874	CMS
PFIZER INC.	$18.39	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1131872623	CMS
PFIZER INC.	$24.39	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1131886289	CMS
PFIZER INC.	$15.26	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1132118168	CMS
PFIZER INC.	$23.22	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1130880456	CMS
PFIZER INC.	$24.76	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1131263732	CMS
PFIZER INC.	$8.91	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1131032042	CMS
Phathom Pharmaceuticals, Inc.	$20.95	06/29/2024	Food and Beverage	Undisputed	01/23/2026	1151204907	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.54	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1153481172	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.28	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1153393882	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: 2023, 2024
Source files: Dataset page · Bulk file · PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.