Covered recipient · General Payments record

NARISSA KOURINOS

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1356018188
CMS profile: 11499208
Location: BIDDEFORD, ME

General Payments · PY2025

$3,108.07

Reported across 117 records
CMS publication 2026-06-30

Latest program year · PY2025

$3,108.07

117 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

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 (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	$3,008.08	116
Education	$99.99	1

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$809.89	24
Regeneron Healthcare Solutions, Inc.	$615.89	27
GENZYME CORPORATION	$398.87	13
NOVARTIS PHARMACEUTICALS CORPORATION	$244.36	14
ARS Pharmaceuticals Operations, Inc.	$143.12	5
CSL Behring	$137.52	5
Amgen Inc.	$134.64	5
GlaxoSmithKline, LLC.	$105.72	6
SANOFI-AVENTIS U.S. LLC	$99.99	1
Ionis Pharmaceuticals, Inc.	$73.80	3
BioCryst US Sales Co., LLC	$55.54	2
Paratek Pharmaceuticals, Inc.	$47.19	2
Blueprint Medicines Corporation	$42.96	1
Invivyd Inc	$42.41	2
PFIZER INC.	$29.38	1
Takeda Pharmaceuticals U.S.A., Inc.	$24.42	1
Kedrion Biopharma, Inc.	$24.25	1
Verona Pharma, Inc.	$23.99	1
Genentech USA, Inc.	$19.02	1
Merck Sharp & Dohme Corporation	$18.82	1
Lilly USA, LLC	$16.29	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2025	$3,108.07	117

Payment records · PY2025 (117)

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

Program year 2025

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Amgen Inc.	$27.58	01/15/2025	Food and Beverage	Undisputed	06/30/2026	1229074756	CMS
Amgen Inc.	$31.68	02/19/2025	Food and Beverage	Undisputed	06/30/2026	1229074771	CMS
Amgen Inc.	$21.97	03/26/2025	Food and Beverage	Undisputed	06/30/2026	1229074777	CMS
Amgen Inc.	$27.84	05/28/2025	Food and Beverage	Undisputed	06/30/2026	1229074762	CMS
Amgen Inc.	$25.57	06/18/2025	Food and Beverage	Undisputed	06/30/2026	1229074767	CMS
ARS Pharmaceuticals Operations, Inc.	$29.21	01/08/2025	Food and Beverage	Undisputed	06/30/2026	1245905395	CMS
ARS Pharmaceuticals Operations, Inc.	$28.87	04/22/2025	Food and Beverage	Undisputed	06/30/2026	1245905397	CMS
ARS Pharmaceuticals Operations, Inc.	$26.87	05/21/2025	Food and Beverage	Undisputed	06/30/2026	1245905399	CMS
ARS Pharmaceuticals Operations, Inc.	$29.06	07/01/2025	Food and Beverage	Undisputed	06/30/2026	1245905401	CMS
ARS Pharmaceuticals Operations, Inc.	$29.11	07/07/2025	Food and Beverage	Undisputed	06/30/2026	1245905403	CMS
AstraZeneca Pharmaceuticals LP	$22.79	02/11/2025	Food and Beverage	Undisputed	06/30/2026	1206690665	CMS
AstraZeneca Pharmaceuticals LP	$3.16	02/12/2025	Food and Beverage	Undisputed	06/30/2026	1206662413	CMS
AstraZeneca Pharmaceuticals LP	$115.13	03/03/2025	Food and Beverage	Undisputed	06/30/2026	1206516720	CMS
AstraZeneca Pharmaceuticals LP	$15.85	03/03/2025	Food and Beverage	Undisputed	06/30/2026	1206847348	CMS
AstraZeneca Pharmaceuticals LP	$20.25	03/20/2025	Food and Beverage	Undisputed	06/30/2026	1206224596	CMS
AstraZeneca Pharmaceuticals LP	$121.91	03/26/2025	Food and Beverage	Undisputed	06/30/2026	1206362441	CMS
AstraZeneca Pharmaceuticals LP	$30.49	03/29/2025	Food and Beverage	Undisputed	06/30/2026	1206219254	CMS
AstraZeneca Pharmaceuticals LP	$26.76	04/12/2025	Food and Beverage	Undisputed	06/30/2026	1206677587	CMS
AstraZeneca Pharmaceuticals LP	$119.32	04/23/2025	Food and Beverage	Undisputed	06/30/2026	1207005105	CMS
AstraZeneca Pharmaceuticals LP	$17.95	05/08/2025	Food and Beverage	Undisputed	06/30/2026	1206815672	CMS
AstraZeneca Pharmaceuticals LP	$26.40	05/18/2025	Food and Beverage	Undisputed	06/30/2026	1206203167	CMS
AstraZeneca Pharmaceuticals LP	$26.01	05/22/2025	Food and Beverage	Undisputed	06/30/2026	1206368015	CMS
AstraZeneca Pharmaceuticals LP	$31.50	06/24/2025	Food and Beverage	Undisputed	06/30/2026	1206320710	CMS
AstraZeneca Pharmaceuticals LP	$16.75	06/28/2025	Food and Beverage	Undisputed	06/30/2026	1207211039	CMS
AstraZeneca Pharmaceuticals LP	$21.02	07/03/2025	Food and Beverage	Undisputed	06/30/2026	1206569685	CMS
AstraZeneca Pharmaceuticals LP	$26.28	07/25/2025	Food and Beverage	Undisputed	06/30/2026	1206348433	CMS
AstraZeneca Pharmaceuticals LP	$18.14	07/30/2025	Food and Beverage	Undisputed	06/30/2026	1206528672	CMS
AstraZeneca Pharmaceuticals LP	$25.97	08/20/2025	Food and Beverage	Undisputed	06/30/2026	1207271733	CMS
AstraZeneca Pharmaceuticals LP	$27.40	08/28/2025	Food and Beverage	Undisputed	06/30/2026	1206447285	CMS
AstraZeneca Pharmaceuticals LP	$13.77	09/02/2025	Food and Beverage	Undisputed	06/30/2026	1206801430	CMS
AstraZeneca Pharmaceuticals LP	$19.58	09/17/2025	Food and Beverage	Undisputed	06/30/2026	1206874596	CMS
AstraZeneca Pharmaceuticals LP	$19.15	10/24/2025	Food and Beverage	Undisputed	06/30/2026	1206254815	CMS
AstraZeneca Pharmaceuticals LP	$24.58	10/29/2025	Food and Beverage	Undisputed	06/30/2026	1206562343	CMS
AstraZeneca Pharmaceuticals LP	$19.73	11/04/2025	Food and Beverage	Undisputed	06/30/2026	1207009640	CMS
BioCryst US Sales Co., LLC	$19.30	06/12/2025	Food and Beverage	Undisputed	06/30/2026	1222022095	CMS
BioCryst US Sales Co., LLC	$36.24	08/27/2025	Food and Beverage	Undisputed	06/30/2026	1222015105	CMS
Blueprint Medicines Corporation	$42.96	05/27/2025	Food and Beverage	Undisputed	06/30/2026	1235824321	CMS
CSL Behring	$27.44	03/05/2025	Food and Beverage	Undisputed	06/30/2026	1232374786	CMS
CSL Behring	$20.68	05/07/2025	Food and Beverage	Undisputed	06/30/2026	1232374804	CMS
CSL Behring	$27.93	06/12/2025	Food and Beverage	Undisputed	06/30/2026	1232374808	CMS
CSL Behring	$28.80	06/25/2025	Food and Beverage	Undisputed	06/30/2026	1232374814	CMS
CSL Behring	$32.67	08/20/2025	Food and Beverage	Undisputed	06/30/2026	1232374826	CMS
Genentech USA, Inc.	$19.02	11/11/2025	Food and Beverage	Undisputed	06/30/2026	1211660731	CMS
GENZYME CORPORATION	$19.60	01/17/2025	Food and Beverage	Undisputed	06/30/2026	1233728717	CMS
GENZYME CORPORATION	$140.12	02/18/2025	Food and Beverage	Undisputed	06/30/2026	1233728751	CMS
GENZYME CORPORATION	$20.86	03/14/2025	Food and Beverage	Undisputed	06/30/2026	1233728745	CMS
GENZYME CORPORATION	$21.60	04/02/2025	Food and Beverage	Undisputed	06/30/2026	1233728841	CMS
GENZYME CORPORATION	$6.97	04/15/2025	Food and Beverage	Undisputed	06/30/2026	1233728757	CMS
GENZYME CORPORATION	$24.31	04/18/2025	Food and Beverage	Undisputed	06/30/2026	1233728761	CMS
GENZYME CORPORATION	$27.37	05/02/2025	Food and Beverage	Undisputed	06/30/2026	1233728767	CMS
GENZYME CORPORATION	$11.64	05/16/2025	Food and Beverage	Undisputed	06/30/2026	1233728779	CMS
GENZYME CORPORATION	$22.08	05/29/2025	Food and Beverage	Undisputed	06/30/2026	1233728777	CMS
GENZYME CORPORATION	$9.87	06/05/2025	Food and Beverage	Undisputed	06/30/2026	1233728781	CMS
GENZYME CORPORATION	$32.35	08/01/2025	Food and Beverage	Undisputed	06/30/2026	1233728807	CMS
GENZYME CORPORATION	$39.10	08/07/2025	Food and Beverage	Undisputed	06/30/2026	1233728821	CMS
GENZYME CORPORATION	$23.00	10/24/2025	Food and Beverage	Undisputed	06/30/2026	1233728827	CMS
GlaxoSmithKline, LLC.	$15.65	01/29/2025	Food and Beverage	Undisputed	06/30/2026	1191512949	CMS
GlaxoSmithKline, LLC.	$19.34	03/24/2025	Food and Beverage	Undisputed	06/30/2026	1190572588	CMS
GlaxoSmithKline, LLC.	$14.30	07/10/2025	Food and Beverage	Undisputed	06/30/2026	1190631144	CMS
GlaxoSmithKline, LLC.	$15.66	08/13/2025	Food and Beverage	Undisputed	06/30/2026	1190374197	CMS
GlaxoSmithKline, LLC.	$20.64	09/04/2025	Food and Beverage	Undisputed	06/30/2026	1191252971	CMS
GlaxoSmithKline, LLC.	$20.13	11/26/2025	Food and Beverage	Undisputed	06/30/2026	1191021754	CMS
Invivyd Inc	$20.76	08/19/2025	Food and Beverage	Undisputed	06/30/2026	1240491985	CMS
Invivyd Inc	$21.65	09/16/2025	Food and Beverage	Undisputed	06/30/2026	1240491990	CMS
Ionis Pharmaceuticals, Inc.	$24.06	07/24/2025	Food and Beverage	Undisputed	06/30/2026	1246794679	CMS
Ionis Pharmaceuticals, Inc.	$24.31	11/20/2025	Food and Beverage	Undisputed	06/30/2026	1246794681	CMS
Ionis Pharmaceuticals, Inc.	$25.43	12/16/2025	Food and Beverage	Undisputed	06/30/2026	1246794683	CMS
Kedrion Biopharma, Inc.	$24.25	02/05/2025	Food and Beverage	Undisputed	06/30/2026	1206769528	CMS
Lilly USA, LLC	$16.29	10/24/2025	Food and Beverage	Undisputed	06/30/2026	1187235539	CMS
Merck Sharp & Dohme LLC	$18.82	05/13/2025	Food and Beverage	Undisputed	06/30/2026	1238115502	CMS
Novartis Pharmaceuticals Corporation	$21.23	04/02/2025	Food and Beverage	Undisputed	06/30/2026	1200374465	CMS
Novartis Pharmaceuticals Corporation	$31.42	05/14/2025	Food and Beverage	Undisputed	06/30/2026	1200374467	CMS
Novartis Pharmaceuticals Corporation	$12.46	05/20/2025	Food and Beverage	Undisputed	06/30/2026	1200374469	CMS
Novartis Pharmaceuticals Corporation	$21.36	06/17/2025	Food and Beverage	Undisputed	06/30/2026	1200374471	CMS
Novartis Pharmaceuticals Corporation	$8.42	07/03/2025	Food and Beverage	Undisputed	06/30/2026	1200374473	CMS
Novartis Pharmaceuticals Corporation	$24.56	07/17/2025	Food and Beverage	Undisputed	06/30/2026	1200374477	CMS
Novartis Pharmaceuticals Corporation	$19.49	07/29/2025	Food and Beverage	Undisputed	06/30/2026	1200374475	CMS
Novartis Pharmaceuticals Corporation	$1.74	08/21/2025	Food and Beverage	Undisputed	06/30/2026	1200374479	CMS
Novartis Pharmaceuticals Corporation	$17.21	08/21/2025	Food and Beverage	Undisputed	06/30/2026	1200374481	CMS
Novartis Pharmaceuticals Corporation	$22.01	10/28/2025	Food and Beverage	Undisputed	06/30/2026	1200374483	CMS
Novartis Pharmaceuticals Corporation	$3.27	10/28/2025	Food and Beverage	Undisputed	06/30/2026	1200374485	CMS
Novartis Pharmaceuticals Corporation	$22.08	11/19/2025	Food and Beverage	Undisputed	06/30/2026	1200236600	CMS
Novartis Pharmaceuticals Corporation	$22.37	12/09/2025	Food and Beverage	Undisputed	06/30/2026	1200236602	CMS
Novartis Pharmaceuticals Corporation	$16.74	12/16/2025	Food and Beverage	Undisputed	06/30/2026	1200236604	CMS
Paratek Pharmaceuticals, Inc.	$20.52	11/21/2025	Food and Beverage	Undisputed	06/30/2026	1181777677	CMS
Paratek Pharmaceuticals, Inc.	$26.67	12/06/2025	Food and Beverage	Undisputed	06/30/2026	1181777679	CMS
PFIZER INC.	$29.38	11/18/2025	Food and Beverage	Undisputed	06/30/2026	1231197064	CMS
Regeneron Healthcare Solutions, Inc.	$23.52	01/10/2025	Food and Beverage	Undisputed	06/30/2026	1213155092	CMS
Regeneron Healthcare Solutions, Inc.	$29.88	02/18/2025	Food and Beverage	Undisputed	06/30/2026	1213155094	CMS
Regeneron Healthcare Solutions, Inc.	$21.71	02/28/2025	Food and Beverage	Undisputed	06/30/2026	1213155096	CMS
Regeneron Healthcare Solutions, Inc.	$22.89	03/21/2025	Food and Beverage	Undisputed	06/30/2026	1213155098	CMS
Regeneron Healthcare Solutions, Inc.	$12.59	03/26/2025	Food and Beverage	Undisputed	06/30/2026	1213155100	CMS
Regeneron Healthcare Solutions, Inc.	$1.34	03/27/2025	Food and Beverage	Undisputed	06/30/2026	1213155102	CMS
Regeneron Healthcare Solutions, Inc.	$26.88	04/25/2025	Food and Beverage	Undisputed	06/30/2026	1213155104	CMS
Regeneron Healthcare Solutions, Inc.	$22.39	05/23/2025	Food and Beverage	Undisputed	06/30/2026	1213155106	CMS
Regeneron Healthcare Solutions, Inc.	$22.14	06/14/2025	Food and Beverage	Undisputed	06/30/2026	1213155108	CMS
Regeneron Healthcare Solutions, Inc.	$26.21	06/20/2025	Food and Beverage	Undisputed	06/30/2026	1213155110	CMS
Regeneron Healthcare Solutions, Inc.	$2.08	06/27/2025	Food and Beverage	Undisputed	06/30/2026	1213155112	CMS
Regeneron Healthcare Solutions, Inc.	$23.98	06/27/2025	Food and Beverage	Undisputed	06/30/2026	1213155114	CMS
Regeneron Healthcare Solutions, Inc.	$2.93	07/11/2025	Food and Beverage	Undisputed	06/30/2026	1213155116	CMS
Regeneron Healthcare Solutions, Inc.	$13.76	07/11/2025	Food and Beverage	Undisputed	06/30/2026	1213155118	CMS
Regeneron Healthcare Solutions, Inc.	$1.78	07/11/2025	Food and Beverage	Undisputed	06/30/2026	1213155120	CMS
Regeneron Healthcare Solutions, Inc.	$29.35	07/25/2025	Food and Beverage	Undisputed	06/30/2026	1213155122	CMS
Regeneron Healthcare Solutions, Inc.	$24.54	08/08/2025	Food and Beverage	Undisputed	06/30/2026	1213155124	CMS
Regeneron Healthcare Solutions, Inc.	$30.71	09/26/2025	Food and Beverage	Undisputed	06/30/2026	1213155126	CMS
Regeneron Healthcare Solutions, Inc.	$29.00	10/09/2025	Food and Beverage	Undisputed	06/30/2026	1213155128	CMS
Regeneron Healthcare Solutions, Inc.	$35.45	10/10/2025	Food and Beverage	Undisputed	06/30/2026	1213155130	CMS
Regeneron Healthcare Solutions, Inc.	$115.27	10/29/2025	Food and Beverage	Undisputed	06/30/2026	1213155132	CMS
Regeneron Healthcare Solutions, Inc.	$24.52	10/31/2025	Food and Beverage	Undisputed	06/30/2026	1213155134	CMS
Regeneron Healthcare Solutions, Inc.	$4.97	10/31/2025	Food and Beverage	Undisputed	06/30/2026	1213155136	CMS
Regeneron Healthcare Solutions, Inc.	$21.22	11/14/2025	Food and Beverage	Undisputed	06/30/2026	1213155138	CMS
Regeneron Healthcare Solutions, Inc.	$4.52	11/21/2025	Food and Beverage	Undisputed	06/30/2026	1213155140	CMS
Regeneron Healthcare Solutions, Inc.	$17.20	11/21/2025	Food and Beverage	Undisputed	06/30/2026	1213155142	CMS
Regeneron Healthcare Solutions, Inc.	$25.06	12/04/2025	Food and Beverage	Undisputed	06/30/2026	1213155144	CMS
SANOFI-AVENTIS U.S. LLC	$99.99	07/02/2025	Education	Undisputed	06/30/2026	1233728793	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.42	11/07/2025	Food and Beverage	Undisputed	06/30/2026	1223769930	CMS
Verona Pharma, Inc.	$23.99	08/26/2025	Food and Beverage	Undisputed	06/30/2026	1233803647	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: 2025
Source files: Dataset page · Bulk file · PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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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.