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

Covered recipient · General Payments record

ALEXANDER JAMES ZACHARY

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1437896248
CMS profile
11351124
Location
RICHLAND, WA

General Payments · PY2025

$1,349.73

  • Reported across 16 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,349.73

16 records · 0 disputed

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

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 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $772.82 5
Food and Beverage $576.91 11

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Medtronic, Inc. $1,328.47 15
Supernus Pharmaceuticals, Inc. $21.26 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2025 $1,349.73 16

Payment records · PY2025 (16)

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

Program year 2025
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Medtronic, Inc. $7.57 10/28/2025 Food and Beverage Undisputed 06/30/2026 1219791737 CMS
Medtronic, Inc. $473.01 12/05/2025 Travel and Lodging Undisputed 06/30/2026 1219791713 CMS
Medtronic, Inc. $116.60 12/05/2025 Food and Beverage Undisputed 06/30/2026 1219791735 CMS
Medtronic, Inc. $209.00 12/12/2025 Travel and Lodging Undisputed 06/30/2026 1219791721 CMS
Medtronic, Inc. $33.33 12/12/2025 Travel and Lodging Undisputed 06/30/2026 1219791723 CMS
Medtronic, Inc. $17.67 12/12/2025 Food and Beverage Undisputed 06/30/2026 1219791725 CMS
Medtronic, Inc. $24.15 12/12/2025 Food and Beverage Undisputed 06/30/2026 1219791727 CMS
Medtronic, Inc. $55.25 12/13/2025 Food and Beverage Undisputed 06/30/2026 1219791715 CMS
Medtronic, Inc. $34.47 12/13/2025 Travel and Lodging Undisputed 06/30/2026 1219791717 CMS
Medtronic, Inc. $76.59 12/13/2025 Food and Beverage Undisputed 06/30/2026 1219791729 CMS
Medtronic, Inc. $112.43 12/13/2025 Food and Beverage Undisputed 06/30/2026 1219791731 CMS
Medtronic, Inc. $78.76 12/13/2025 Food and Beverage Undisputed 06/30/2026 1219791733 CMS
Medtronic, Inc. $56.25 12/13/2025 Food and Beverage Undisputed 06/30/2026 1219791739 CMS
Medtronic, Inc. $10.38 12/13/2025 Food and Beverage Undisputed 06/30/2026 1224985411 CMS
Medtronic, Inc. $23.01 12/14/2025 Travel and Lodging Undisputed 06/30/2026 1219791719 CMS
Supernus Pharmaceuticals, Inc. $21.26 04/30/2025 Food and Beverage Undisputed 06/30/2026 1244988214 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

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