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

DAVID R GRECH

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1336128792
CMS profile
196746
Location
ORANGE PARK, FL

General Payments · PY2018–2024

$4,072.55

  • Reported across 184 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,067.37

48 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 $1,067.37 48

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $671.39 35
PY2019 $587.37 26
PY2020 $356.63 16
PY2021 $324.66 18
PY2022 $433.34 21
PY2023 $631.79 20
PY2024 $1,067.37 48

Payment records · PY2024 (48)

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

Program year 2024 201820192020202120222023 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
Alnylam Pharmaceuticals Inc. $23.31 12/18/2024 Food and Beverage Undisputed 01/23/2026 1125830337 CMS
Amgen Inc. $15.37 10/21/2024 Food and Beverage Undisputed 01/23/2026 1111588676 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.28 02/13/2024 Food and Beverage Undisputed 01/23/2026 1117967527 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.76 06/14/2024 Food and Beverage Undisputed 01/23/2026 1117967525 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.98 10/16/2024 Food and Beverage Undisputed 01/23/2026 1117967529 CMS
CVRx, Inc. $14.48 10/24/2024 Food and Beverage Undisputed 01/23/2026 1128562838 CMS
Daiichi Sankyo Inc. $21.39 07/10/2024 Food and Beverage Undisputed 01/23/2026 1089428005 CMS
E.R. Squibb & Sons, L.L.C. $4.42 01/05/2024 Food and Beverage Undisputed 01/23/2026 1101293773 CMS
E.R. Squibb & Sons, L.L.C. $0.97 02/09/2024 Food and Beverage Undisputed 01/23/2026 1101293791 CMS
E.R. Squibb & Sons, L.L.C. $3.83 02/09/2024 Food and Beverage Undisputed 01/23/2026 1101293793 CMS
E.R. Squibb & Sons, L.L.C. $4.82 02/29/2024 Food and Beverage Undisputed 01/23/2026 1101293787 CMS
E.R. Squibb & Sons, L.L.C. $26.73 02/29/2024 Food and Beverage Undisputed 01/23/2026 1101293789 CMS
E.R. Squibb & Sons, L.L.C. $23.40 04/12/2024 Food and Beverage Undisputed 01/23/2026 1101293807 CMS
E.R. Squibb & Sons, L.L.C. $4.40 04/12/2024 Food and Beverage Undisputed 01/23/2026 1101293809 CMS
E.R. Squibb & Sons, L.L.C. $5.16 05/24/2024 Food and Beverage Undisputed 01/23/2026 1101293821 CMS
E.R. Squibb & Sons, L.L.C. $3.70 06/14/2024 Food and Beverage Undisputed 01/23/2026 1101293823 CMS
E.R. Squibb & Sons, L.L.C. $5.75 08/01/2024 Food and Beverage Undisputed 01/23/2026 1101293831 CMS
E.R. Squibb & Sons, L.L.C. $22.66 08/16/2024 Food and Beverage Undisputed 01/23/2026 1101293837 CMS
E.R. Squibb & Sons, L.L.C. $2.16 08/16/2024 Food and Beverage Undisputed 01/23/2026 1101293839 CMS
E.R. Squibb & Sons, L.L.C. $24.02 09/03/2024 Food and Beverage Undisputed 01/23/2026 1101293843 CMS
E.R. Squibb & Sons, L.L.C. $4.55 09/03/2024 Food and Beverage Undisputed 01/23/2026 1101293845 CMS
E.R. Squibb & Sons, L.L.C. $5.18 10/22/2024 Food and Beverage Undisputed 01/23/2026 1101293847 CMS
E.R. Squibb & Sons, L.L.C. $118.62 10/24/2024 Food and Beverage Undisputed 01/23/2026 1101293941 CMS
E.R. Squibb & Sons, L.L.C. $3.00 10/31/2024 Food and Beverage Undisputed 01/23/2026 1101293849 CMS
E.R. Squibb & Sons, L.L.C. $5.43 10/31/2024 Food and Beverage Undisputed 01/23/2026 1101293851 CMS
E.R. Squibb & Sons, L.L.C. $5.91 11/13/2024 Food and Beverage Undisputed 01/23/2026 1101293857 CMS
E.R. Squibb & Sons, L.L.C. $12.93 12/05/2024 Food and Beverage Undisputed 01/23/2026 1101293933 CMS
Esperion Therapeutics, Inc. $17.85 03/05/2024 Food and Beverage Undisputed 01/23/2026 1129436722 CMS
Esperion Therapeutics, Inc. $19.80 05/07/2024 Food and Beverage Undisputed 01/23/2026 1129436724 CMS
Esperion Therapeutics, Inc. $23.67 09/23/2024 Food and Beverage Undisputed 01/23/2026 1129436726 CMS
Inspire Medical Systems, Inc. $31.11 04/10/2024 Food and Beverage Undisputed 01/23/2026 1148057633 CMS
Janssen Pharmaceuticals, Inc $16.43 04/30/2024 Food and Beverage Undisputed 01/23/2026 1077971876 CMS
Janssen Pharmaceuticals, Inc $16.71 06/14/2024 Food and Beverage Undisputed 01/23/2026 1077971864 CMS
Janssen Pharmaceuticals, Inc $18.85 07/30/2024 Food and Beverage Undisputed 01/23/2026 1077971788 CMS
Janssen Pharmaceuticals, Inc $21.32 09/10/2024 Food and Beverage Undisputed 01/23/2026 1077971878 CMS
Kestra Medical Technology Services, Inc. $28.72 07/12/2024 Food and Beverage Undisputed 01/23/2026 1152376713 CMS
Kiniksa Pharmaceuticals International, plc $33.92 05/09/2024 Food and Beverage Undisputed 01/23/2026 1154856581 CMS
Medtronic, Inc. $102.00 01/26/2024 Food and Beverage Undisputed 01/23/2026 1119270036 CMS
Medtronic, Inc. $86.06 02/28/2024 Food and Beverage Undisputed 01/23/2026 1119270038 CMS
Merck Sharp & Dohme LLC $31.66 01/25/2024 Food and Beverage Undisputed 01/23/2026 1141899932 CMS
Merck Sharp & Dohme LLC $24.06 03/07/2024 Food and Beverage Undisputed 01/23/2026 1141792512 CMS
Merck Sharp & Dohme LLC $20.27 05/23/2024 Food and Beverage Undisputed 01/23/2026 1141792514 CMS
Merck Sharp & Dohme LLC $24.48 08/15/2024 Food and Beverage Undisputed 01/23/2026 1141899934 CMS
Merck Sharp & Dohme LLC $21.95 10/23/2024 Food and Beverage Undisputed 01/23/2026 1141945883 CMS
Novartis Pharmaceuticals Corporation $13.45 12/06/2024 Food and Beverage Undisputed 01/23/2026 1086897647 CMS
Philips North America LLC $33.61 04/17/2024 Food and Beverage Undisputed 01/23/2026 1146910990 CMS
SCPHARMACEUTICALS INC. $23.54 12/16/2024 Food and Beverage Undisputed 01/23/2026 1132320598 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $21.70 08/02/2024 Food and Beverage Undisputed 01/23/2026 1080589835 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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