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

JENNIFER LEE RUCH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics

NPI: 1336626209
CMS profile: 10706416
Location: FRESNO, 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

$2,390.05

117 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 payment	Amount	Records
Food and Beverage	$2,330.29	115
Education	$59.76	2

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Regeneron Healthcare Solutions, Inc.	$569.00	18
Acerta Pharma LLC	$533.09	16
Genentech USA, Inc.	$312.90	13
GlaxoSmithKline, LLC.	$257.90	29
ARS Pharmaceuticals Operations, Inc.	$173.02	19
ABBVIE INC.	$166.24	6
Incyte Corporation	$76.02	4
CSL Behring	$55.26	2
SANOFI-AVENTIS U.S. LLC	$52.99	1
GENZYME CORPORATION	$46.55	2
LEO Pharma Inc.	$40.41	2
Inspire Medical Systems, Inc.	$32.73	1
Phathom Pharmaceuticals, Inc.	$31.34	2
Amgen Inc.	$21.83	1
Takeda Pharmaceuticals U.S.A., Inc.	$20.77	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$3,257.44	112
PY2022	$4,755.93	106
PY2023	$2,169.90	110
PY2024	$1,549.63	98
PY2025	$2,390.05	117

Payment records · PY2025 (117)

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

Program year 2025 2021 2022 2023 2024 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.	$5.03	12/08/2025	Food and Beverage	No dispute reported	06/30/2026	1203181020	CMS
AstraZeneca Pharmaceuticals LP	$14.90	12/05/2025	Food and Beverage	No dispute reported	06/30/2026	1207015005	CMS
GlaxoSmithKline, LLC.	$17.88	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1190464884	CMS
GlaxoSmithKline, LLC.	$1.65	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1190852195	CMS
LEO Pharma Inc.	$18.55	11/26/2025	Food and Beverage	No dispute reported	06/30/2026	1252088487	CMS
AstraZeneca Pharmaceuticals LP	$21.15	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1206762069	CMS
AstraZeneca Pharmaceuticals LP	$124.45	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1206474737	CMS
Regeneron Healthcare Solutions, Inc.	$29.79	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1213199381	CMS
ARS Pharmaceuticals Operations, Inc.	$2.13	11/07/2025	Food and Beverage	No dispute reported	06/30/2026	1245910037	CMS
ARS Pharmaceuticals Operations, Inc.	$4.98	11/07/2025	Food and Beverage	No dispute reported	06/30/2026	1245910039	CMS
ARS Pharmaceuticals Operations, Inc.	$4.91	11/07/2025	Food and Beverage	No dispute reported	06/30/2026	1245910041	CMS
Genentech USA, Inc.	$13.03	11/07/2025	Food and Beverage	No dispute reported	06/30/2026	1211638964	CMS
GlaxoSmithKline, LLC.	$7.38	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1190687183	CMS
Incyte Corporation	$23.60	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1226188294	CMS
AstraZeneca Pharmaceuticals LP	$18.42	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1206479107	CMS
GlaxoSmithKline, LLC.	$9.73	10/24/2025	Food and Beverage	No dispute reported	06/30/2026	1190678729	CMS
Regeneron Healthcare Solutions, Inc.	$121.84	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1213199379	CMS
AstraZeneca Pharmaceuticals LP	$21.71	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1206514384	CMS
Regeneron Healthcare Solutions, Inc.	$31.80	10/17/2025	Food and Beverage	No dispute reported	06/30/2026	1213199377	CMS
GlaxoSmithKline, LLC.	$2.50	10/13/2025	Food and Beverage	No dispute reported	06/30/2026	1190501001	CMS
Phathom Pharmaceuticals, Inc.	$14.20	10/06/2025	Food and Beverage	No dispute reported	06/30/2026	1219217061	CMS
Genentech USA, Inc.	$11.74	10/03/2025	Food and Beverage	No dispute reported	06/30/2026	1211638956	CMS
Genentech USA, Inc.	$1.31	10/02/2025	Food and Beverage	No dispute reported	06/30/2026	1211638960	CMS
LEO Pharma Inc.	$21.86	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1252088485	CMS
GlaxoSmithKline, LLC.	$9.12	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1190978501	CMS
Regeneron Healthcare Solutions, Inc.	$12.93	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1213199375	CMS
ARS Pharmaceuticals Operations, Inc.	$83.27	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1245910035	CMS
Regeneron Healthcare Solutions, Inc.	$29.13	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1213199373	CMS
GlaxoSmithKline, LLC.	$8.25	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1190671160	CMS
GlaxoSmithKline, LLC.	$0.69	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1191580180	CMS
Genentech USA, Inc.	$13.46	09/05/2025	Food and Beverage	No dispute reported	06/30/2026	1211638952	CMS
AstraZeneca Pharmaceuticals LP	$20.40	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1206733605	CMS
SANOFI-AVENTIS U.S. LLC	$52.99	09/02/2025	Education	No dispute reported	06/30/2026	1233367661	CMS
AstraZeneca Pharmaceuticals LP	$21.35	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1206171067	CMS
GlaxoSmithKline, LLC.	$19.51	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1191545231	CMS
GlaxoSmithKline, LLC.	$1.19	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1191571923	CMS
ARS Pharmaceuticals Operations, Inc.	$2.57	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1245910033	CMS
ARS Pharmaceuticals Operations, Inc.	$5.95	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1245910029	CMS
ARS Pharmaceuticals Operations, Inc.	$4.91	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1245910031	CMS
GlaxoSmithKline, LLC.	$8.44	08/13/2025	Food and Beverage	No dispute reported	06/30/2026	1191769851	CMS
Genentech USA, Inc.	$1.43	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1211638936	CMS
Genentech USA, Inc.	$29.48	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1211638940	CMS
AstraZeneca Pharmaceuticals LP	$20.48	08/01/2025	Food and Beverage	No dispute reported	06/30/2026	1206782293	CMS
AstraZeneca Pharmaceuticals LP	$16.93	07/29/2025	Food and Beverage	No dispute reported	06/30/2026	1206282044	CMS
GENZYME CORPORATION	$23.84	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1233367641	CMS
Genentech USA, Inc.	$12.04	07/18/2025	Food and Beverage	No dispute reported	06/30/2026	1211638929	CMS
GlaxoSmithKline, LLC.	$1.15	07/16/2025	Food and Beverage	No dispute reported	06/30/2026	1190380415	CMS
GlaxoSmithKline, LLC.	$19.81	07/15/2025	Food and Beverage	No dispute reported	06/30/2026	1190527181	CMS
ARS Pharmaceuticals Operations, Inc.	$7.04	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1245910025	CMS
ARS Pharmaceuticals Operations, Inc.	$8.66	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1245910027	CMS
Regeneron Healthcare Solutions, Inc.	$29.22	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1213199371	CMS
Incyte Corporation	$14.44	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1226097996	CMS
Amgen Inc.	$21.83	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1229060026	CMS
ABBVIE INC.	$22.06	06/20/2025	Food and Beverage	No dispute reported	06/30/2026	1203181013	CMS
ARS Pharmaceuticals Operations, Inc.	$2.32	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1245910023	CMS
AstraZeneca Pharmaceuticals LP	$20.52	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1206185294	CMS
ARS Pharmaceuticals Operations, Inc.	$5.03	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1245910019	CMS
ARS Pharmaceuticals Operations, Inc.	$5.02	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1245910021	CMS
Genentech USA, Inc.	$115.03	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1211638922	CMS
AstraZeneca Pharmaceuticals LP	$19.66	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1206916282	CMS
Genentech USA, Inc.	$28.72	06/06/2025	Food and Beverage	No dispute reported	06/30/2026	1211638932	CMS
GlaxoSmithKline, LLC.	$1.18	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1190603611	CMS
GlaxoSmithKline, LLC.	$19.89	06/02/2025	Food and Beverage	No dispute reported	06/30/2026	1190635461	CMS
Regeneron Healthcare Solutions, Inc.	$25.43	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1213199369	CMS
ABBVIE INC.	$4.32	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1203181008	CMS
AstraZeneca Pharmaceuticals LP	$122.77	05/08/2025	Food and Beverage	No dispute reported	06/30/2026	1207234814	CMS
GlaxoSmithKline, LLC.	$4.58	05/07/2025	Food and Beverage	No dispute reported	06/30/2026	1191002051	CMS
Regeneron Healthcare Solutions, Inc.	$30.18	05/07/2025	Food and Beverage	No dispute reported	06/30/2026	1213199367	CMS
Genentech USA, Inc.	$11.43	05/02/2025	Food and Beverage	No dispute reported	06/30/2026	1211638925	CMS
Incyte Corporation	$18.86	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1226080295	CMS
AstraZeneca Pharmaceuticals LP	$21.10	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1207007841	CMS
GlaxoSmithKline, LLC.	$8.00	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1190911745	CMS
AstraZeneca Pharmaceuticals LP	$22.99	04/18/2025	Food and Beverage	No dispute reported	06/30/2026	1206320254	CMS
GlaxoSmithKline, LLC.	$1.41	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1190783111	CMS
GlaxoSmithKline, LLC.	$24.57	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1191274641	CMS
CSL Behring	$28.54	04/11/2025	Food and Beverage	No dispute reported	06/30/2026	1232396779	CMS
Genentech USA, Inc.	$34.29	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1211638918	CMS
GENZYME CORPORATION	$22.71	04/04/2025	Food and Beverage	No dispute reported	06/30/2026	1233367617	CMS
ABBVIE INC.	$32.27	04/02/2025	Food and Beverage	No dispute reported	06/30/2026	1203181002	CMS
ABBVIE INC.	$5.04	03/26/2025	Food and Beverage	No dispute reported	06/30/2026	1203180996	CMS
Regeneron Healthcare Solutions, Inc.	$28.17	03/26/2025	Food and Beverage	No dispute reported	06/30/2026	1213199365	CMS
Incyte Corporation	$19.12	03/21/2025	Food and Beverage	No dispute reported	06/30/2026	1226073322	CMS
GlaxoSmithKline, LLC.	$18.56	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1191294302	CMS
ARS Pharmaceuticals Operations, Inc.	$0.75	03/19/2025	Food and Beverage	No dispute reported	06/30/2026	1245910013	CMS
ARS Pharmaceuticals Operations, Inc.	$5.42	03/19/2025	Food and Beverage	No dispute reported	06/30/2026	1245910015	CMS
ARS Pharmaceuticals Operations, Inc.	$4.98	03/19/2025	Food and Beverage	No dispute reported	06/30/2026	1245910017	CMS
GlaxoSmithKline, LLC.	$1.45	03/19/2025	Food and Beverage	No dispute reported	06/30/2026	1190957821	CMS
Regeneron Healthcare Solutions, Inc.	$6.77	03/12/2025	Education	No dispute reported	06/30/2026	1213199359	CMS
Regeneron Healthcare Solutions, Inc.	$30.62	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1213199361	CMS
Regeneron Healthcare Solutions, Inc.	$3.16	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1213199363	CMS
Genentech USA, Inc.	$30.06	03/07/2025	Food and Beverage	No dispute reported	06/30/2026	1211638947	CMS
Regeneron Healthcare Solutions, Inc.	$63.12	03/01/2025	Food and Beverage	No dispute reported	06/30/2026	1213199357	CMS
AstraZeneca Pharmaceuticals LP	$24.42	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1206653561	CMS
GlaxoSmithKline, LLC.	$2.82	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1190588817	CMS
Regeneron Healthcare Solutions, Inc.	$30.34	02/21/2025	Food and Beverage	No dispute reported	06/30/2026	1213199355	CMS
GlaxoSmithKline, LLC.	$1.38	02/19/2025	Food and Beverage	No dispute reported	06/30/2026	1190701904	CMS
GlaxoSmithKline, LLC.	$17.76	02/19/2025	Food and Beverage	No dispute reported	06/30/2026	1191547678	CMS
GlaxoSmithKline, LLC.	$20.86	02/11/2025	Food and Beverage	No dispute reported	06/30/2026	1190681747	CMS
ARS Pharmaceuticals Operations, Inc.	$6.69	02/07/2025	Food and Beverage	No dispute reported	06/30/2026	1245910009	CMS
ARS Pharmaceuticals Operations, Inc.	$6.52	02/07/2025	Food and Beverage	No dispute reported	06/30/2026	1245910011	CMS
Regeneron Healthcare Solutions, Inc.	$26.22	02/07/2025	Food and Beverage	No dispute reported	06/30/2026	1213199351	CMS
Regeneron Healthcare Solutions, Inc.	$1.09	02/07/2025	Food and Beverage	No dispute reported	06/30/2026	1213199353	CMS
GlaxoSmithKline, LLC.	$1.95	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1191287703	CMS
Inspire Medical Systems, Inc.	$32.73	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1251556124	CMS
CSL Behring	$26.72	01/31/2025	Food and Beverage	No dispute reported	06/30/2026	1232396767	CMS
ABBVIE INC.	$97.52	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1203180990	CMS
Regeneron Healthcare Solutions, Inc.	$33.84	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1213199349	CMS
Phathom Pharmaceuticals, Inc.	$17.14	01/24/2025	Food and Beverage	No dispute reported	06/30/2026	1219328314	CMS
GlaxoSmithKline, LLC.	$1.38	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1190397080	CMS
GlaxoSmithKline, LLC.	$22.61	01/21/2025	Food and Beverage	No dispute reported	06/30/2026	1190432252	CMS
AstraZeneca Pharmaceuticals LP	$21.84	01/17/2025	Food and Beverage	No dispute reported	06/30/2026	1206759443	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.77	01/15/2025	Food and Beverage	No dispute reported	06/30/2026	1224025538	CMS
GlaxoSmithKline, LLC.	$2.20	01/14/2025	Food and Beverage	No dispute reported	06/30/2026	1190874409	CMS
ARS Pharmaceuticals Operations, Inc.	$6.19	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1245910005	CMS
ARS Pharmaceuticals Operations, Inc.	$5.68	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1245910007	CMS
Regeneron Healthcare Solutions, Inc.	$35.35	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1213199347	CMS
Genentech USA, Inc.	$10.88	01/02/2025	Food and Beverage	No dispute reported	06/30/2026	1211638914	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, 2022, 2023, 2024, 2025
Source files: Dataset page · Bulk file · PY2021 , PY2022 , 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.

Permalink https://industrypayments.org/provider/npi-1336626209

Plain: JENNIFER LEE RUCH, NPI 1336626209. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1336626209.
APA 7: IndustryPayments. (2026). JENNIFER LEE RUCH, NPI 1336626209 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1336626209
Bluebook: JENNIFER LEE RUCH, NPI 1336626209, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1336626209.

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