Covered recipient · General Payments record

VIVIANNE JAKOBS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1366761322
CMS profile: 11113476
Location: SAN DIEGO, CA

General Payments · PY2021–2024

$13,397.46

Reported across 474 records
CMS publication 2026-01-23

Latest program year · PY2024

$4,236.78

124 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 payment	Amount	Records
Food and Beverage	$2,560.74	105
Long term medical supply or device loan	$1,196.40	12
Education	$479.64	7

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
NOVARTIS PHARMACEUTICALS CORPORATION	$1,549.76	27
Astellas Pharma US Inc	$369.78	5
Lilly USA, LLC	$216.06	7
Janssen Biotech, Inc.	$206.57	7
Takeda Pharmaceuticals U.S.A., Inc.	$189.30	6
GlaxoSmithKline, LLC.	$184.03	8
Merck Sharp & Dohme Corporation	$141.19	5
EISAI INC.	$138.59	7
Tempus AI, Inc	$129.03	5
Acerta Pharma LLC	$102.56	5
Incyte Corporation	$83.35	4
BeiGene USA, Inc.	$78.17	3
PFIZER INC.	$74.11	3
Alexion Pharmaceuticals, Inc.	$59.29	2
ABBVIE INC.	$58.72	2
Daiichi Sankyo Inc.	$55.75	2
Agios Pharmaceuticals, Inc.	$55.30	3
Kowa Pharmaceuticals America, Inc.	$44.55	2
Novo Nordisk AS	$41.36	2
TerSera Therapeutics LLC	$35.32	1
PharmaEssentia USA Corporation	$32.44	1
Stemline Therapeutics Inc.	$32.27	1
Karyopharm Therapeutics Inc.	$32.12	1
Legend Biotech USA Inc.	$28.45	1
SpringWorks Therapeutics, Inc.	$28.06	1
Regeneron Healthcare Solutions, Inc.	$26.56	1
Gilead Sciences, Inc.	$25.37	1
PUMA BIOTECHNOLOGY, INC.	$24.64	1
Xeris Pharmaceuticals, Inc.	$23.19	1
Bayer HealthCare Pharmaceuticals Inc.	$21.50	1
Pharmacosmos Therapeutics Inc.	$21.16	1
SOBI, INC	$21.09	1
Ipsen Biopharmaceuticals, Inc	$20.87	1
CSL Behring	$20.27	1
ARRAY BIOPHARMA INC	$19.74	1
Novocure Inc.	$18.98	1
EMD Serono, Inc.	$13.70	1
Sumitomo Pharma America, Inc.	$13.58	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,401.31	49
PY2022	$3,248.18	135
PY2023	$4,511.19	166
PY2024	$4,236.78	124

Payment records · PY2024 (124)

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

Program year 2024 2021 2022 2023 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.	$25.95	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1107393183	CMS
ABBVIE INC.	$32.77	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1107393185	CMS
Agios Pharmaceuticals, Inc.	$22.24	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1149644323	CMS
Agios Pharmaceuticals, Inc.	$16.53	09/26/2024	Education	Undisputed	01/23/2026	1149642068	CMS
Agios Pharmaceuticals, Inc.	$16.53	11/06/2024	Education	Undisputed	01/23/2026	1149642768	CMS
Alexion Pharmaceuticals, Inc.	$26.40	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1094032759	CMS
Alexion Pharmaceuticals, Inc.	$32.89	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1093988453	CMS
ARRAY BIOPHARMA INC	$19.74	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1131813480	CMS
Astellas Pharma US Inc	$26.79	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1139500392	CMS
Astellas Pharma US Inc	$99.00	05/20/2024	Education	Undisputed	01/23/2026	1139507801	CMS
Astellas Pharma US Inc	$95.00	05/20/2024	Education	Undisputed	01/23/2026	1139507805	CMS
Astellas Pharma US Inc	$99.00	05/20/2024	Education	Undisputed	01/23/2026	1139507807	CMS
Astellas Pharma US Inc	$49.99	05/20/2024	Education	Undisputed	01/23/2026	1139508101	CMS
AstraZeneca Pharmaceuticals LP	$14.80	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1104475704	CMS
AstraZeneca Pharmaceuticals LP	$18.53	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1105688601	CMS
AstraZeneca Pharmaceuticals LP	$21.69	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1104756088	CMS
AstraZeneca Pharmaceuticals LP	$21.14	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1105464199	CMS
AstraZeneca Pharmaceuticals LP	$26.40	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1104309716	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.50	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1086365873	CMS
BeiGene USA, Inc.	$23.18	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1120863160	CMS
BeiGene USA, Inc.	$28.12	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1120863162	CMS
BeiGene USA, Inc.	$26.87	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1120863158	CMS
CSL Behring	$20.27	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1134662089	CMS
Daiichi Sankyo Inc.	$25.91	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1089437267	CMS
Daiichi Sankyo Inc.	$29.84	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1089437269	CMS
Eisai Inc.	$24.85	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1110824984	CMS
Eisai Inc.	$19.98	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1110824978	CMS
Eisai Inc.	$20.40	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1110824986	CMS
Eisai Inc.	$23.52	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1110824990	CMS
Eisai Inc.	$1.00	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1110824980	CMS
Eisai Inc.	$23.94	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1110824982	CMS
Eisai Inc.	$24.90	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1110824988	CMS
EMD Serono, Inc.	$13.70	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1120227622	CMS
Gilead Sciences, Inc.	$25.37	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1133698025	CMS
GlaxoSmithKline, LLC.	$21.27	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1116480725	CMS
GlaxoSmithKline, LLC.	$33.73	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1115871332	CMS
GlaxoSmithKline, LLC.	$25.75	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1115969256	CMS
GlaxoSmithKline, LLC.	$32.65	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1116404733	CMS
GlaxoSmithKline, LLC.	$4.79	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1116563378	CMS
GlaxoSmithKline, LLC.	$16.38	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1116507251	CMS
GlaxoSmithKline, LLC.	$17.95	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1115864919	CMS
GlaxoSmithKline, LLC.	$31.51	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1116470644	CMS
Incyte Corporation	$14.47	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1141208029	CMS
Incyte Corporation	$23.57	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1141208561	CMS
Incyte Corporation	$19.35	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1141177908	CMS
Incyte Corporation	$25.96	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1141237427	CMS
Ipsen Biopharmaceuticals, Inc	$20.87	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1091952637	CMS
Janssen Biotech, Inc.	$20.39	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1078329153	CMS
Janssen Biotech, Inc.	$31.82	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1078327436	CMS
Janssen Biotech, Inc.	$38.36	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1078325799	CMS
Janssen Biotech, Inc.	$12.70	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1078328017	CMS
Janssen Biotech, Inc.	$34.31	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1078325340	CMS
Janssen Biotech, Inc.	$26.17	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1078327193	CMS
Janssen Biotech, Inc.	$42.82	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1078326080	CMS
Karyopharm Therapeutics Inc.	$32.12	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1145541942	CMS
Kowa Pharmaceuticals America, Inc.	$19.41	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1113473351	CMS
Kowa Pharmaceuticals America, Inc.	$25.14	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1113473353	CMS
Legend Biotech USA Inc.	$28.45	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1131692625	CMS
Lilly USA, LLC	$14.70	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1135993222	CMS
Lilly USA, LLC	$14.19	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1135989590	CMS
Lilly USA, LLC	$18.38	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1135993220	CMS
Lilly USA, LLC	$103.59	04/11/2024	Education	Undisputed	01/23/2026	1135985470	CMS
Lilly USA, LLC	$23.05	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1135984886	CMS
Lilly USA, LLC	$22.46	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1135985468	CMS
Lilly USA, LLC	$19.69	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1135993218	CMS
Merck Sharp & Dohme LLC	$31.11	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1141868693	CMS
Merck Sharp & Dohme LLC	$23.17	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1141695780	CMS
Merck Sharp & Dohme LLC	$27.40	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1141695782	CMS
Merck Sharp & Dohme LLC	$29.76	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1141695784	CMS
Merck Sharp & Dohme LLC	$29.75	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1141695786	CMS
Novartis Pharmaceuticals Corporation	$99.70	01/18/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100950	CMS
Novartis Pharmaceuticals Corporation	$16.79	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1087100912	CMS
Novartis Pharmaceuticals Corporation	$24.17	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1087100908	CMS
Novartis Pharmaceuticals Corporation	$99.70	02/16/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100952	CMS
Novartis Pharmaceuticals Corporation	$24.40	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1087100918	CMS
Novartis Pharmaceuticals Corporation	$99.70	03/15/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100954	CMS
Novartis Pharmaceuticals Corporation	$23.53	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1087100914	CMS
Novartis Pharmaceuticals Corporation	$25.82	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1087100920	CMS
Novartis Pharmaceuticals Corporation	$99.70	04/18/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100956	CMS
Novartis Pharmaceuticals Corporation	$16.17	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1087100922	CMS
Novartis Pharmaceuticals Corporation	$99.70	05/16/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100958	CMS
Novartis Pharmaceuticals Corporation	$28.98	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1087100926	CMS
Novartis Pharmaceuticals Corporation	$13.27	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1087100928	CMS
Novartis Pharmaceuticals Corporation	$19.40	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1087100930	CMS
Novartis Pharmaceuticals Corporation	$33.24	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1087100924	CMS
Novartis Pharmaceuticals Corporation	$99.70	06/13/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100960	CMS
Novartis Pharmaceuticals Corporation	$23.15	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1087100942	CMS
Novartis Pharmaceuticals Corporation	$24.67	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1087100938	CMS
Novartis Pharmaceuticals Corporation	$22.98	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1087100940	CMS
Novartis Pharmaceuticals Corporation	$29.19	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1087100932	CMS
Novartis Pharmaceuticals Corporation	$99.70	07/15/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100962	CMS
Novartis Pharmaceuticals Corporation	$99.70	08/23/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100946	CMS
Novartis Pharmaceuticals Corporation	$99.70	09/27/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100948	CMS
Novartis Pharmaceuticals Corporation	$99.70	10/17/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100966	CMS
Novartis Pharmaceuticals Corporation	$99.70	11/14/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100964	CMS
Novartis Pharmaceuticals Corporation	$99.70	12/10/2024	Long term medical supply or device loan	Undisputed	01/23/2026	1087100968	CMS
Novartis Pharmaceuticals Corporation	$27.60	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1087100970	CMS
Novo Nordisk Inc	$21.83	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1100315488	CMS
Novo Nordisk Inc	$19.53	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1100281596	CMS
Novocure Inc.	$18.98	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1123339450	CMS
PFIZER INC.	$24.00	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1131152131	CMS
PFIZER INC.	$23.46	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1131064027	CMS
PFIZER INC.	$26.65	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1131294623	CMS
Pharmacosmos Therapeutics Inc.	$21.16	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1154830050	CMS
PharmaEssentia USA Corporation	$32.44	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1137309632	CMS
PUMA BIOTECHNOLOGY, INC.	$24.64	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1113852333	CMS
Regeneron Healthcare Solutions, Inc.	$26.56	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1114320540	CMS
SOBI, INC	$21.09	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1141422709	CMS
SpringWorks Therapeutics, Inc.	$28.06	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1085810012	CMS
Stemline Therapeutics Inc.	$32.27	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1142970852	CMS
Sumitomo Pharma America, Inc.	$13.58	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1148969661	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.46	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1144977596	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$46.63	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1144977598	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$34.64	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1144977600	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.22	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1137768607	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$34.61	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1144977602	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$25.74	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1144977604	CMS
Tempus AI, Inc	$29.25	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1150182754	CMS
Tempus AI, Inc	$20.69	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1150182756	CMS
Tempus AI, Inc	$29.91	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1150182758	CMS
Tempus AI, Inc	$22.32	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1150182760	CMS
Tempus AI, Inc	$26.86	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1150182762	CMS
TerSera Therapeutics LLC	$35.32	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1144724202	CMS
Xeris Pharmaceuticals, Inc.	$23.19	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1144640860	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

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.