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

DAVID S MIDDLETON

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1376092973
CMS profile
10575187
Location
FORT MYERS, FL

General Payments · PY2021–2024

$593.19

  • Reported across 19 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$334.88

11 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 $334.88 11

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $99.39 1
PY2022 $22.31 1
PY2023 $136.61 6
PY2024 $334.88 11

Payment records · PY2024 (11)

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
Alnylam Pharmaceuticals Inc. $93.93 07/18/2024 Food and Beverage Undisputed 01/23/2026 1125857308 CMS
GENZYME CORPORATION $27.13 06/18/2024 Food and Beverage Undisputed 01/23/2026 1139666488 CMS
GENZYME CORPORATION $28.19 08/20/2024 Food and Beverage Undisputed 01/23/2026 1139666498 CMS
GENZYME CORPORATION $35.88 11/19/2024 Food and Beverage Undisputed 01/23/2026 1139666554 CMS
GlaxoSmithKline, LLC. $19.50 01/30/2024 Food and Beverage Undisputed 01/23/2026 1116596107 CMS
GlaxoSmithKline, LLC. $18.70 09/10/2024 Food and Beverage Undisputed 01/23/2026 1116271690 CMS
GlaxoSmithKline, LLC. $17.85 10/15/2024 Food and Beverage Undisputed 01/23/2026 1116684955 CMS
Inspire Medical Systems, Inc. $23.99 01/09/2024 Food and Beverage Undisputed 01/23/2026 1148162813 CMS
Organogenesis Inc. $19.38 06/11/2024 Food and Beverage Undisputed 01/23/2026 1145461429 CMS
Regeneron Healthcare Solutions, Inc. $24.58 09/03/2024 Food and Beverage Undisputed 01/23/2026 1114343400 CMS
Regeneron Healthcare Solutions, Inc. $25.75 11/26/2024 Food and Beverage Undisputed 01/23/2026 1114343402 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.