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

AFTON N RAKESTRAW

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1447687298
CMS profile
10589703
Location
ORLANDO, FL

General Payments · PY2021–2025

$1,999.81

  • Reported across 75 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$518.51

18 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 $518.51 18

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
UCB, Inc. $198.18 6
ACADIA Pharmaceuticals Inc $79.08 3
Corium, Inc. $63.39 2
Medtronic, Inc. $61.34 2
JAZZ PHARMACEUTICALS INC. $54.96 2
Neurelis, Inc. $39.79 2
Collegium Pharmaceutical, Inc. $21.77 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $45.92 2
PY2022 $120.85 5
PY2023 $480.58 21
PY2024 $833.95 29
PY2025 $518.51 18

Payment records · PY2025 (18)

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

Program year 2025 2021202220232024 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
ACADIA Pharmaceuticals Inc $25.44 02/05/2025 Food and Beverage Undisputed 06/30/2026 1247822808 CMS
ACADIA Pharmaceuticals Inc $26.82 08/13/2025 Food and Beverage Undisputed 06/30/2026 1247822810 CMS
ACADIA Pharmaceuticals Inc $26.82 11/12/2025 Food and Beverage Undisputed 06/30/2026 1247822812 CMS
Collegium Pharmaceutical, Inc. $21.77 05/21/2025 Food and Beverage Undisputed 06/30/2026 1224170886 CMS
Corium, LLC $32.60 04/30/2025 Food and Beverage Undisputed 06/30/2026 1185848476 CMS
Corium, LLC $30.79 10/08/2025 Food and Beverage Undisputed 06/30/2026 1185845882 CMS
JAZZ PHARMACEUTICALS INC. $21.70 03/05/2025 Food and Beverage Undisputed 06/30/2026 1234880499 CMS
JAZZ PHARMACEUTICALS INC. $33.26 04/25/2025 Food and Beverage Undisputed 06/30/2026 1234877321 CMS
Medtronic, Inc. $32.26 05/09/2025 Food and Beverage Undisputed 06/30/2026 1219792452 CMS
Medtronic, Inc. $29.08 08/13/2025 Food and Beverage Undisputed 06/30/2026 1219792454 CMS
Neurelis, Inc. $20.23 04/17/2025 Food and Beverage Undisputed 06/30/2026 1219213426 CMS
Neurelis, Inc. $19.56 10/01/2025 Food and Beverage Undisputed 06/30/2026 1219213428 CMS
UCB, Inc. $35.98 01/08/2025 Food and Beverage Undisputed 06/30/2026 1224656703 CMS
UCB, Inc. $36.79 02/19/2025 Food and Beverage Undisputed 06/30/2026 1224656707 CMS
UCB, Inc. $31.36 03/26/2025 Food and Beverage Undisputed 06/30/2026 1224656711 CMS
UCB, Inc. $31.82 07/31/2025 Food and Beverage Undisputed 06/30/2026 1224656715 CMS
UCB, Inc. $32.34 09/18/2025 Food and Beverage Undisputed 06/30/2026 1224656720 CMS
UCB, Inc. $29.89 11/05/2025 Food and Beverage Undisputed 06/30/2026 1224656724 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
2021, 2022, 2023, 2024, 2025
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.