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

MARCIANA CASTILLO TYLER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

NPI
1346757168
CMS profile
10601678
Location
LUMBERTON, TX

General Payments · PY2021–2024

$493.93

  • Reported across 27 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$242.06

13 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 $242.06 13

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Exact Sciences Corporation $58.04 3
GlaxoSmithKline, LLC. $55.12 3
Acerta Pharma LLC $30.49 2
ABBVIE INC. $24.69 1
PFIZER INC. $19.85 1
Lilly USA, LLC $19.31 1
Phathom Pharmaceuticals, Inc. $17.87 1
Amgen Inc. $16.69 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $14.02 1
PY2022 $46.82 3
PY2023 $191.03 10
PY2024 $242.06 13

Payment records · PY2024 (13)

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
ABBVIE INC. $24.69 04/10/2024 Food and Beverage Undisputed 01/23/2026 1108338075 CMS
Amgen Inc. $16.69 08/01/2024 Food and Beverage Undisputed 01/23/2026 1117705984 CMS
AstraZeneca Pharmaceuticals LP $16.90 07/11/2024 Food and Beverage Undisputed 01/23/2026 1105663012 CMS
AstraZeneca Pharmaceuticals LP $13.59 10/15/2024 Food and Beverage Undisputed 01/23/2026 1105344030 CMS
Exact Sciences Corporation $14.95 02/14/2024 Food and Beverage Undisputed 01/23/2026 1114436051 CMS
Exact Sciences Corporation $17.31 03/19/2024 Food and Beverage Undisputed 01/23/2026 1114436054 CMS
Exact Sciences Corporation $25.78 07/31/2024 Food and Beverage Undisputed 01/23/2026 1114436058 CMS
GlaxoSmithKline, LLC. $21.92 07/24/2024 Food and Beverage Undisputed 01/23/2026 1116343480 CMS
GlaxoSmithKline, LLC. $14.81 08/12/2024 Food and Beverage Undisputed 01/23/2026 1116495360 CMS
GlaxoSmithKline, LLC. $18.39 08/20/2024 Food and Beverage Undisputed 01/23/2026 1116483581 CMS
Lilly USA, LLC $19.31 05/08/2024 Food and Beverage Undisputed 01/23/2026 1135802770 CMS
PFIZER INC. $19.85 09/04/2024 Food and Beverage Undisputed 01/23/2026 1131960508 CMS
Phathom Pharmaceuticals, Inc. $17.87 04/02/2024 Food and Beverage Undisputed 01/23/2026 1151212033 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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