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

Covered recipient · General Payments record

GRACIANY MIRANDA TRISTANY

Allopathic & Osteopathic Physicians Internal Medicine Hematology & Oncology

NPI
1386639995
CMS profile
943553
Location
HUMACAO, PR

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2025 · Entire year

$4,166.08

187 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2025 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $3,998.10 185
Education $167.98 2

By paying entity

PY2025 · entire year · sorted by reported total

Payment records · PY2025

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

General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30

187 matching records · $4,166.08 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 187 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 187.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
ABBVIE INC. $0.7512/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261203092765 CMS
ABBVIE INC. $8.5312/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261203092767 CMS
BeOne Medicines USA, Inc. $22.3012/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261202904546 CMS
Astellas Pharma US Inc $22.1812/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238601212 CMS
ARRAY BIOPHARMA INC $23.6712/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261230130596 CMS
PBG PUERTO RICO LLC $25.0012/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261229914348 CMS
E.R. Squibb & Sons, L.L.C. $24.6412/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261184924640 CMS
Janssen Pharmaceuticals, Inc $16.0412/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174857570 CMS
Merck Sharp & Dohme LLC $25.0012/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238311616 CMS
Gilead Sciences, Inc. $24.9412/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261234475338 CMS
Organon LLC $21.9512/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261237704154 CMS
AstraZeneca Pharmaceuticals LP $28.5712/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206145853 CMS
E.R. Squibb & Sons, L.L.C. $23.2812/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261184924632 CMS
Genentech USA, Inc. $20.0012/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261211515765 CMS
Regeneron Healthcare Solutions, Inc. $21.8812/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261212991566 CMS
Janssen Pharmaceuticals, Inc $21.9511/26/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174857427 CMS
PBG PUERTO RICO LLC $27.5811/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261229576243 CMS
Eisai Inc. $22.1811/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261244481178 CMS
ABBVIE INC. $25.0011/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261203092763 CMS
SpringWorks Therapeutics, Inc. $22.1811/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261232165661 CMS
Bayer Puerto Rico Inc. $22.5311/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261225656340 CMS
Novartis Pharmaceuticals Corporation $24.0211/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261200629991 CMS
AstraZeneca Pharmaceuticals LP $25.0011/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206840977 CMS
Incyte Corporation $21.8811/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261225960318 CMS
Merck Sharp & Dohme LLC $20.1911/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238224722 CMS
Janssen Pharmaceuticals, Inc $14.3111/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174857579 CMS
Novartis Pharmaceuticals Corporation $25.0011/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261200670210 CMS
Bayer Puerto Rico Inc. $23.4911/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261225656338 CMS
Janssen Pharmaceuticals, Inc $16.9511/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174857764 CMS
AstraZeneca Pharmaceuticals LP $29.7810/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206759839 CMS
ABBVIE INC. $21.0310/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261203092761 CMS
Amgen Inc. $14.6110/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261227126672 CMS
E.R. Squibb & Sons, L.L.C. $14.7310/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261184924620 CMS
E.R. Squibb & Sons, L.L.C. $19.6210/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261184924622 CMS
Verity Pharmaceuticals Inc. $25.0010/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261234197550 CMS
Genentech USA, Inc. $31.2810/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261211515759 CMS
AstraZeneca Pharmaceuticals LP $28.1310/21/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206459221 CMS
Regeneron Healthcare Solutions, Inc. $25.0010/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261212991564 CMS
Alexion Pharmaceuticals, Inc. $31.1910/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261202982456 CMS
PBG PUERTO RICO LLC $24.2810/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261229969222 CMS
Janssen Pharmaceuticals, Inc $13.2210/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261174857783 CMS
Merck Sharp & Dohme LLC $22.2210/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238041825 CMS
E.R. Squibb & Sons, L.L.C. $24.2810/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261184924618 CMS
Genentech USA, Inc. $25.3810/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261211515763 CMS
Stemline Therapeutics Inc. $17.7310/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261244093120 CMS
ABBVIE INC. $17.1910/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261203092759 CMS
E.R. Squibb & Sons, L.L.C. $11.7310/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261184924602 CMS
Merck Sharp & Dohme LLC $14.6510/01/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261238354502 CMS
Bayer Puerto Rico Inc. $28.4109/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261225656342 CMS
ABBVIE INC. $25.0009/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261203092757 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,952.21 109
PY2020 $2,913.04 83
PY2021 $2,582.98 120
PY2022 $3,017.13 139
PY2023 $3,198.97 143
PY2024 $3,974.31 192
PY2025 $4,166.08 187

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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
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.

Cite this record.

Plain
GRACIANY MIRANDA TRISTANY, NPI 1386639995. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1386639995.
APA 7
IndustryPayments. (2026). GRACIANY MIRANDA TRISTANY, NPI 1386639995 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1386639995
Bluebook
GRACIANY MIRANDA TRISTANY, NPI 1386639995, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1386639995.

Source: Centers for Medicare & Medicaid Services, Open Payments.