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

MERILYN J TUNSTALL-STROMAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1336525203
CMS profile
11218759
Location
MCKINNEY, TX

General Payments · PY2021–2025

$4,589.37

  • Reported across 120 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$2,851.97

81 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 program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $130.06 3
PY2023 $635.46 9
PY2024 $971.88 27
PY2025 $2,851.97 81

Payment records · PY2025 (81)

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

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
ABBVIE INC. $16.94 06/12/2025 Food and Beverage Undisputed 06/30/2026 1203866259 CMS
Astellas Pharma US Inc $17.60 07/01/2025 Food and Beverage Undisputed 06/30/2026 1238707348 CMS
Astellas Pharma US Inc $25.48 08/18/2025 Food and Beverage Undisputed 06/30/2026 1238599458 CMS
AstraZeneca Pharmaceuticals LP $24.19 04/24/2025 Food and Beverage Undisputed 06/30/2026 1206789243 CMS
AstraZeneca Pharmaceuticals LP $17.64 05/02/2025 Food and Beverage Undisputed 06/30/2026 1207183556 CMS
AstraZeneca Pharmaceuticals LP $123.05 05/14/2025 Food and Beverage Undisputed 06/30/2026 1206508463 CMS
AstraZeneca Pharmaceuticals LP $19.82 09/08/2025 Food and Beverage Undisputed 06/30/2026 1206839581 CMS
AstraZeneca Pharmaceuticals LP $32.37 09/22/2025 Food and Beverage Undisputed 06/30/2026 1206617906 CMS
AstraZeneca Pharmaceuticals LP $25.48 09/30/2025 Food and Beverage Undisputed 06/30/2026 1206897442 CMS
AstraZeneca Pharmaceuticals LP $18.36 11/18/2025 Food and Beverage Undisputed 06/30/2026 1207061640 CMS
AstraZeneca Pharmaceuticals LP $8.56 11/18/2025 Food and Beverage Undisputed 06/30/2026 1207271853 CMS
Aveo Pharmaceuticals, Inc. $25.81 10/28/2025 Food and Beverage Undisputed 06/30/2026 1199907136 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.88 04/15/2025 Food and Beverage Undisputed 06/30/2026 1225863022 CMS
Bayer Healthcare Pharmaceuticals Inc. $25.58 05/20/2025 Food and Beverage Undisputed 06/30/2026 1225863015 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.92 07/15/2025 Food and Beverage Undisputed 06/30/2026 1225863018 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.70 09/02/2025 Food and Beverage Undisputed 06/30/2026 1225863026 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.64 12/09/2025 Food and Beverage Undisputed 06/30/2026 1225863030 CMS
Becton, Dickinson and Company $15.61 02/25/2025 Food and Beverage Undisputed 06/30/2026 1232269637 CMS
Blue Earth Diagnostics $18.80 07/08/2025 Food and Beverage Undisputed 06/30/2026 1252659929 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $28.62 03/18/2025 Food and Beverage Undisputed 06/30/2026 1222974439 CMS
Caris MPI, Inc. $22.17 12/16/2025 Food and Beverage Undisputed 06/30/2026 1234296447 CMS
Daiichi Sankyo Inc. $28.33 01/22/2025 Food and Beverage Undisputed 06/30/2026 1197099207 CMS
Daiichi Sankyo Inc. $8.80 02/19/2025 Food and Beverage Undisputed 06/30/2026 1197041925 CMS
Daiichi Sankyo Inc. $6.49 02/24/2025 Food and Beverage Undisputed 06/30/2026 1197046555 CMS
Daiichi Sankyo Inc. $84.99 03/03/2025 Food and Beverage Undisputed 06/30/2026 1197039045 CMS
Daiichi Sankyo Inc. $93.02 03/05/2025 Food and Beverage Undisputed 06/30/2026 1197094469 CMS
Daiichi Sankyo Inc. $12.76 07/17/2025 Food and Beverage Undisputed 06/30/2026 1197084759 CMS
Daiichi Sankyo Inc. $26.47 08/27/2025 Food and Beverage Undisputed 06/30/2026 1197018853 CMS
Daiichi Sankyo Inc. $10.69 09/26/2025 Food and Beverage Undisputed 06/30/2026 1197092151 CMS
Daiichi Sankyo Inc. $132.67 12/03/2025 Food and Beverage Undisputed 06/30/2026 1197003201 CMS
Eisai Inc. $22.91 11/03/2025 Food and Beverage Undisputed 06/30/2026 1244544992 CMS
EMD Serono, Inc. $21.57 11/13/2025 Food and Beverage Undisputed 06/30/2026 1236879768 CMS
Genmab U.S., Inc. $32.00 10/27/2025 Food and Beverage Undisputed 06/30/2026 1235938510 CMS
Geron Corporation $23.29 06/25/2025 Food and Beverage Undisputed 06/30/2026 1238902583 CMS
Gilead Sciences, Inc. $16.78 04/22/2025 Food and Beverage Undisputed 06/30/2026 1234559537 CMS
Gilead Sciences, Inc. $24.96 08/13/2025 Food and Beverage Undisputed 06/30/2026 1234475224 CMS
GlaxoSmithKline, LLC. $24.92 06/10/2025 Food and Beverage Undisputed 06/30/2026 1190492228 CMS
GlaxoSmithKline, LLC. $115.43 07/03/2025 Food and Beverage Undisputed 06/30/2026 1191563383 CMS
GlaxoSmithKline, LLC. $117.26 10/30/2025 Food and Beverage Undisputed 06/30/2026 1191811509 CMS
Incyte Corporation $24.84 04/23/2025 Food and Beverage Undisputed 06/30/2026 1226005905 CMS
Incyte Corporation $22.12 05/14/2025 Food and Beverage Undisputed 06/30/2026 1226006023 CMS
Incyte Corporation $25.96 06/24/2025 Food and Beverage Undisputed 06/30/2026 1226168339 CMS
Incyte Corporation $126.72 08/14/2025 Food and Beverage Undisputed 06/30/2026 1226169515 CMS
Incyte Corporation $99.00 08/27/2025 Education Undisputed 06/30/2026 1226144256 CMS
Incyte Corporation $125.01 11/12/2025 Food and Beverage Undisputed 06/30/2026 1226004885 CMS
Janssen Biotech, Inc. $21.87 03/31/2025 Food and Beverage Undisputed 06/30/2026 1175100131 CMS
Janssen Biotech, Inc. $15.24 04/30/2025 Food and Beverage Undisputed 06/30/2026 1175099890 CMS
Janssen Biotech, Inc. $20.32 06/04/2025 Food and Beverage Undisputed 06/30/2026 1175101491 CMS
Janssen Biotech, Inc. $13.13 07/28/2025 Food and Beverage Undisputed 06/30/2026 1175101253 CMS
Janssen Biotech, Inc. $9.98 07/31/2025 Food and Beverage Undisputed 06/30/2026 1175100849 CMS
Janssen Biotech, Inc. $19.94 08/26/2025 Food and Beverage Undisputed 06/30/2026 1175100486 CMS
Janssen Biotech, Inc. $116.96 10/24/2025 Food and Beverage Undisputed 06/30/2026 1175101589 CMS
Janssen Biotech, Inc. $24.39 11/11/2025 Food and Beverage Undisputed 06/30/2026 1175101820 CMS
Janssen Biotech, Inc. $7.86 11/18/2025 Food and Beverage Undisputed 06/30/2026 1175101741 CMS
JAZZ PHARMACEUTICALS INC. $35.09 09/17/2025 Food and Beverage Undisputed 06/30/2026 1234901939 CMS
Karyopharm Therapeutics Inc. $17.52 06/17/2025 Food and Beverage Undisputed 06/30/2026 1246655684 CMS
Merck Sharp & Dohme LLC $27.72 05/08/2025 Food and Beverage Undisputed 06/30/2026 1238336203 CMS
Merck Sharp & Dohme LLC $15.99 05/27/2025 Food and Beverage Undisputed 06/30/2026 1238288535 CMS
Myriad Genetic Laboratories, Inc. $23.13 03/05/2025 Food and Beverage Undisputed 06/30/2026 1245418797 CMS
Novartis Pharmaceuticals Corporation $14.50 06/09/2025 Food and Beverage Undisputed 06/30/2026 1200588689 CMS
Novartis Pharmaceuticals Corporation $23.50 06/26/2025 Food and Beverage Undisputed 06/30/2026 1200588691 CMS
Novartis Pharmaceuticals Corporation $20.03 10/21/2025 Food and Beverage Undisputed 06/30/2026 1200429443 CMS
Novartis Pharmaceuticals Corporation $14.64 11/11/2025 Food and Beverage Undisputed 06/30/2026 1200429441 CMS
Novartis Pharmaceuticals Corporation $99.70 11/26/2025 Long term medical supply or device loan Undisputed 06/30/2026 1200588703 CMS
Novartis Pharmaceuticals Corporation $99.70 12/30/2025 Long term medical supply or device loan Undisputed 06/30/2026 1200588707 CMS
PFIZER INC. $25.42 03/25/2025 Food and Beverage Undisputed 06/30/2026 1231122324 CMS
PFIZER INC. $25.92 05/07/2025 Food and Beverage Undisputed 06/30/2026 1228832221 CMS
PFIZER INC. $23.35 07/30/2025 Food and Beverage Undisputed 06/30/2026 1229264934 CMS
PFIZER INC. $24.03 10/08/2025 Food and Beverage Undisputed 06/30/2026 1229422722 CMS
PharmaEssentia USA Corporation $34.50 08/25/2025 Food and Beverage Undisputed 06/30/2026 1246834215 CMS
PharmaEssentia USA Corporation $30.33 10/15/2025 Food and Beverage Undisputed 06/30/2026 1246834311 CMS
PROGENICS PHARMACEUTICALS, INC. $21.41 07/29/2025 Food and Beverage Undisputed 06/30/2026 1245220837 CMS
Regeneron Healthcare Solutions, Inc. $24.64 09/16/2025 Food and Beverage Undisputed 06/30/2026 1213221020 CMS
SEAGEN INC. $80.00 10/07/2025 Education Undisputed 06/30/2026 1229363735 CMS
Spectrum Pharmaceuticals Inc. $23.86 04/03/2025 Food and Beverage Undisputed 06/30/2026 1221050233 CMS
Stemline Therapeutics Inc. $21.89 11/20/2025 Food and Beverage Undisputed 06/30/2026 1244127799 CMS
Syndax Pharmaceuticals, Inc. $27.62 04/09/2025 Food and Beverage Undisputed 06/30/2026 1239001242 CMS
Verity Pharmaceuticals Inc. $16.37 06/04/2025 Food and Beverage Undisputed 06/30/2026 1234205754 CMS
Verity Pharmaceuticals Inc. $19.10 07/23/2025 Food and Beverage Undisputed 06/30/2026 1234205756 CMS
Verity Pharmaceuticals Inc. $14.87 08/26/2025 Food and Beverage Undisputed 06/30/2026 1234205758 CMS
Verity Pharmaceuticals Inc. $16.24 12/03/2025 Food and Beverage Undisputed 06/30/2026 1234205760 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

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