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

XZYLA DOWNES

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1427544741
CMS profile
11274418
Location
DOVER, DE

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.

Saved items

Saved only in this browser. No account or alerts.

Filter and download payment records

General Payments · PY2023 · Entire year

$1,296.28

49 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

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,216.29 48
Education $79.99 1

By paying entity

PY2023 · entire year · sorted by reported total

Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

XZYLA DOWNES

NPI 1427544741 · CMS profile ID 11274418

Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant

DOVER, DE

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.

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.

General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1427544741?year=2023&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
XZYLA DOWNES, NPI 1427544741, CMS profile ID 11274418. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1427544741?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7
IndustryPayments. (2026). XZYLA DOWNES, NPI 1427544741, CMS profile ID 11274418. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1427544741?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook
XZYLA DOWNES, NPI 1427544741, CMS profile ID 11274418, IndustryPayments, General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1427544741?year=2023&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2023

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

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

49 matching records · $1,296.28 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 49 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 1–49 of 49.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Regeneron Healthcare Solutions, Inc. $30.9712/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999651845 CMS
Takeda Pharmaceuticals U.S.A., Inc. $32.8312/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1055803567 CMS
AstraZeneca Pharmaceuticals LP $15.0112/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1014740089 CMS
AstraZeneca Pharmaceuticals LP $17.8911/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015322211 CMS
AstraZeneca Pharmaceuticals LP $13.8811/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1016027169 CMS
GENZYME CORPORATION $31.5011/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1049853269 CMS
JAZZ PHARMACEUTICALS INC. $15.3710/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1058474945 CMS
Regeneron Healthcare Solutions, Inc. $29.3810/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999651839 CMS
Genentech USA, Inc. $30.2210/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1040713887 CMS
GlaxoSmithKline, LLC. $13.3410/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1003670761 CMS
JAZZ PHARMACEUTICALS INC. $22.5409/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1058455825 CMS
Takeda Pharmaceuticals U.S.A., Inc. $31.7309/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1055803561 CMS
Merck Sharp & Dohme LLC $13.3609/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048493477 CMS
Insmed, Inc. $30.1209/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 978799115 CMS
Mylan Specialty L.P. $30.7109/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1039139907 CMS
GlaxoSmithKline, LLC. $13.0909/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1003670553 CMS
Harmony Biosciences LLC $31.2808/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1013643673 CMS
SANOFI-AVENTIS U.S. LLC $79.9908/24/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1049853213 CMS
GlaxoSmithKline, LLC. $15.7108/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1003670747 CMS
GENZYME CORPORATION $31.6708/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1049853201 CMS
Genentech USA, Inc. $19.7207/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1040713897 CMS
Genentech USA, Inc. $23.9307/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1040713905 CMS
Regeneron Healthcare Solutions, Inc. $25.8407/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999651833 CMS
Takeda Pharmaceuticals U.S.A., Inc. $29.1807/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1055803553 CMS
AstraZeneca Pharmaceuticals LP $12.9407/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1011659169 CMS
Takeda Pharmaceuticals U.S.A., Inc. $29.1806/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1055803545 CMS
GENZYME CORPORATION $16.1006/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1049853161 CMS
GlaxoSmithKline, LLC. $17.3805/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1003670755 CMS
Greer Laboratories, Inc. $16.3305/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024940819 CMS
Mallinckrodt Hospital Products Inc. $34.5505/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1042950155 CMS
GlaxoSmithKline, LLC. $21.9305/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1003670561 CMS
AstraZeneca Pharmaceuticals LP $15.3705/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1011885561 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.7905/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005403401 CMS
Regeneron Healthcare Solutions, Inc. $28.1405/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999651827 CMS
GENZYME CORPORATION $16.3204/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1049853099 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.9804/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1055803538 CMS
Mallinckrodt Hospital Products Inc. $38.0603/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1042950145 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.5203/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005408537 CMS
AstraZeneca Pharmaceuticals LP $120.0003/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1011684653 CMS
Regeneron Healthcare Solutions, Inc. $17.7703/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999651821 CMS
Mylan Specialty L.P. $30.7502/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1039070463 CMS
AstraZeneca Pharmaceuticals LP $14.0602/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015165683 CMS
Regeneron Healthcare Solutions, Inc. $29.0402/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999651817 CMS
Mallinckrodt Hospital Products Inc. $32.4802/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1042950137 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.6302/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005399883 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.1601/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 996744775 CMS
Regeneron Healthcare Solutions, Inc. $27.7701/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999651811 CMS
Philips Electronics North America Corporation $18.5201/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1024063759 CMS
AstraZeneca Pharmaceuticals LP $33.2501/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1014229579 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $266.32 6
PY2022 $1,135.29 42
PY2023 $1,296.28 49
PY2024 $994.44 50
PY2025 $1,372.56 64

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
Source files and profile matching
Source files
Dataset page · Bulk file · 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.