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

MARY ELLEN Z ESTES

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1447427000
CMS profile
10655305
Location
FAIRFAX, VA

General Payments · PY2021–2024

$3,796.30

  • Reported across 174 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$482.71

12 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 $482.71 12

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $136.61 2
Novo Nordisk AS $121.74 1
PFIZER INC. $109.06 4
Exact Sciences Corporation $39.28 2
ABBVIE INC. $34.04 1
Amgen Inc. $21.55 1
Lilly USA, LLC $20.43 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,167.19 68
PY2022 $1,124.86 49
PY2023 $1,021.54 45
PY2024 $482.71 12

Payment records · PY2024 (12)

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

Program year 2024 202120222023 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
ABBVIE INC. $34.04 02/09/2024 Food and Beverage Undisputed 01/23/2026 1107080288 CMS
Amgen Inc. $21.55 10/14/2024 Food and Beverage Undisputed 01/23/2026 1117247333 CMS
AstraZeneca Pharmaceuticals LP $114.86 05/09/2024 Food and Beverage Undisputed 01/23/2026 1104367457 CMS
AstraZeneca Pharmaceuticals LP $21.75 08/01/2024 Food and Beverage Undisputed 01/23/2026 1104403175 CMS
Exact Sciences Corporation $20.59 01/24/2024 Food and Beverage Undisputed 01/23/2026 1114567548 CMS
Exact Sciences Corporation $18.69 08/07/2024 Food and Beverage Undisputed 01/23/2026 1114567552 CMS
Lilly USA, LLC $20.43 01/10/2024 Food and Beverage Undisputed 01/23/2026 1135809559 CMS
Novo Nordisk Inc $121.74 03/07/2024 Food and Beverage Undisputed 01/23/2026 1100463564 CMS
PFIZER INC. $42.42 02/14/2024 Food and Beverage Undisputed 01/23/2026 1131003289 CMS
PFIZER INC. $23.08 04/12/2024 Food and Beverage Undisputed 01/23/2026 1131312968 CMS
PFIZER INC. $16.18 09/19/2024 Food and Beverage Undisputed 01/23/2026 1132037882 CMS
PFIZER INC. $27.38 10/07/2024 Food and Beverage Undisputed 01/23/2026 1132084634 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.