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

LES A ZAKRZEWSKI

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1467431577
CMS profile
111258
Location
WEST SENECA, NY

General Payments · PY2018–2024

$1,252.68

  • Reported across 36 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$469.26

8 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 $436.99 7
Education $32.27 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $295.71 5
GlaxoSmithKline, LLC. $125.00 1
Novo Nordisk AS $48.55 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $343.92 17
PY2019 $136.69 4
PY2020 $23.50 2
PY2021 $122.18 1
PY2022 $12.87 1
PY2023 $144.26 3
PY2024 $469.26 8

Payment records · PY2024 (8)

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

Program year 2024 201820192020202120222023 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
AstraZeneca Pharmaceuticals LP $109.42 02/06/2024 Food and Beverage Undisputed 01/23/2026 1104502680 CMS
AstraZeneca Pharmaceuticals LP $121.02 02/15/2024 Food and Beverage Undisputed 01/23/2026 1104582788 CMS
AstraZeneca Pharmaceuticals LP $22.64 05/07/2024 Food and Beverage Undisputed 01/23/2026 1105580276 CMS
AstraZeneca Pharmaceuticals LP $22.63 09/17/2024 Food and Beverage Undisputed 01/23/2026 1105729969 CMS
AstraZeneca Pharmaceuticals LP $20.00 11/22/2024 Food and Beverage Undisputed 01/23/2026 1104583546 CMS
GlaxoSmithKline, LLC. $125.00 09/25/2024 Food and Beverage Undisputed 01/23/2026 1115972650 CMS
Novo Nordisk Inc $32.27 11/05/2024 Education Undisputed 01/23/2026 1096976527 CMS
Novo Nordisk Inc $16.28 11/05/2024 Food and Beverage Undisputed 01/23/2026 1097347872 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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