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

MELISSA DEANNE KNUDSEN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1447096508
CMS profile
11594459
Location
SPRINGFIELD, MO

General Payments · PY2024–2025

$1,271.70

  • Reported across 54 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$970.46

40 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 $970.46 40

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $301.24 14
PY2025 $970.46 40

Payment records · PY2025 (40)

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

Program year 2025 2024 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
Abbott Laboratories $24.22 08/18/2025 Food and Beverage Undisputed 06/30/2026 1240887966 CMS
Abbott Laboratories $24.77 10/13/2025 Food and Beverage Undisputed 06/30/2026 1240889298 CMS
Amgen Inc. $14.60 01/17/2025 Food and Beverage Undisputed 06/30/2026 1229177421 CMS
AstraZeneca Pharmaceuticals LP $60.73 01/04/2025 Food and Beverage Undisputed 06/30/2026 1206166680 CMS
AstraZeneca Pharmaceuticals LP $15.06 01/27/2025 Food and Beverage Undisputed 06/30/2026 1206480471 CMS
AstraZeneca Pharmaceuticals LP $15.68 02/08/2025 Food and Beverage Undisputed 06/30/2026 1207293557 CMS
AstraZeneca Pharmaceuticals LP $13.86 04/14/2025 Food and Beverage Undisputed 06/30/2026 1206220080 CMS
AstraZeneca Pharmaceuticals LP $18.49 05/03/2025 Food and Beverage Undisputed 06/30/2026 1206603219 CMS
AstraZeneca Pharmaceuticals LP $16.29 07/18/2025 Food and Beverage Undisputed 06/30/2026 1206454770 CMS
AstraZeneca Pharmaceuticals LP $21.67 08/01/2025 Food and Beverage Undisputed 06/30/2026 1207279315 CMS
AstraZeneca Pharmaceuticals LP $14.66 08/08/2025 Food and Beverage Undisputed 06/30/2026 1206272504 CMS
AstraZeneca Pharmaceuticals LP $16.29 10/03/2025 Food and Beverage Undisputed 06/30/2026 1207014923 CMS
AstraZeneca Pharmaceuticals LP $14.89 10/28/2025 Food and Beverage Undisputed 06/30/2026 1207297654 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.35 10/20/2025 Food and Beverage Undisputed 06/30/2026 1225609304 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.45 11/10/2025 Food and Beverage Undisputed 06/30/2026 1225609306 CMS
Collegium Pharmaceutical, Inc. $19.38 12/05/2025 Food and Beverage Undisputed 06/30/2026 1224170096 CMS
Dexcom, Inc. $20.87 11/24/2025 Food and Beverage Undisputed 06/30/2026 1250574579 CMS
Eisai Inc. $20.22 01/24/2025 Food and Beverage Undisputed 06/30/2026 1244544806 CMS
Eisai Inc. $20.00 02/21/2025 Food and Beverage Undisputed 06/30/2026 1244544808 CMS
Eisai Inc. $27.07 03/21/2025 Food and Beverage Undisputed 06/30/2026 1244544810 CMS
Eisai Inc. $123.04 04/03/2025 Food and Beverage Undisputed 06/30/2026 1244544820 CMS
Eisai Inc. $30.13 06/20/2025 Food and Beverage Undisputed 06/30/2026 1244544812 CMS
Eisai Inc. $26.78 09/12/2025 Food and Beverage Undisputed 06/30/2026 1244544814 CMS
Eisai Inc. $30.62 10/11/2025 Food and Beverage Undisputed 06/30/2026 1244544816 CMS
Eisai Inc. $21.87 11/08/2025 Food and Beverage Undisputed 06/30/2026 1244544818 CMS
Lilly USA, LLC $21.39 04/07/2025 Food and Beverage Undisputed 06/30/2026 1187199462 CMS
Lilly USA, LLC $20.00 04/25/2025 Food and Beverage Undisputed 06/30/2026 1187226367 CMS
Lilly USA, LLC $90.48 07/28/2025 Food and Beverage Undisputed 06/30/2026 1187181420 CMS
Lilly USA, LLC $19.16 08/18/2025 Food and Beverage Undisputed 06/30/2026 1187226369 CMS
Novartis Pharmaceuticals Corporation $17.49 02/03/2025 Food and Beverage Undisputed 06/30/2026 1200360578 CMS
Novartis Pharmaceuticals Corporation $14.06 11/03/2025 Food and Beverage Undisputed 06/30/2026 1200216281 CMS
Novartis Pharmaceuticals Corporation $14.33 12/19/2025 Food and Beverage Undisputed 06/30/2026 1200216291 CMS
Novo Nordisk Inc $15.82 03/24/2025 Food and Beverage Undisputed 06/30/2026 1188333519 CMS
Novo Nordisk Inc $15.56 06/02/2025 Food and Beverage Undisputed 06/30/2026 1188999080 CMS
Novo Nordisk Inc $16.17 07/21/2025 Food and Beverage Undisputed 06/30/2026 1188257981 CMS
Novo Nordisk Inc $15.27 08/25/2025 Food and Beverage Undisputed 06/30/2026 1188637002 CMS
Otsuka America Pharmaceutical, Inc. $14.25 04/10/2025 Food and Beverage Undisputed 06/30/2026 1227795596 CMS
Otsuka America Pharmaceutical, Inc. $19.97 10/24/2025 Food and Beverage Undisputed 06/30/2026 1227795599 CMS
PFIZER INC. $19.07 06/23/2025 Food and Beverage Undisputed 06/30/2026 1229324391 CMS
Viatris Specialty LLC $16.45 02/15/2025 Food and Beverage Undisputed 06/30/2026 1238495555 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
2024, 2025
Source files
Dataset page · Bulk file · 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.