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

TRUDY GB ISTRE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1346581931
CMS profile
10996021
Location
BAYTOWN, TX

General Payments · PY2021–2024

$4,781.06

  • Reported across 272 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,039.63

57 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 $1,039.63 57

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,828.30 108
PY2022 $1,041.35 60
PY2023 $871.78 47
PY2024 $1,039.63 57

Payment records · PY2024 (57)

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

Program year 2024 202120222023 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
Amgen Inc. $13.91 01/30/2024 Food and Beverage Undisputed 01/23/2026 1117586347 CMS
Amgen Inc. $15.42 10/31/2024 Food and Beverage Undisputed 01/23/2026 1117586349 CMS
Astellas Pharma US Inc $20.94 12/02/2024 Food and Beverage Undisputed 01/23/2026 1139554567 CMS
AstraZeneca Pharmaceuticals LP $15.37 02/29/2024 Food and Beverage Undisputed 01/23/2026 1105756113 CMS
AstraZeneca Pharmaceuticals LP $19.71 06/11/2024 Food and Beverage Undisputed 01/23/2026 1104477852 CMS
AstraZeneca Pharmaceuticals LP $16.04 12/19/2024 Food and Beverage Undisputed 01/23/2026 1105856534 CMS
Azurity Pharmaceuticals, Inc. $17.87 04/09/2024 Food and Beverage Undisputed 01/23/2026 1134018384 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.88 09/17/2024 Food and Beverage Undisputed 01/23/2026 1086301160 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.85 11/26/2024 Food and Beverage Undisputed 01/23/2026 1086369157 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.05 03/21/2024 Food and Beverage Undisputed 01/23/2026 1117973855 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.31 09/30/2024 Food and Beverage Undisputed 01/23/2026 1117973859 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.25 12/12/2024 Food and Beverage Undisputed 01/23/2026 1117973857 CMS
Corcept Therapeutics $26.96 12/10/2024 Food and Beverage Undisputed 01/23/2026 1117775502 CMS
Esperion Therapeutics, Inc. $23.99 05/21/2024 Food and Beverage Undisputed 01/23/2026 1129469084 CMS
Esperion Therapeutics, Inc. $22.18 06/28/2024 Food and Beverage Undisputed 01/23/2026 1129469086 CMS
Exact Sciences Corporation $16.55 02/22/2024 Food and Beverage Undisputed 01/23/2026 1114460248 CMS
Exact Sciences Corporation $24.85 11/07/2024 Food and Beverage Undisputed 01/23/2026 1114460253 CMS
GlaxoSmithKline, LLC. $19.21 01/20/2024 Food and Beverage Undisputed 01/23/2026 1116529036 CMS
GlaxoSmithKline, LLC. $13.28 01/23/2024 Food and Beverage Undisputed 01/23/2026 1116713299 CMS
GlaxoSmithKline, LLC. $14.34 03/05/2024 Food and Beverage Undisputed 01/23/2026 1116512113 CMS
GlaxoSmithKline, LLC. $8.48 03/26/2024 Food and Beverage Undisputed 01/23/2026 1116380252 CMS
GlaxoSmithKline, LLC. $12.99 04/30/2024 Food and Beverage Undisputed 01/23/2026 1115845969 CMS
GlaxoSmithKline, LLC. $16.37 06/21/2024 Food and Beverage Undisputed 01/23/2026 1116609956 CMS
GlaxoSmithKline, LLC. $18.90 08/08/2024 Food and Beverage Undisputed 01/23/2026 1116689915 CMS
GlaxoSmithKline, LLC. $23.59 10/03/2024 Food and Beverage Undisputed 01/23/2026 1116594832 CMS
GlaxoSmithKline, LLC. $14.70 10/22/2024 Food and Beverage Undisputed 01/23/2026 1116580039 CMS
Inspire Medical Systems, Inc. $17.71 03/13/2024 Food and Beverage Undisputed 01/23/2026 1148157707 CMS
Inspire Medical Systems, Inc. $18.68 07/30/2024 Food and Beverage Undisputed 01/23/2026 1148157709 CMS
Inspire Medical Systems, Inc. $19.80 08/13/2024 Food and Beverage Undisputed 01/23/2026 1148157711 CMS
Lilly USA, LLC $27.96 01/19/2024 Food and Beverage Undisputed 01/23/2026 1135982409 CMS
Lilly USA, LLC $15.78 01/22/2024 Food and Beverage Undisputed 01/23/2026 1135970438 CMS
Lilly USA, LLC $20.44 02/13/2024 Food and Beverage Undisputed 01/23/2026 1135982081 CMS
Lilly USA, LLC $5.16 04/17/2024 Food and Beverage Undisputed 01/23/2026 1135973336 CMS
Lilly USA, LLC $6.56 04/17/2024 Food and Beverage Undisputed 01/23/2026 1135986034 CMS
Lilly USA, LLC $21.39 05/30/2024 Food and Beverage Undisputed 01/23/2026 1135982413 CMS
Lilly USA, LLC $17.93 06/07/2024 Food and Beverage Undisputed 01/23/2026 1135982411 CMS
Lilly USA, LLC $14.22 07/15/2024 Food and Beverage Undisputed 01/23/2026 1135992340 CMS
Lilly USA, LLC $17.03 09/03/2024 Food and Beverage Undisputed 01/23/2026 1135970440 CMS
Lilly USA, LLC $18.51 09/12/2024 Food and Beverage Undisputed 01/23/2026 1135970442 CMS
Lilly USA, LLC $10.18 09/25/2024 Food and Beverage Undisputed 01/23/2026 1135982407 CMS
Lilly USA, LLC $17.65 10/10/2024 Food and Beverage Undisputed 01/23/2026 1135992342 CMS
Lilly USA, LLC $17.64 11/11/2024 Food and Beverage Undisputed 01/23/2026 1135973338 CMS
Novo Nordisk Inc $22.91 01/02/2024 Food and Beverage Undisputed 01/23/2026 1100335406 CMS
Novo Nordisk Inc $12.65 02/27/2024 Food and Beverage Undisputed 01/23/2026 1100451278 CMS
Novo Nordisk Inc $21.00 03/19/2024 Food and Beverage Undisputed 01/23/2026 1100457892 CMS
Novo Nordisk Inc $22.90 04/02/2024 Food and Beverage Undisputed 01/23/2026 1100496789 CMS
Novo Nordisk Inc $21.19 05/14/2024 Food and Beverage Undisputed 01/23/2026 1100649835 CMS
Novo Nordisk Inc $19.49 06/20/2024 Food and Beverage Undisputed 01/23/2026 1100459128 CMS
Novo Nordisk Inc $23.65 10/15/2024 Food and Beverage Undisputed 01/23/2026 1100361247 CMS
Novo Nordisk Inc $15.55 10/17/2024 Food and Beverage Undisputed 01/23/2026 1100536845 CMS
Paratek Pharmaceuticals, Inc. $16.62 10/24/2024 Food and Beverage Undisputed 01/23/2026 1113929422 CMS
PFIZER INC. $25.29 04/23/2024 Food and Beverage Undisputed 01/23/2026 1131382214 CMS
Phathom Pharmaceuticals, Inc. $25.20 05/31/2024 Food and Beverage Undisputed 01/23/2026 1151176443 CMS
SANOFI-AVENTIS U.S. LLC $18.61 11/19/2024 Food and Beverage Undisputed 01/23/2026 1139846975 CMS
Smith+Nephew, Inc. $17.98 02/01/2024 Food and Beverage Undisputed 01/23/2026 1149534305 CMS
Sumitomo Pharma America, Inc. $18.75 05/07/2024 Food and Beverage Undisputed 01/23/2026 1148969413 CMS
Teva Pharmaceuticals USA, Inc. $20.21 12/03/2024 Food and Beverage Undisputed 01/23/2026 1151606260 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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