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

MICHAEL GATCHALIAN NICOLAS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1477126662
CMS profile
11036488
Location
LAS VEGAS, NV

General Payments · PY2021–2025

$773.45

  • Reported across 40 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$280.70

24 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 $280.70 24

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Fresenius USA Marketing, Inc. $157.46 18
Ardelyx, Inc. $71.52 4
Relypsa, Inc. $26.11 1
AKEBIA THERAPEUTICS INC $25.61 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $44.37 4
PY2023 $68.74 3
PY2024 $379.64 9
PY2025 $280.70 24

Payment records · PY2025 (24)

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

Program year 2025 202120232024 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
AKEBIA THERAPEUTICS INC $25.61 06/16/2025 Food and Beverage Undisputed 06/30/2026 1241819372 CMS
Ardelyx, Inc. $22.43 04/24/2025 Food and Beverage Undisputed 06/30/2026 1247933087 CMS
Ardelyx, Inc. $18.38 06/25/2025 Food and Beverage Undisputed 06/30/2026 1247933089 CMS
Ardelyx, Inc. $15.00 08/06/2025 Food and Beverage Undisputed 06/30/2026 1247933091 CMS
Ardelyx, Inc. $15.71 12/04/2025 Food and Beverage Undisputed 06/30/2026 1247933093 CMS
Fresenius USA Marketing, Inc. $7.84 01/10/2025 Food and Beverage Undisputed 06/30/2026 1244808237 CMS
Fresenius USA Marketing, Inc. $8.15 02/12/2025 Food and Beverage Undisputed 06/30/2026 1244808239 CMS
Fresenius USA Marketing, Inc. $9.07 02/27/2025 Food and Beverage Undisputed 06/30/2026 1244808241 CMS
Fresenius USA Marketing, Inc. $13.06 03/13/2025 Food and Beverage Undisputed 06/30/2026 1244808215 CMS
Fresenius USA Marketing, Inc. $0.70 03/13/2025 Food and Beverage Undisputed 06/30/2026 1244808223 CMS
Fresenius USA Marketing, Inc. $7.38 03/26/2025 Food and Beverage Undisputed 06/30/2026 1244808217 CMS
Fresenius USA Marketing, Inc. $4.72 04/30/2025 Food and Beverage Undisputed 06/30/2026 1244808221 CMS
Fresenius USA Marketing, Inc. $1.00 04/30/2025 Food and Beverage Undisputed 06/30/2026 1244808231 CMS
Fresenius USA Marketing, Inc. $20.94 05/20/2025 Food and Beverage Undisputed 06/30/2026 1244808209 CMS
Fresenius USA Marketing, Inc. $7.45 05/30/2025 Food and Beverage Undisputed 06/30/2026 1244808235 CMS
Fresenius USA Marketing, Inc. $8.55 07/11/2025 Food and Beverage Undisputed 06/30/2026 1244808229 CMS
Fresenius USA Marketing, Inc. $8.37 08/07/2025 Food and Beverage Undisputed 06/30/2026 1244808227 CMS
Fresenius USA Marketing, Inc. $8.63 09/25/2025 Food and Beverage Undisputed 06/30/2026 1244808213 CMS
Fresenius USA Marketing, Inc. $8.30 10/15/2025 Food and Beverage Undisputed 06/30/2026 1244808211 CMS
Fresenius USA Marketing, Inc. $8.41 10/31/2025 Food and Beverage Undisputed 06/30/2026 1244808207 CMS
Fresenius USA Marketing, Inc. $14.48 11/06/2025 Food and Beverage Undisputed 06/30/2026 1244808219 CMS
Fresenius USA Marketing, Inc. $5.99 12/05/2025 Food and Beverage Undisputed 06/30/2026 1244808225 CMS
Fresenius USA Marketing, Inc. $14.42 12/16/2025 Food and Beverage Undisputed 06/30/2026 1244808233 CMS
Vifor Pharma, Inc. $26.11 03/24/2025 Food and Beverage Undisputed 06/30/2026 1172026945 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, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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