Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record Methodology

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

RACHEL MERLING

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1386459782
CMS profile
11840738
Location
COLORADO SPRINGS, CO

A name match is not confirmation of identity. Check the NPI, specialty, and location before drawing any conclusion about a specific person.

General Payments · PY2025

$1,546.72

  • Reported across 63 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,546.72

63 records · 0 disputed

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

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) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,546.72 63

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2025 $1,546.72 63

Payment records · PY2025 (63)

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

Program year 2025
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
GlaxoSmithKline, LLC. $17.95 12/23/2025 Food and Beverage Undisputed 06/30/2026 1190400147 CMS
AstraZeneca Pharmaceuticals LP $3.60 12/18/2025 Food and Beverage Undisputed 06/30/2026 1206501841 CMS
AstraZeneca Pharmaceuticals LP $19.20 12/18/2025 Food and Beverage Undisputed 06/30/2026 1206529332 CMS
AstraZeneca Pharmaceuticals LP $19.82 12/16/2025 Food and Beverage Undisputed 06/30/2026 1206808125 CMS
Electromed, Inc. $17.85 12/09/2025 Food and Beverage Undisputed 06/30/2026 1224623338 CMS
AstraZeneca Pharmaceuticals LP $27.57 12/04/2025 Food and Beverage Undisputed 06/30/2026 1206539086 CMS
Electromed, Inc. $6.65 12/04/2025 Food and Beverage Undisputed 06/30/2026 1224623343 CMS
Liquidia Technologies, Inc. $25.42 12/02/2025 Food and Beverage Undisputed 06/30/2026 1208897193 CMS
JAZZ PHARMACEUTICALS INC. $21.88 11/25/2025 Food and Beverage Undisputed 06/30/2026 1234895487 CMS
AstraZeneca Pharmaceuticals LP $23.02 11/13/2025 Food and Beverage Undisputed 06/30/2026 1206319221 CMS
AstraZeneca Pharmaceuticals LP $34.81 11/12/2025 Food and Beverage Undisputed 06/30/2026 1207203388 CMS
Philips North America LLC $30.74 11/03/2025 Food and Beverage Undisputed 06/30/2026 1232608280 CMS
AstraZeneca Pharmaceuticals LP $27.65 10/30/2025 Food and Beverage Undisputed 06/30/2026 1206734645 CMS
Axsome Therapeutics, Inc. $32.84 10/09/2025 Food and Beverage Undisputed 06/30/2026 1235562599 CMS
Actelion Pharmaceuticals US, Inc. $23.86 10/07/2025 Food and Beverage Undisputed 06/30/2026 1174190216 CMS
Electromed, Inc. $8.03 10/06/2025 Food and Beverage Undisputed 06/30/2026 1224623373 CMS
AstraZeneca Pharmaceuticals LP $21.90 10/02/2025 Food and Beverage Undisputed 06/30/2026 1206510348 CMS
Electromed, Inc. $7.82 10/01/2025 Food and Beverage Undisputed 06/30/2026 1224623369 CMS
Regeneron Healthcare Solutions, Inc. $27.57 09/18/2025 Food and Beverage Undisputed 06/30/2026 1213172241 CMS
AstraZeneca Pharmaceuticals LP $27.87 09/17/2025 Food and Beverage Undisputed 06/30/2026 1206470231 CMS
AstraZeneca Pharmaceuticals LP $21.79 09/11/2025 Food and Beverage Undisputed 06/30/2026 1207257738 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.50 09/09/2025 Food and Beverage Undisputed 06/30/2026 1224061514 CMS
Electromed, Inc. $6.88 08/22/2025 Food and Beverage Undisputed 06/30/2026 1224623364 CMS
AstraZeneca Pharmaceuticals LP $15.96 08/21/2025 Food and Beverage Undisputed 06/30/2026 1206987627 CMS
Takeda Pharmaceuticals U.S.A., Inc. $31.20 08/14/2025 Food and Beverage Undisputed 06/30/2026 1224083432 CMS
United Therapeutics Corporation $23.29 08/07/2025 Food and Beverage Undisputed 06/30/2026 1242536786 CMS
AstraZeneca Pharmaceuticals LP $13.48 08/05/2025 Food and Beverage Undisputed 06/30/2026 1206371379 CMS
Amgen Inc. $48.05 07/30/2025 Food and Beverage Undisputed 06/30/2026 1229120086 CMS
AstraZeneca Pharmaceuticals LP $22.01 07/29/2025 Food and Beverage Undisputed 06/30/2026 1207185931 CMS
Philips North America LLC $20.91 07/24/2025 Food and Beverage Undisputed 06/30/2026 1232608230 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.98 07/22/2025 Food and Beverage Undisputed 06/30/2026 1225652505 CMS
AstraZeneca Pharmaceuticals LP $13.69 07/15/2025 Food and Beverage Undisputed 06/30/2026 1206683269 CMS
Electromed, Inc. $3.28 07/08/2025 Food and Beverage Undisputed 06/30/2026 1224623350 CMS
Viatris Specialty LLC $24.13 07/08/2025 Food and Beverage Undisputed 06/30/2026 1238508287 CMS
Electromed, Inc. $6.16 07/03/2025 Food and Beverage Undisputed 06/30/2026 1224623347 CMS
Actelion Pharmaceuticals US, Inc. $22.88 07/01/2025 Food and Beverage Undisputed 06/30/2026 1174190470 CMS
Tactile Systems Technology Inc $20.35 06/24/2025 Food and Beverage Undisputed 06/30/2026 1180557174 CMS
Electromed, Inc. $18.35 06/19/2025 Food and Beverage Undisputed 06/30/2026 1224623330 CMS
Electromed, Inc. $6.07 06/17/2025 Food and Beverage Undisputed 06/30/2026 1224623334 CMS
Axsome Therapeutics, Inc. $20.25 06/16/2025 Food and Beverage Undisputed 06/30/2026 1235327273 CMS
AstraZeneca Pharmaceuticals LP $18.43 06/12/2025 Food and Beverage Undisputed 06/30/2026 1206750517 CMS
AstraZeneca Pharmaceuticals LP $29.60 06/10/2025 Food and Beverage Undisputed 06/30/2026 1206691490 CMS
United Therapeutics Corporation $126.49 06/05/2025 Food and Beverage Undisputed 06/30/2026 1242549680 CMS
INOGEN, INC. $27.16 05/29/2025 Food and Beverage Undisputed 06/30/2026 1253659918 CMS
Electromed, Inc. $128.85 05/21/2025 Food and Beverage Undisputed 06/30/2026 1224623357 CMS
Electromed, Inc. $1.35 05/20/2025 Food and Beverage Undisputed 06/30/2026 1224623324 CMS
United Therapeutics Corporation $15.07 05/20/2025 Food and Beverage Undisputed 06/30/2026 1242530292 CMS
United Therapeutics Corporation $9.08 05/20/2025 Food and Beverage Undisputed 06/30/2026 1242555232 CMS
AstraZeneca Pharmaceuticals LP $34.90 05/16/2025 Food and Beverage Undisputed 06/30/2026 1206380910 CMS
Electromed, Inc. $5.00 05/16/2025 Food and Beverage Undisputed 06/30/2026 1224623327 CMS
AstraZeneca Pharmaceuticals LP $18.46 05/13/2025 Food and Beverage Undisputed 06/30/2026 1206142774 CMS
AstraZeneca Pharmaceuticals LP $34.96 05/06/2025 Food and Beverage Undisputed 06/30/2026 1206523023 CMS
Regeneron Healthcare Solutions, Inc. $15.12 05/02/2025 Food and Beverage Undisputed 06/30/2026 1213172239 CMS
United Therapeutics Corporation $11.98 05/01/2025 Food and Beverage Undisputed 06/30/2026 1242555230 CMS
United Therapeutics Corporation $21.60 05/01/2025 Food and Beverage Undisputed 06/30/2026 1242555236 CMS
Stryker Corporation $96.56 04/29/2025 Food and Beverage Undisputed 06/30/2026 1249047666 CMS
AstraZeneca Pharmaceuticals LP $19.90 04/24/2025 Food and Beverage Undisputed 06/30/2026 1206475645 CMS
Electromed, Inc. $7.57 04/16/2025 Food and Beverage Undisputed 06/30/2026 1224623361 CMS
United Therapeutics Corporation $14.29 04/11/2025 Food and Beverage Undisputed 06/30/2026 1242548998 CMS
Electromed, Inc. $9.11 04/02/2025 Food and Beverage Undisputed 06/30/2026 1224623354 CMS
Electromed, Inc. $26.24 03/25/2025 Food and Beverage Undisputed 06/30/2026 1224623320 CMS
JAZZ PHARMACEUTICALS INC. $32.75 03/13/2025 Food and Beverage Undisputed 06/30/2026 1234890105 CMS
Regeneron Healthcare Solutions, Inc. $32.99 03/11/2025 Food and Beverage Undisputed 06/30/2026 1213172237 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

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.