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

ROBERT A GIANFAGNA

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1386650943
CMS profile
107682
Location
BUFFALO, NY

General Payments · PY2018–2024

$10,948.92

  • Reported across 620 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,045.70

57 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 $1,045.70 57

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $2,117.24 129
PY2019 $2,513.25 136
PY2020 $826.58 41
PY2021 $1,139.52 78
PY2022 $1,679.22 91
PY2023 $1,627.41 88
PY2024 $1,045.70 57

Payment records · PY2024 (57)

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

Program year 2024 201820192020202120222023 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
ABIOMED $26.20 08/05/2024 Food and Beverage Undisputed 01/23/2026 1142238238 CMS
Actelion Pharmaceuticals US, Inc. $26.50 01/24/2024 Food and Beverage Undisputed 01/23/2026 1078903317 CMS
Actelion Pharmaceuticals US, Inc. $25.95 03/26/2024 Food and Beverage Undisputed 01/23/2026 1078903291 CMS
Actelion Pharmaceuticals US, Inc. $21.80 04/25/2024 Food and Beverage Undisputed 01/23/2026 1078903271 CMS
Actelion Pharmaceuticals US, Inc. $99.60 05/29/2024 Food and Beverage Undisputed 01/23/2026 1078903259 CMS
Actelion Pharmaceuticals US, Inc. $21.56 07/23/2024 Food and Beverage Undisputed 01/23/2026 1078903273 CMS
Amgen Inc. $12.85 01/08/2024 Food and Beverage Undisputed 01/23/2026 1115658639 CMS
Amgen Inc. $5.94 01/29/2024 Food and Beverage Undisputed 01/23/2026 1115658647 CMS
Amgen Inc. $18.76 02/07/2024 Food and Beverage Undisputed 01/23/2026 1115658655 CMS
Amgen Inc. $4.59 02/13/2024 Food and Beverage Undisputed 01/23/2026 1115658663 CMS
Amgen Inc. $14.07 06/03/2024 Food and Beverage Undisputed 01/23/2026 1115658671 CMS
Amgen Inc. $4.72 06/14/2024 Food and Beverage Undisputed 01/23/2026 1115658680 CMS
Amgen Inc. $2.43 06/21/2024 Food and Beverage Undisputed 01/23/2026 1115658688 CMS
Amgen Inc. $14.91 07/10/2024 Food and Beverage Undisputed 01/23/2026 1115658697 CMS
Amgen Inc. $15.72 07/16/2024 Food and Beverage Undisputed 01/23/2026 1115658707 CMS
Amgen Inc. $16.54 07/30/2024 Food and Beverage Undisputed 01/23/2026 1115658725 CMS
Amgen Inc. $2.45 07/31/2024 Food and Beverage Undisputed 01/23/2026 1115658715 CMS
Amgen Inc. $3.15 08/13/2024 Food and Beverage Undisputed 01/23/2026 1115658733 CMS
Amgen Inc. $14.35 08/27/2024 Food and Beverage Undisputed 01/23/2026 1115658743 CMS
Amgen Inc. $17.37 09/23/2024 Food and Beverage Undisputed 01/23/2026 1115658751 CMS
Amgen Inc. $3.10 10/23/2024 Food and Beverage Undisputed 01/23/2026 1115658758 CMS
Amgen Inc. $2.83 11/05/2024 Food and Beverage Undisputed 01/23/2026 1115658766 CMS
Amgen Inc. $13.32 11/20/2024 Food and Beverage Undisputed 01/23/2026 1115658772 CMS
AstraZeneca Pharmaceuticals LP $15.71 10/29/2024 Food and Beverage Undisputed 01/23/2026 1105721076 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.29 01/31/2024 Food and Beverage Undisputed 01/23/2026 1117989512 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.06 04/23/2024 Food and Beverage Undisputed 01/23/2026 1117989510 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.44 06/10/2024 Food and Beverage Undisputed 01/23/2026 1117989514 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.89 09/04/2024 Food and Beverage Undisputed 01/23/2026 1117989516 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.59 12/04/2024 Food and Beverage Undisputed 01/23/2026 1117989508 CMS
Boston Scientific Corporation $15.67 12/16/2024 Food and Beverage Undisputed 01/23/2026 1092300745 CMS
E.R. Squibb & Sons, L.L.C. $15.63 05/22/2024 Food and Beverage Undisputed 01/23/2026 1101219202 CMS
E.R. Squibb & Sons, L.L.C. $16.34 07/08/2024 Food and Beverage Undisputed 01/23/2026 1101219222 CMS
E.R. Squibb & Sons, L.L.C. $23.06 11/19/2024 Food and Beverage Undisputed 01/23/2026 1101219244 CMS
Edwards Lifesciences Corporation $25.39 03/13/2024 Food and Beverage Undisputed 01/23/2026 1138893279 CMS
Edwards Lifesciences Corporation $24.44 09/18/2024 Food and Beverage Undisputed 01/23/2026 1138893315 CMS
Impulse Dynamics (USA) Inc. $27.28 10/14/2024 Food and Beverage Undisputed 01/23/2026 1100400771 CMS
Janssen Pharmaceuticals, Inc $17.50 02/20/2024 Food and Beverage Undisputed 01/23/2026 1078106790 CMS
Lexicon Pharmaceuticals, Inc. $18.30 04/19/2024 Food and Beverage Undisputed 01/23/2026 1081699499 CMS
Merck Sharp & Dohme LLC $17.83 07/09/2024 Food and Beverage Undisputed 01/23/2026 1141903396 CMS
Novartis Pharmaceuticals Corporation $17.40 01/12/2024 Food and Beverage Undisputed 01/23/2026 1086861375 CMS
Novartis Pharmaceuticals Corporation $19.31 03/11/2024 Food and Beverage Undisputed 01/23/2026 1086861369 CMS
Novartis Pharmaceuticals Corporation $15.57 04/10/2024 Food and Beverage Undisputed 01/23/2026 1086861371 CMS
Novartis Pharmaceuticals Corporation $17.24 06/24/2024 Food and Beverage Undisputed 01/23/2026 1086861381 CMS
Novartis Pharmaceuticals Corporation $15.50 12/18/2024 Food and Beverage Undisputed 01/23/2026 1086861399 CMS
Novo Nordisk Inc $18.53 04/26/2024 Food and Beverage Undisputed 01/23/2026 1096706007 CMS
Novo Nordisk Inc $14.56 10/30/2024 Food and Beverage Undisputed 01/23/2026 1097210594 CMS
Novo Nordisk Inc $16.33 12/13/2024 Food and Beverage Undisputed 01/23/2026 1096859714 CMS
PFIZER INC. $22.90 02/27/2024 Food and Beverage Undisputed 01/23/2026 1131199753 CMS
PFIZER INC. $24.80 10/08/2024 Food and Beverage Undisputed 01/23/2026 1132132829 CMS
SCPHARMACEUTICALS INC. $18.15 04/15/2024 Food and Beverage Undisputed 01/23/2026 1132267887 CMS
SCPHARMACEUTICALS INC. $15.33 05/28/2024 Food and Beverage Undisputed 01/23/2026 1132277755 CMS
SCPHARMACEUTICALS INC. $19.18 09/30/2024 Food and Beverage Undisputed 01/23/2026 1132301184 CMS
SCPHARMACEUTICALS INC. $17.46 11/05/2024 Food and Beverage Undisputed 01/23/2026 1132308591 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $29.17 04/02/2024 Food and Beverage Undisputed 01/23/2026 1080688286 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $19.49 05/14/2024 Food and Beverage Undisputed 01/23/2026 1080688430 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $19.49 06/11/2024 Food and Beverage Undisputed 01/23/2026 1080688522 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $28.16 07/29/2024 Food and Beverage Undisputed 01/23/2026 1080688636 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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