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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

MARGARET H SIGMAN

Allopathic & Osteopathic Physicians Allergy & Immunology

NPI
1447461108
CMS profile
156058
Location
MIDLOTHIAN, VA

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.

General Payments · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$2,894.26

146 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,894.26 146

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,602.07 89
PY2020 $1,689.87 100
PY2021 $2,521.69 148
PY2022 $3,337.42 162
PY2023 $2,243.47 106
PY2024 $2,394.33 119
PY2025 $2,894.26 146

Payment records · PY2025 (146)

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

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
CSL Behring $25.49 12/24/2025 Food and Beverage No dispute reported 06/30/2026 1232377652 CMS
GENZYME CORPORATION $25.94 12/22/2025 Food and Beverage No dispute reported 06/30/2026 1233393804 CMS
Ionis Pharmaceuticals, Inc. $22.26 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1246791522 CMS
ARS Pharmaceuticals Operations, Inc. $16.10 12/12/2025 Food and Beverage No dispute reported 06/30/2026 1245893050 CMS
Paratek Pharmaceuticals, Inc. $22.50 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1181765346 CMS
ARS Pharmaceuticals Operations, Inc. $5.97 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1245893048 CMS
AstraZeneca Pharmaceuticals LP $18.46 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1206326159 CMS
Novartis Pharmaceuticals Corporation $21.30 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1200304714 CMS
Takeda Pharmaceuticals U.S.A., Inc. $27.55 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1223910683 CMS
Regeneron Healthcare Solutions, Inc. $25.96 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1213042836 CMS
ARS Pharmaceuticals Operations, Inc. $8.41 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1245893046 CMS
Ionis Pharmaceuticals, Inc. $23.00 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1246791518 CMS
CSL Behring $27.50 11/14/2025 Food and Beverage No dispute reported 06/30/2026 1232377648 CMS
AstraZeneca Pharmaceuticals LP $21.80 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1207317137 CMS
GlaxoSmithKline, LLC. $17.22 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1190486056 CMS
Grifols USA, LLC $16.85 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1249555957 CMS
AstraZeneca Pharmaceuticals LP $18.93 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1206620623 CMS
AstraZeneca Pharmaceuticals LP $16.41 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1206788132 CMS
GENZYME CORPORATION $25.69 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1233393776 CMS
GlaxoSmithKline, LLC. $22.45 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1190534314 CMS
GlaxoSmithKline, LLC. $114.74 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1191491998 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.20 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1223826910 CMS
ARS Pharmaceuticals Operations, Inc. $9.91 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1245893044 CMS
CSL Behring $8.54 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1232377644 CMS
GENZYME CORPORATION $23.19 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1233393758 CMS
Genentech USA, Inc. $25.86 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1211541169 CMS
AstraZeneca Pharmaceuticals LP $15.83 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1206348585 CMS
GlaxoSmithKline, LLC. $7.24 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1190638519 CMS
Amgen Inc. $16.93 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1228460048 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.12 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1223805773 CMS
CSL Behring $26.78 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1232377642 CMS
Ionis Pharmaceuticals, Inc. $20.45 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1246791514 CMS
ARS Pharmaceuticals Operations, Inc. $9.81 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1245893042 CMS
GlaxoSmithKline, LLC. $24.76 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1191722729 CMS
Novartis Pharmaceuticals Corporation $19.41 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1200304704 CMS
AstraZeneca Pharmaceuticals LP $20.69 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1206605287 CMS
Regeneron Healthcare Solutions, Inc. $25.59 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1213042834 CMS
Grifols USA, LLC $18.83 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1249555975 CMS
Regeneron Healthcare Solutions, Inc. $23.60 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1213042832 CMS
Novartis Pharmaceuticals Corporation $25.83 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1200304706 CMS
GlaxoSmithKline, LLC. $22.04 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1191281990 CMS
Genentech USA, Inc. $23.48 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1211541167 CMS
Novartis Pharmaceuticals Corporation $14.64 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1200304712 CMS
GlaxoSmithKline, LLC. $20.10 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1190725730 CMS
Novartis Pharmaceuticals Corporation $7.61 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1200304708 CMS
CSL Behring $25.07 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1232377636 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.89 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1223805560 CMS
AstraZeneca Pharmaceuticals LP $23.36 09/11/2025 Food and Beverage No dispute reported 06/30/2026 1207115690 CMS
GlaxoSmithKline, LLC. $18.41 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1190722506 CMS
CSL Behring $29.94 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1232377634 CMS
ARS Pharmaceuticals Operations, Inc. $8.56 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1245893040 CMS
AstraZeneca Pharmaceuticals LP $19.63 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1206968900 CMS
Novartis Pharmaceuticals Corporation $27.39 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1200304702 CMS
GlaxoSmithKline, LLC. $17.89 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1191448969 CMS
Regeneron Healthcare Solutions, Inc. $21.26 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1213042830 CMS
Grifols USA, LLC $13.48 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1249555964 CMS
Regeneron Healthcare Solutions, Inc. $22.23 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1213042828 CMS
AstraZeneca Pharmaceuticals LP $21.47 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1206885828 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.98 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1223804614 CMS
Novartis Pharmaceuticals Corporation $22.67 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1200304700 CMS
AstraZeneca Pharmaceuticals LP $20.90 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1206748355 CMS
ARS Pharmaceuticals Operations, Inc. $9.49 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1245893038 CMS
Ionis Pharmaceuticals, Inc. $23.96 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1246791511 CMS
AstraZeneca Pharmaceuticals LP $21.36 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1206303821 CMS
CSL Behring $26.41 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1232377628 CMS
AstraZeneca Pharmaceuticals LP $25.75 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1207012576 CMS
Regeneron Healthcare Solutions, Inc. $8.81 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1213042826 CMS
GlaxoSmithKline, LLC. $19.72 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1190393035 CMS
Novartis Pharmaceuticals Corporation $21.92 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1200304710 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.58 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1223805262 CMS
Genentech USA, Inc. $13.71 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1211541163 CMS
GlaxoSmithKline, LLC. $24.60 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1191736480 CMS
Amgen Inc. $16.77 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1228460042 CMS
Pharming Healthcare, Inc. $18.16 07/24/2025 Food and Beverage No dispute reported 06/30/2026 1200803004 CMS
Genentech USA, Inc. $27.59 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1211541160 CMS
Greer Laboratories, Inc. $16.33 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1240086085 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.42 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1223885055 CMS
GlaxoSmithKline, LLC. $14.52 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1190719791 CMS
Ionis Pharmaceuticals, Inc. $16.70 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1246791507 CMS
AstraZeneca Pharmaceuticals LP $16.89 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1206763436 CMS
Regeneron Healthcare Solutions, Inc. $24.94 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1213042824 CMS
Takeda Pharmaceuticals U.S.A., Inc. $24.03 07/03/2025 Food and Beverage No dispute reported 06/30/2026 1223889499 CMS
Organon LLC $21.12 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1237714136 CMS
Grifols USA, LLC $19.24 06/28/2025 Food and Beverage No dispute reported 06/30/2026 1249555970 CMS
GlaxoSmithKline, LLC. $18.32 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1191434417 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.98 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1223801891 CMS
Blueprint Medicines Corporation $16.98 06/19/2025 Food and Beverage No dispute reported 06/30/2026 1235822275 CMS
ARS Pharmaceuticals Operations, Inc. $6.93 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1245893036 CMS
AstraZeneca Pharmaceuticals LP $24.65 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1207232846 CMS
ARS Pharmaceuticals Operations, Inc. $9.96 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1245893034 CMS
Regeneron Healthcare Solutions, Inc. $24.23 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1213042822 CMS
AstraZeneca Pharmaceuticals LP $16.97 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1206450940 CMS
GlaxoSmithKline, LLC. $17.12 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1190844585 CMS
Optinose US, Inc. $19.44 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1163255152 CMS
Takeda Pharmaceuticals U.S.A., Inc. $4.14 05/23/2025 Food and Beverage No dispute reported 06/30/2026 1223800622 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.59 05/23/2025 Food and Beverage No dispute reported 06/30/2026 1223810742 CMS
ARS Pharmaceuticals Operations, Inc. $1.50 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1245893030 CMS
ARS Pharmaceuticals Operations, Inc. $4.42 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1245893032 CMS
Regeneron Healthcare Solutions, Inc. $25.19 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1213042820 CMS
Amgen Inc. $20.22 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1228460044 CMS
ARS Pharmaceuticals Operations, Inc. $5.71 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1245893028 CMS
AstraZeneca Pharmaceuticals LP $28.02 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1206752781 CMS
AstraZeneca Pharmaceuticals LP $24.76 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1206401607 CMS
Novartis Pharmaceuticals Corporation $1.97 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1200304692 CMS
Novartis Pharmaceuticals Corporation $16.77 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1200304694 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.77 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1223838615 CMS
Novartis Pharmaceuticals Corporation $21.72 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1200304688 CMS
AstraZeneca Pharmaceuticals LP $17.73 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1206308474 CMS
Regeneron Healthcare Solutions, Inc. $17.73 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1213042818 CMS
AstraZeneca Pharmaceuticals LP $23.74 04/18/2025 Food and Beverage No dispute reported 06/30/2026 1206324473 CMS
Regeneron Healthcare Solutions, Inc. $22.69 04/18/2025 Food and Beverage No dispute reported 06/30/2026 1213042816 CMS
AstraZeneca Pharmaceuticals LP $16.76 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1206168924 CMS
ARS Pharmaceuticals Operations, Inc. $8.68 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1245893024 CMS
ARS Pharmaceuticals Operations, Inc. $1.49 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1245893026 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.81 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1223818102 CMS
AstraZeneca Pharmaceuticals LP $17.51 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1206423195 CMS
GlaxoSmithKline, LLC. $14.29 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1191639193 CMS
Optinose US, Inc. $18.40 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1163255142 CMS
AstraZeneca Pharmaceuticals LP $21.36 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1206605337 CMS
GlaxoSmithKline, LLC. $11.08 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1190709011 CMS
BioCryst US Sales Co., LLC $17.09 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1222009751 CMS
ARS Pharmaceuticals Operations, Inc. $1.56 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1245893020 CMS
ARS Pharmaceuticals Operations, Inc. $19.93 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1245893022 CMS
AstraZeneca Pharmaceuticals LP $117.00 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1207189032 CMS
AstraZeneca Pharmaceuticals LP $18.30 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1206661101 CMS
GENZYME CORPORATION $22.61 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1233393668 CMS
Regeneron Healthcare Solutions, Inc. $24.68 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1213042814 CMS
AstraZeneca Pharmaceuticals LP $13.76 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1206746320 CMS
AstraZeneca Pharmaceuticals LP $20.69 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1207029673 CMS
GlaxoSmithKline, LLC. $23.30 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1191076858 CMS
Regeneron Healthcare Solutions, Inc. $16.67 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1213042812 CMS
AstraZeneca Pharmaceuticals LP $25.74 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1207182922 CMS
CSL Behring $8.55 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1232377598 CMS
Regeneron Healthcare Solutions, Inc. $20.51 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1213042810 CMS
ARS Pharmaceuticals Operations, Inc. $3.32 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1245893016 CMS
ARS Pharmaceuticals Operations, Inc. $7.08 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1245893018 CMS
PFIZER INC. $28.95 02/01/2025 Food and Beverage No dispute reported 06/30/2026 1231219570 CMS
Regeneron Healthcare Solutions, Inc. $24.88 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1213042808 CMS
GlaxoSmithKline, LLC. $22.63 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1190681523 CMS
AstraZeneca Pharmaceuticals LP $26.35 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1207167657 CMS
Amgen Inc. $17.74 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1228460046 CMS
AstraZeneca Pharmaceuticals LP $13.92 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1207039602 CMS
Regeneron Healthcare Solutions, Inc. $21.23 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1213042806 CMS
AstraZeneca Pharmaceuticals LP $67.42 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1206872878 CMS
Novartis Pharmaceuticals Corporation $20.00 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1200304686 CMS
ARS Pharmaceuticals Operations, Inc. $19.60 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1245893014 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.

Cite this record.

Plain
MARGARET H SIGMAN, NPI 1447461108. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1447461108.
APA 7
IndustryPayments. (2026). MARGARET H SIGMAN, NPI 1447461108 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1447461108
Bluebook
MARGARET H SIGMAN, NPI 1447461108, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1447461108.

Source: Centers for Medicare & Medicaid Services, Open Payments.