Covered recipient · General Payments record

NATALIE ANN GESSNER

Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Oncology

NPI: 1447957683
CMS profile: 11436356
Location: CLEARWATER, FL

General Payments · PY2023–2024

$4,803.17

Reported across 201 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,669.94

109 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 payment	Amount	Records
Food and Beverage	$2,669.94	109

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
PFIZER INC.	$269.25	10
NOVARTIS PHARMACEUTICALS CORPORATION	$238.95	10
GENZYME CORPORATION	$189.89	6
Merck Sharp & Dohme Corporation	$176.15	9
Gilead Sciences, Inc.	$162.18	7
Medtronic, Inc.	$151.44	1
Acerta Pharma LLC	$144.10	7
Incyte Corporation	$138.58	6
Janssen Biotech, Inc.	$107.33	5
GlaxoSmithKline, LLC.	$106.33	4
Daiichi Sankyo Inc.	$80.98	3
Lilly USA, LLC	$80.10	3
Takeda Pharmaceuticals U.S.A., Inc.	$77.10	3
Regeneron Healthcare Solutions, Inc.	$70.40	3
E.R. Squibb & Sons, L.L.C.	$63.21	3
Genmab U.S., Inc.	$54.95	2
JAZZ PHARMACEUTICALS INC.	$48.12	2
EISAI INC.	$44.63	2
Stemline Therapeutics Inc.	$44.06	2
AVEO Pharmaceuticals, Inc.	$39.41	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$37.88	2
Pharmacosmos Therapeutics Inc.	$35.59	2
Astellas Pharma US Inc	$33.70	2
Bayer HealthCare Pharmaceuticals Inc.	$31.77	2
ABBVIE INC.	$31.46	1
Genentech USA, Inc.	$31.16	1
ARRAY BIOPHARMA INC	$25.72	1
SOBI, INC	$25.39	1
PUMA BIOTECHNOLOGY, INC.	$21.81	1
Exelixis Inc.	$21.04	1
Ipsen Biopharmaceuticals, Inc	$19.68	1
Alexion Pharmaceuticals, Inc.	$18.83	1
Deciphera Pharmaceuticals Inc.	$17.58	1
PharmaEssentia USA Corporation	$16.02	1
Kyowa Kirin, Inc.	$15.15	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$2,133.23	92
PY2024	$2,669.94	109

Payment records · PY2024 (109)

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

Program year 2024 2023 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.	$31.46	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1107165271	CMS
Alexion Pharmaceuticals, Inc.	$18.83	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1093997446	CMS
ARRAY BIOPHARMA INC	$25.72	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1131444373	CMS
Astellas Pharma US Inc	$15.20	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1139484850	CMS
Astellas Pharma US Inc	$18.50	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1139508449	CMS
AstraZeneca Pharmaceuticals LP	$20.76	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1104335318	CMS
AstraZeneca Pharmaceuticals LP	$21.75	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1104235309	CMS
AstraZeneca Pharmaceuticals LP	$2.80	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1104419205	CMS
AstraZeneca Pharmaceuticals LP	$24.90	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1105795624	CMS
AstraZeneca Pharmaceuticals LP	$24.90	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1104591296	CMS
AstraZeneca Pharmaceuticals LP	$21.09	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1104756950	CMS
AstraZeneca Pharmaceuticals LP	$27.90	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1104408413	CMS
Aveo Pharmaceuticals, Inc.	$17.02	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1143497489	CMS
Aveo Pharmaceuticals, Inc.	$22.39	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1143497495	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.10	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1086272050	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.67	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1086274458	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.94	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1118015128	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.94	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1118015126	CMS
Daiichi Sankyo Inc.	$24.78	01/15/2024	Food and Beverage	Undisputed	01/23/2026	1089425351	CMS
Daiichi Sankyo Inc.	$26.22	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1089425353	CMS
Daiichi Sankyo Inc.	$29.98	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1089425355	CMS
Deciphera Pharmaceuticals Inc.	$17.58	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1145876901	CMS
E.R. Squibb & Sons, L.L.C.	$18.82	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1101204400	CMS
E.R. Squibb & Sons, L.L.C.	$25.87	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1101204414	CMS
E.R. Squibb & Sons, L.L.C.	$18.52	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1101204436	CMS
Eisai Inc.	$23.21	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1110816610	CMS
Eisai Inc.	$21.42	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1110816612	CMS
Exelixis Inc.	$21.04	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1138573419	CMS
Genentech USA, Inc.	$31.16	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1133178686	CMS
Genmab U.S., Inc.	$24.18	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1126838392	CMS
Genmab U.S., Inc.	$30.77	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1126838394	CMS
GENZYME CORPORATION	$27.37	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1139922837	CMS
GENZYME CORPORATION	$22.06	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1139922853	CMS
GENZYME CORPORATION	$36.57	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1139922869	CMS
GENZYME CORPORATION	$38.33	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1139922887	CMS
GENZYME CORPORATION	$33.11	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1139922901	CMS
GENZYME CORPORATION	$32.45	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1139922923	CMS
Gilead Sciences, Inc.	$23.30	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1133649044	CMS
Gilead Sciences, Inc.	$25.44	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1133649046	CMS
Gilead Sciences, Inc.	$23.76	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1133649048	CMS
Gilead Sciences, Inc.	$16.84	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1133649050	CMS
Gilead Sciences, Inc.	$24.15	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1133649052	CMS
Gilead Sciences, Inc.	$24.54	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1133649054	CMS
Gilead Sciences, Inc.	$24.15	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1133649056	CMS
GlaxoSmithKline, LLC.	$28.33	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1116268858	CMS
GlaxoSmithKline, LLC.	$21.62	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1116264087	CMS
GlaxoSmithKline, LLC.	$28.09	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1116417470	CMS
GlaxoSmithKline, LLC.	$28.29	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1116378898	CMS
Incyte Corporation	$26.09	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1141213208	CMS
Incyte Corporation	$29.03	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1141290166	CMS
Incyte Corporation	$24.04	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1141315747	CMS
Incyte Corporation	$16.79	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1141257165	CMS
Incyte Corporation	$22.09	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1141257771	CMS
Incyte Corporation	$20.54	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1141239839	CMS
Ipsen Biopharmaceuticals, Inc	$19.68	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1091953601	CMS
Janssen Biotech, Inc.	$21.50	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1078406427	CMS
Janssen Biotech, Inc.	$21.50	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1078405760	CMS
Janssen Biotech, Inc.	$21.33	06/08/2024	Food and Beverage	Undisputed	01/23/2026	1078406212	CMS
Janssen Biotech, Inc.	$21.50	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1078406004	CMS
Janssen Biotech, Inc.	$21.50	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1078406169	CMS
JAZZ PHARMACEUTICALS INC.	$18.28	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1151305100	CMS
JAZZ PHARMACEUTICALS INC.	$29.84	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1151305102	CMS
Kyowa Kirin, Inc.	$15.15	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1127054345	CMS
Lilly USA, LLC	$26.99	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1135896892	CMS
Lilly USA, LLC	$26.14	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1135910575	CMS
Lilly USA, LLC	$26.97	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1135910577	CMS
Medtronic, Inc.	$151.44	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1116949430	CMS
Merck Sharp & Dohme LLC	$16.72	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1141924249	CMS
Merck Sharp & Dohme LLC	$27.08	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1141654719	CMS
Merck Sharp & Dohme LLC	$19.67	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1141654721	CMS
Merck Sharp & Dohme LLC	$15.60	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1141856040	CMS
Merck Sharp & Dohme LLC	$23.63	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1141856038	CMS
Merck Sharp & Dohme LLC	$18.16	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1141654625	CMS
Merck Sharp & Dohme LLC	$14.75	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1141654713	CMS
Merck Sharp & Dohme LLC	$24.96	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1141654711	CMS
Merck Sharp & Dohme LLC	$15.58	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1141654717	CMS
Novartis Pharmaceuticals Corporation	$28.49	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1086832585	CMS
Novartis Pharmaceuticals Corporation	$23.55	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1086832583	CMS
Novartis Pharmaceuticals Corporation	$9.93	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1086832581	CMS
Novartis Pharmaceuticals Corporation	$23.66	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1086832587	CMS
Novartis Pharmaceuticals Corporation	$27.37	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1086832589	CMS
Novartis Pharmaceuticals Corporation	$29.87	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1086832591	CMS
Novartis Pharmaceuticals Corporation	$26.12	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1086832593	CMS
Novartis Pharmaceuticals Corporation	$30.86	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1086832599	CMS
Novartis Pharmaceuticals Corporation	$25.65	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1086832603	CMS
Novartis Pharmaceuticals Corporation	$13.45	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1086832605	CMS
PFIZER INC.	$23.00	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1131299741	CMS
PFIZER INC.	$22.79	02/03/2024	Food and Beverage	Undisputed	01/23/2026	1131281808	CMS
PFIZER INC.	$24.28	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1131188856	CMS
PFIZER INC.	$28.47	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1131321751	CMS
PFIZER INC.	$25.39	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1131331371	CMS
PFIZER INC.	$33.40	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1131420521	CMS
PFIZER INC.	$20.33	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1131353570	CMS
PFIZER INC.	$35.68	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1131339793	CMS
PFIZER INC.	$32.63	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1131899365	CMS
PFIZER INC.	$23.28	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1131377387	CMS
Pharmacosmos Therapeutics Inc.	$17.06	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1154829293	CMS
Pharmacosmos Therapeutics Inc.	$18.53	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1154829295	CMS
PharmaEssentia USA Corporation	$16.02	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1137307452	CMS
PUMA BIOTECHNOLOGY, INC.	$21.81	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1113861881	CMS
Regeneron Healthcare Solutions, Inc.	$24.94	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1114305762	CMS
Regeneron Healthcare Solutions, Inc.	$25.95	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1114305764	CMS
Regeneron Healthcare Solutions, Inc.	$19.51	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1114305766	CMS
SOBI, INC	$25.39	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1141413022	CMS
Stemline Therapeutics Inc.	$21.54	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1142969739	CMS
Stemline Therapeutics Inc.	$22.52	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1142969741	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$25.89	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1144975727	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$28.57	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1144975729	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.64	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1144975731	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: 2023, 2024
Source files: Dataset page · Bulk file · PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.