Covered recipient · General Payments record
CYNTHIA ALLEN CASTLEMAN
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2021–2025
$1,795.87
- Reported across 96 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $304.05 | 15 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk AS | $161.09 | 8 |
| PFIZER INC. | $49.56 | 2 |
| Acerta Pharma LLC | $41.06 | 2 |
| DEXCOM, INC. | $24.49 | 1 |
| Lilly USA, LLC | $14.08 | 1 |
| Currax Pharmaceuticals LLC | $13.77 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (15)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | $15.73 | 01/07/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1207195991 | CMS |
| AstraZeneca Pharmaceuticals LP | $25.33 | 11/04/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1206668814 | CMS |
| Currax Pharmaceuticals LLC | $13.77 | 11/20/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1242710433 | CMS |
| Dexcom, Inc. | $24.49 | 09/18/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1250550739 | CMS |
| Lilly USA, LLC | $14.08 | 02/06/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1187071605 | CMS |
| Novo Nordisk Inc | $27.39 | 01/14/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188452692 | CMS |
| Novo Nordisk Inc | $23.50 | 02/20/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188301716 | CMS |
| Novo Nordisk Inc | $25.48 | 04/01/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188232144 | CMS |
| Novo Nordisk Inc | $16.92 | 05/22/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1189132554 | CMS |
| Novo Nordisk Inc | $22.86 | 05/27/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188974293 | CMS |
| Novo Nordisk Inc | $10.22 | 09/11/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188680559 | CMS |
| Novo Nordisk Inc | $17.99 | 10/16/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188605095 | CMS |
| Novo Nordisk Inc | $16.73 | 10/21/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188454830 | CMS |
| PFIZER INC. | $20.57 | 01/28/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1229251151 | CMS |
| PFIZER INC. | $28.99 | 05/20/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1229319111 | 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
- 2021, 2022, 2023, 2024, 2025
- 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.