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

Covered recipient · General Payments record

NATHANAEL DAVID GAY

Allopathic & Osteopathic Physicians Internal Medicine Hematology & Oncology

NPI
1417214420
CMS profile
5493837
Location
SPOKANE, WA

General Payments · PY2019–2025

$1,136.08

  • Reported across 44 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$429.47

16 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $307.07 13
Education $122.40 3

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $133.71 4
PY2020 $99.00 1
PY2021 $15.50 1
PY2022 $102.68 5
PY2023 $285.52 14
PY2024 $70.20 3
PY2025 $429.47 16

Payment records · PY2025 (16)

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

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $27.79 07/29/2025 Food and Beverage Undisputed 06/30/2026 1201909712 CMS
ARRAY BIOPHARMA INC $24.26 09/04/2025 Food and Beverage Undisputed 06/30/2026 1229443277 CMS
Astellas Pharma US Inc $31.88 06/25/2025 Food and Beverage Undisputed 06/30/2026 1238716268 CMS
AstraZeneca Pharmaceuticals LP $43.25 11/25/2025 Education Undisputed 06/30/2026 1206781523 CMS
Celgene Corporation $29.08 08/28/2025 Food and Beverage Undisputed 06/30/2026 1184612804 CMS
Genentech, Inc. $53.45 07/11/2025 Education Undisputed 06/30/2026 1211558380 CMS
Gilead Sciences, Inc. $16.51 11/24/2025 Food and Beverage Undisputed 06/30/2026 1234561799 CMS
Incyte Corporation $20.63 11/17/2025 Food and Beverage Undisputed 06/30/2026 1226004641 CMS
Merck Sharp & Dohme LLC $25.70 09/30/2025 Education Undisputed 06/30/2026 1238031906 CMS
Novartis Pharmaceuticals Corporation $17.09 06/03/2025 Food and Beverage Undisputed 06/30/2026 1200381448 CMS
Novartis Pharmaceuticals Corporation $17.96 08/14/2025 Food and Beverage Undisputed 06/30/2026 1200381462 CMS
Novartis Pharmaceuticals Corporation $15.18 12/15/2025 Food and Beverage Undisputed 06/30/2026 1200280955 CMS
PFIZER INC. $23.50 09/24/2025 Food and Beverage Undisputed 06/30/2026 1230136817 CMS
PFIZER INC. $25.73 09/25/2025 Food and Beverage Undisputed 06/30/2026 1229422678 CMS
PFIZER INC. $27.80 10/27/2025 Food and Beverage Undisputed 06/30/2026 1229802621 CMS
Takeda Pharmaceuticals U.S.A., Inc. $29.66 10/30/2025 Food and Beverage Undisputed 06/30/2026 1223919778 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , 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.